The call for evidence-based policy is often accompanied by rather uncritical references to the success of evidence-based medicine, leading to often unsuccessful translation attempts. In this paper, I reflect on the practice of evidence-based medicine in an attempt to sketch a more productive approach to translating evidence into the practice of policy making. Discussing three episodes in the history of evidence-based medicine – clinical trials, and the production and use of clinical guidelines – I conclude that the success of evidence-based medicine is based on the creation of reflexive practices in which evidence and practice can be combined productively. In the conclusion, I discuss the prospects of such a practice for evidence-based policy.

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doi.org/10.1177/1355819616670680, hdl.handle.net/1765/99337
Journal of Health Services Research & Policy

An earlier version of this essay appeared (in Dutch) in the Tijdschrift voor Gezondheid & Ethiek


Bal, R. (2017). Evidence-based policy as reflexive practice.: What can we learn from evidence-based medicine?. Journal of Health Services Research & Policy, 22(2), 113–119. doi:10.1177/1355819616670680