["E]vidence-based medicine ignores the impact of the patient's life 
at home and results in fractured and desultory care. To remedy the 
current system, they call for a fundamental shift in the way that 
primary care is practiced. They advocate an approach that blurs the 
traditional division between doctors' offices and communities, a new 
paradigm they call "evidence-based health.""

http://nyti.ms/ecgl5c NYT

Abstract

While evidence-based medicine (EBM) has advanced medical practice, 
the health care system has been inconsistent in translating EBM into 
improvements in health. Disparities in health and health care play 
out through patients' limited ability to incorporate the advances of 
EBM into their daily lives. Assisting patients to self-manage their 
chronic conditions and paying attention to unhealthy community 
factors could be added to EBM to create a broader paradigm of 
evidence-based health. A perspective of evidence-based health may 
encourage physicians to consider their role in upstream efforts to 
combat socially patterned chronic disease.

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