Dr. Solà-Morales was invited to give a presentation in a plenary session at the 20th National Hospital Congess (Sevilla, dates) on uses of Real World Evidence (RWE). Building on his own experences, Dr. Solà-Morales explained how to use RWE as an effective management tool to implement effective interventions with clinicians, while encouraging clinicians empowerment.
Coming from Eminence Based Medicine, extensive use of Randomised Clinical Trials led to the introduction of evidence based medicine, a more accurate medical practice with far less variability and better outcomes. By introducing Clinical Practice Guidelines, policymakers ensured the effective interventions were spread across the population, but without much control on effectiveness. But that has come at a cost of clinician’s autonomy. And the lack of external validity of data. Yet, some of the most important transformations of healthcare come from large observational trials (i.e Framingham study…)
With the introduction of RWE, there is the opportunity to pair again efficacy and effectiveness, and at the same time to empower clinicians to make local adaptations of the CPG to ensure the most effective interventions are delivered at the patient level, making again local decisions relevant for both the physician and the patient.