Evidence-Based Implementation of Evidence-Based Medicine.
The slow and haphazard process of translating research findings into clinical practice compromises the potential benefits of clinical research.
Most quality improvement (QI) initiatives are based on the beliefs of decision makers rather than on the growing theoretical and empirical knowledge about organizational and provider behavior change.
If future QI activities are to improve the translation of evidence into practice, they should be based on an understanding of the different models and strategies for implementing research evidence and the evidence base supporting their use.
Evidence-based medicine should be complemented by evidence-based implementation.
The evidence for different strategies of implementing change : A general framework for changing practice based on theoretical perspectives and research evidence considers a variety of theoretical approaches and their contribution to an understanding of provider behavior change.
The framework summarizes evidence from systematic reviews of provider behavior change, which suggest the potential of several dissemination and implementation strategies that are effective under certain conditions.
Passive dissemination approaches are largely ineffective ; specific strategies to implement research-based recommendations appear to be necessary to ensure practice change.
Multifaceted interventions that address specific barriers to change are more likely to lead to changes in practice. (...)
Mots-clés Pascal : Recherche, Médecin, Pratique professionnelle, Amélioration, Qualité
Mots-clés Pascal anglais : Research, Physician, Professional practice, Improvement, Quality
Notice produite par :
ORS Auvergne - Observatoire Régional de la Santé d'Auvergne
Code Inist : 002B30A11. Création : 14/12/1999.