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Critical Social Policy
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Commentary and Issues : Who knows best? Evidence-based practice and the service user contribution

Jon Glasby

University of Birmingham

Peter Beresford

Brunel University

This paper reviews the assumptions underlying traditional medical research and critiques the concept of ‘evidence-based practice’. In particular, it identifies and counters three basic tenets of this approach: the alleged need for objectivity in research, the notion of hierarchies of evidence and the primacy of systematic reviews. Instead, the paper argues for a new emphasis on ‘knowledge-based practice’, recognizing that the practice wisdom of health and social care practitioners and the lived experience of service users can be just as valid a way of knowing the world as formal research.

Key Words: evidence-based practice • knowledge-based practice • user involvement

Critical Social Policy, Vol. 26, No. 1, 268-284 (2006)
DOI: 10.1177/0261018306059775
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