Barriers to evidence based practice

When criticized for their non-evidence based and unscientific claims the woomeisters like to counter with statistics pointing to the high rate of non-evidence based treatment in conventional medicine. It’s a specious argument, one which I have addressed here and elsewhere. The low rate of uptake of best evidence in conventional medicine is not a philosophical problem such as we find in the promotion of woo. Rather, it’s due to external barriers. These barriers are examined in a review from the Annals of Pharmacotherapy, published as free full text via Medscape.