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Implementation of evidence-based medicine: evaluation of the Promoting Action on Clinical Effectiveness programme

Implementation of evidence-based medicine: evaluation of the Promoting Action on Clinical Effectiveness programme
Implementation of evidence-based medicine: evaluation of the Promoting Action on Clinical Effectiveness programme
Objectives: To evaluate the Promoting Action on Clinical Effectiveness (PACE) programme, which sought to implement clinically effective practice in 16 local sites.
Methods: 182 semi-structured interviews, usually by telephone, with project team members, clinicians, and senior managers and representatives from the Department of Health and the King's Fund.
Results: The most influential factors were strong evidence, supportive opinion leaders and integration within a committed organization; without these factors, projects had little chance of success. Other factors (context analysis, professional involvement and good project management) emerged as important, supporting processes; their presence might be an additional help, but on their own they would not be enough to initiate change. A serious problem with any of them could have a strong adverse impact.
Conclusions: Although there is no simple formula for the factors that ensure successful implementation of research-based improvements to clinical practice, certain principles do seem to help. Time and resource need to be devoted to a period of local negotiation and adaptation of good research evidence based on a careful understanding of the local context, in which opinion leader influence is an important component of a well managed and preferably well integrated process of change.
implementation, evidence-based medicine, evidence based medicine
1355-8196
23-31
Dopson, Sue
c47fd52d-5e57-4d38-8595-99889619d961
Locock, Louise
5a386f03-e28a-4db8-bfb3-fc46b1e6dccd
Chambers, David
9366be6e-2e86-448b-a7cd-58aa6cc7550e
Gabbay, John
d779b76c-febe-461b-b3bb-e110163f114a
Dopson, Sue
c47fd52d-5e57-4d38-8595-99889619d961
Locock, Louise
5a386f03-e28a-4db8-bfb3-fc46b1e6dccd
Chambers, David
9366be6e-2e86-448b-a7cd-58aa6cc7550e
Gabbay, John
d779b76c-febe-461b-b3bb-e110163f114a

Dopson, Sue, Locock, Louise, Chambers, David and Gabbay, John (2001) Implementation of evidence-based medicine: evaluation of the Promoting Action on Clinical Effectiveness programme. Journal of Health Services Research & Policy, 6 (1), 23-31. (doi:10.1258/1355819011927161).

Record type: Article

Abstract

Objectives: To evaluate the Promoting Action on Clinical Effectiveness (PACE) programme, which sought to implement clinically effective practice in 16 local sites.
Methods: 182 semi-structured interviews, usually by telephone, with project team members, clinicians, and senior managers and representatives from the Department of Health and the King's Fund.
Results: The most influential factors were strong evidence, supportive opinion leaders and integration within a committed organization; without these factors, projects had little chance of success. Other factors (context analysis, professional involvement and good project management) emerged as important, supporting processes; their presence might be an additional help, but on their own they would not be enough to initiate change. A serious problem with any of them could have a strong adverse impact.
Conclusions: Although there is no simple formula for the factors that ensure successful implementation of research-based improvements to clinical practice, certain principles do seem to help. Time and resource need to be devoted to a period of local negotiation and adaptation of good research evidence based on a careful understanding of the local context, in which opinion leader influence is an important component of a well managed and preferably well integrated process of change.

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More information

Published date: January 2001
Keywords: implementation, evidence-based medicine, evidence based medicine

Identifiers

Local EPrints ID: 61760
URI: https://eprints.soton.ac.uk/id/eprint/61760
ISSN: 1355-8196
PURE UUID: d762b1c6-e0a7-4cf0-a7a5-1ad2ed4fab96

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Date deposited: 10 Sep 2008
Last modified: 13 Mar 2019 20:28

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Contributors

Author: Sue Dopson
Author: Louise Locock
Author: David Chambers
Author: John Gabbay

University divisions

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