Cochrane Collaboration and evidence-based medicine (1993–present)
British epidemiologist Archie Cochrane argued in the 1970s that medical practice should be based on systematic reviews of evidence, not individual studies or clinical intuition. In 1993, the Cochrane Collaboration was founded to produce rigorous systematic reviews of healthcare interventions. It now maintains over 8,000 reviews covering virtually every area of medicine.
Initially met with resistance from clinicians who saw it as cookbook medicine. Adoption was slow through the 1990s.
Evidence-based medicine became the dominant paradigm. Systematic reviews now guide treatment decisions worldwide, and the infrastructure Cochrane built—registries, protocols, standardized methods—became a model for other fields.
Medicine faced a similar credibility challenge decades earlier and built institutional infrastructure to address it. The open science movement in social science is following a parallel path: from identifying the problem, to building tools and standards, to changing institutional incentives. SCORE's findings suggest social science is roughly where medicine was in the early 2000s—past denial, building infrastructure, but not yet at universal adoption.
