Implementation of Evidence-Based Medicine: Evaluation of the Promoting Action on Clinical Effectiveness Programme
Objectives: To evaluate the Promoting Action on Clinical Effectiveness (PACE) programme, which sought to implement clinically effective practice in 16 local sites. Methods: 182 semi-structured interviews, usually by telephone, with project team members, clinicians, and senior managers and representatives from the Department of Health and the King's Fund. Results: The most influential factors were strong evidence, supportive opinion leaders and integration within a committed organization; without these factors, projects had little chance of success. Other factors (context analysis, professional involvement and good project management) emerged as important, supporting processes; their presence might be an additional help, but on their own they would not be enough to initiate change. A serious problem with any of them could have a strong adverse impact. Conclusions: Although there is no simple formula for the factors that ensure successful implementation of research-based improvements to clinical practice, certain principles do seem to help. Time and resource need to be devoted to a period of local negotiation and adaptation of good research evidence based on a careful understanding of the local context, in which opinion leader influence is an important component of a well managed and preferably well integrated process of change.
Year of publication: |
2001-01
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Authors: | Dopson, Sue ; Locock, Louise ; Chambers, David ; Gabbay, John |
Publisher: |
SAGE |
Saved in:
Online Resource
Type of publication: | Article |
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Language: | English |
Notes: | Dopson, Sue, Locock, Louise, Chambers, David and Gabbay, John (2001) Implementation of Evidence-Based Medicine: Evaluation of the Promoting Action on Clinical Effectiveness Programme. Journal of Health Services Research and Policy, 6 (1). pp. 23-31. |
Other identifiers: | 10.1258/1355819011927161 [DOI] |
Source: | BASE |
Persistent link: https://www.econbiz.de/10011425743
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