TY - JOUR T1 - Bad Medicine: Evidence-based health care? JF - British Journal of General Practice JO - Br J Gen Pract SP - 411 LP - 411 DO - 10.3399/bjgp17X692381 VL - 67 IS - 662 AU - Des Spence Y1 - 2017/09/01 UR - http://bjgp.org/content/67/662/411.abstract N2 - Evidence-based health care is all the rage. We should not change anything without ‘evidence’. The great thinkers of general practice cascade this down to us, the proles; the working practitioners. But, unfortunately, most of the published research is irrelevant, meaningless, and useless to us. It is spewed out merely to complete an MD with topics like: researching by validated questionnaire, whether validated questionnaires are valid, into assessing the viability of a pilot on toenail cutting in men with low magnesium levels over a 10-year period in rural Bulgaria. So here is the shocking truth: we are going to have to change the process of general practice without evidence, … ER -