[How to implement the guidelines in clinical practice. The experiences in digestive endoscopy.]

Area of Science:

• Medical Research
• Clinical Practice
• Evidence-Based Medicine

Background:

• Significant interest exists in the gap between scientific research evidence and clinical practice.
• Clinical practice guidelines are key tools for translating evidence, but face implementation challenges.
• Cultural, organizational, and structural barriers impede the effective use of guidelines.

Purpose of the Study:

• To explore the challenges and current state of bridging the evidence-practice gap.
• To review intervention tools aimed at improving guideline implementation.
• To assess the progress and remaining deficiencies in applying research evidence in clinical settings.

Main Methods:

• Literature review of intervention tools for evidence-practice gap.
• Analysis of experiences in digestive endoscopy to illustrate implementation efforts.
• Qualitative assessment of barriers to guideline adoption.

Main Results:

• Various intervention tools are available to address the evidence-practice gap.
• Experiences in digestive endoscopy show increased attention but unsatisfactory outcomes.
• Implementation remains hampered by persistent cultural, organizational, and structural barriers.

Conclusions:

• Addressing the evidence-practice gap requires complex, targeted interventions.
• Current efforts show progress but are insufficient for optimal clinical practice.
• Further development and structured implementation of intervention tools are crucial.