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Related Experiment Videos

Managing evidence-based health care: a diagnostic framework.

K Newman1, T Pyne, A Cowling

  • 1Middlesex University Business School, London, UK.

Journal of Management in Medicine
|December 8, 1997
PubMed
Summary

This study introduces a diagnostic framework to improve clinical effectiveness by addressing organizational and personal failures in healthcare. Implementing this framework bridges the gap between research evidence and patient care.

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Area of Science:

  • Health Services Research
  • Clinical Effectiveness
  • Healthcare Management

Background:

  • Healthcare organizations face challenges in translating research into practice.
  • Existing service quality models can be adapted for clinical effectiveness.
  • Evidence-Based Health-Care (EBHC) implementation requires addressing systemic and individual factors.

Purpose of the Study:

  • To propose a diagnostic framework for improving clinical effectiveness.
  • To identify key gaps hindering the implementation of research evidence in healthcare.
  • To guide Trust managers in developing strategies for enhanced clinical practice.

Main Methods:

  • Development of a 'gap framework' inspired by service quality research and clinical practice schemas.
  • Incorporation of clinician, manager, and staff perspectives from four NHS Trusts.

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  • Analysis of organizational, cultural, attitudinal, and infrastructural factors influencing EBHC.

    • Main Results:

    • Identified four primary gaps (organizational and personal failures) leading to a fifth gap in evidence implementation.
    • Highlighted the need for cultural, organizational, and infrastructural changes.
    • Emphasized the role of incentives, rewards, and training for clinicians.

    Conclusions:

    • Closing the evidence-practice gap requires a multi-faceted approach involving all healthcare stakeholders.
    • Trusts must invest in information infrastructure, education, and training.
    • Purchasers play a crucial role in reinforcing EBHC by disinvesting from ineffective care.