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Related Experiment Videos

Implementation strategies.

N Freemantle1

  • 1Medicines Evaluation Group, Centre for Health Economics, University of York, Heslington, UK.

Family Practice
|March 29, 2000
PubMed
Summary
This summary is machine-generated.

Despite various interventions, closing the evidence-practice gap in healthcare remains challenging. Methodological weaknesses in evaluating these interventions hinder significant improvements in clinical practice and medical research uptake.

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Area of Science:

  • Health Services Research
  • Evidence-Based Practice
  • Healthcare Management

Background:

  • Growing body of evidence on interventions to bridge the gap between clinical practice and research findings.
  • Interventions encompass behavioral, financial, and organizational strategies.
  • Current interventions show limited substantial impact on clinical practice.

Purpose of the Study:

  • To evaluate the effectiveness of interventions aimed at improving clinical practice based on evidence.
  • To identify common methodological weaknesses in the evaluation of such interventions.
  • To discuss the implications for the uptake of medical research in healthcare.

Main Methods:

  • Review of existing literature on interventions targeting the evidence-practice gap.

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  • Analysis of the development and evaluation methodologies of implemented interventions.
  • Critical assessment of behavioral and financial/organizational intervention strategies.

    • Main Results:

    • No evaluated interventions have demonstrated a substantial impact on clinical practice.
    • Many interventions are poorly developed, leading to unreliable evaluation results.
    • Common methodological weaknesses identified in intervention evaluations.

    Conclusions:

    • The effectiveness of current interventions in improving clinical practice is limited.
    • Poor development and methodological flaws undermine the evaluation of interventions.
    • Implementation interventions may not resolve the issue of poor medical research uptake.