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Closing the gap between research and practice in health: Lessons from a clinical effectiveness initiative

Closing the gap between research and practice in health: Lessons from a clinical effectiveness initiative
Closing the gap between research and practice in health: Lessons from a clinical effectiveness initiative
Pressure to utilize research evidence in decisions about patient care and population health, so-called evidence-based medicine, has swept the health care systems of most industrial countries. In the UK, the attention of policy makers has recently turned from the production of more 'effectiveness information' to the more fundamental challenge of understanding the factors involved in influencing the attitudes and practices of health care professionals. This article seeks to contribute to this process by reporting the findings of an evaluation of a clinical effectiveness initiative established in Wales between 1996-9 (Locock et al . 1999). The study shows that a number of different factors are involved in improving the implementation of effectiveness information, including the strength of the evidence, and the role of peer influence. However it is the interaction of various elements rather than any single factor, which appears to be crucial. These findings are important not only for health but for informing future interventions across other parts of the public sector.
lessons, health, research, research-EVIDENCE, effectiveness information, clinical change, opinion leaders, peer influence
1471-9037
45-61
Surender, Rebecca
2dda18db-d22c-4f6e-bba4-b70c5337b126
Locock, Louise
5a386f03-e28a-4db8-bfb3-fc46b1e6dccd
Chambers, David
9366be6e-2e86-448b-a7cd-58aa6cc7550e
Dopson, Sue
c47fd52d-5e57-4d38-8595-99889619d961
Gabbay, John
d779b76c-febe-461b-b3bb-e110163f114a
Surender, Rebecca
2dda18db-d22c-4f6e-bba4-b70c5337b126
Locock, Louise
5a386f03-e28a-4db8-bfb3-fc46b1e6dccd
Chambers, David
9366be6e-2e86-448b-a7cd-58aa6cc7550e
Dopson, Sue
c47fd52d-5e57-4d38-8595-99889619d961
Gabbay, John
d779b76c-febe-461b-b3bb-e110163f114a

Surender, Rebecca, Locock, Louise, Chambers, David, Dopson, Sue and Gabbay, John (2002) Closing the gap between research and practice in health: Lessons from a clinical effectiveness initiative. Public Management Review, 4 (1), 45-61. (doi:10.1080/14616670110101690).

Record type: Article

Abstract

Pressure to utilize research evidence in decisions about patient care and population health, so-called evidence-based medicine, has swept the health care systems of most industrial countries. In the UK, the attention of policy makers has recently turned from the production of more 'effectiveness information' to the more fundamental challenge of understanding the factors involved in influencing the attitudes and practices of health care professionals. This article seeks to contribute to this process by reporting the findings of an evaluation of a clinical effectiveness initiative established in Wales between 1996-9 (Locock et al . 1999). The study shows that a number of different factors are involved in improving the implementation of effectiveness information, including the strength of the evidence, and the role of peer influence. However it is the interaction of various elements rather than any single factor, which appears to be crucial. These findings are important not only for health but for informing future interventions across other parts of the public sector.

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More information

Published date: March 2002
Keywords: lessons, health, research, research-EVIDENCE, effectiveness information, clinical change, opinion leaders, peer influence

Identifiers

Local EPrints ID: 62154
URI: http://eprints.soton.ac.uk/id/eprint/62154
ISSN: 1471-9037
PURE UUID: 548e7ae7-5818-48c2-870a-873c10dd762b

Catalogue record

Date deposited: 10 Sep 2008
Last modified: 07 Jan 2022 22:34

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Contributors

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

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