An evidence-based medicine approach should permeate medical education and inform academic medicine. Only if such a change is promoted can evidence-based medicine become central to clinical practice and not trivialised to "cookbook" medicine. If evidence-based medicine is successfully integrated into everyday practice, it may become easier to conduct primary clinical research based on clinical needs rather than on commercial interests.
More imaginative and effective research instruments are needed in primary research, and research strategies that take account of the peculiarities of dermatology should be developed. Qualitative research should not be neglected. It is the key to understanding intercultural variations in body image and of the ways health needs for skin diseases are expressed and perceived in different situations.30-33
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