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Health care management: models for evidence-based practice.

J Farmer1, R Chesson

  • 1Department of Management, University of Aberdeen, UK.

Journal of Management in Medicine
|January 5, 2002
PubMed
Summary

This study presents practical models for implementing research evidence in health care commissioning. These models offer tools for managers and general practitioners (GPs) to support evidence-based practice and improve healthcare.

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Area of Science:

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

Background:

  • Health care commissioning requires effective operationalization of research evidence.
  • Previous approaches lacked practical models for integrating evidence into decision-making processes.
  • A need exists for structured tools to guide managers and practitioners in evidence-based commissioning.

Purpose of the Study:

  • To develop and present models for operationalizing research evidence in health care commissioning.
  • To identify critical success factors and precipitating factors for evidence-based practice in commissioning.
  • To provide tools for reflection, evaluation, planning, and audit in evidence-based commissioning.

Main Methods:

  • Models were developed using survey data from Scottish health board managers and GP fundholders (1995-1997).

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  • Feedback on the derived models was collected from practitioners in 1998.
  • The study involved qualitative analysis of survey responses and practitioner feedback.

    • Main Results:

    • Two distinct models were developed: one for health board managers and one for GPs.
    • Key factors influencing the adoption and success of evidence-based commissioning were identified.
    • The models highlight critical success factors and predispositions for evidence-based practice.

    Conclusions:

    • The presented models offer practical tools for health care managers and GPs to implement evidence-based commissioning.
    • These models support a culture of transparency, accountability, and continuous improvement in healthcare.
    • The study provides a framework for audit and identifies a pragmatic role for managers in evidence-based decision-making.