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Is evidence‐based implementation of evidence‐based care possible?
Author(s) -
Grimshaw Jeremy M,
Eccles Martin P
Publication year - 2004
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.2004.tb05945.x
Subject(s) - guideline , psychological intervention , dissemination , health care , systematic review , evidence based medicine , quality (philosophy) , medicine , evidence based practice , quality management , medline , nursing , business , alternative medicine , computer science , marketing , political science , telecommunications , philosophy , epistemology , pathology , law , service (business)
Traditional approaches to disseminating research findings have failed to achieve optimal healthcare. In a systematic review of 235 studies of guideline dissemination and implementation strategies, we observed the following: ➢ there was a median 10% improvement across studies, suggesting that it is possible to change healthcare provider behaviour and improve quality of care; ➢ most dissemination and implementation strategies resulted in small to moderate improvements in care; ➢ multifaceted interventions did not appear more effective than single interventions. The interpretation of our systematic review is hindered by the lack of a robust theoretical base for understanding healthcare provider and organisational behaviour. Future research is required to develop a better theoretical base and to evaluate further guideline dissemination and implementation strategies.