Challenging the framework for evidence in palliative care research

Palliat Med. 2005 Sep;19(6):461-5. doi: 10.1191/0269216305pm1057oa.


This paper examines the debate about best evidence within the public health literature and proposes that similar arguments and concerns exist with respect to use of current evidence-based approaches to implementing research and evaluating the literature in palliative care. Whilst randomized controlled trials (RCTs) remain the gold standard and are appropriate in many instances of palliative care research, there is a need for an alternate research design framework that incorporates contextual and compositional effects pertinent to palliative care research. A framework, entitled Equity-Based Evidence, is discussed as an approach to evidence-based knowledge development in palliative care.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Evidence-Based Medicine / standards*
  • Health Services Research
  • Humans
  • Palliative Care*
  • Randomized Controlled Trials as Topic / methods*
  • Research Design / standards*