Article Text

Download PDFPDF
Uncertainty, responsibility, and the evolution of the physician/patient relationship
  1. M S Henry
  1. Correspondence to:
 Michael S Henry
 Case Western Reserve University, 1681 E. 116th Street, #431D, Cleveland, OH 44106, USA; michael.henry{at}


The practice of evidence based medicine has changed the role of the physician from information dispenser to gatherer and analyser. Studies and controlled trials that may contain unknown errors, or uncertainties, are the primary sources for evidence based decisions in medicine. These sources may be corrupted by a number of means, such as inaccurate statistical analysis, statistical manipulation, population bias, or relevance to the patient in question. Regardless of whether any of these inaccuracies are apparent, the uncertainty of their presence in physician information should be disclosed to the patient. These uncertainties are not, however, shared by physicians with patients, and have caused a direct increase in patient responsibilities and mistrust. Only when disclosure of uncertainty becomes commonplace in medical practice will the physician/patient relationship evolve to a level of greater understanding and satisfaction for both the physician and patient.

  • EBM, evidence based medicine
  • uncertainty
  • evidence based medicine
  • physician/patient relationship
  • patient responsibility
  • internet

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


Other content recommended for you