Pressures on practice

You might have cited such pressures as:

• performance targets
• practice guidelines and service frameworks
• new drugs
• new applications of existing drugs (or technologies)
• new research
• increasing / competing demands on resources
• patient involvement in shared decision–making
• media and internet stories about health care

These pressures mean that you are likely to find yourself in a situation where you need more information before you can decide what to do. This is where an "evidence–based"approach can help.