Words Without Action? The Production, Dissemination, and Impact of Consensus Recommendations

Lomas, Jonathan

doi:10.1146/annurev.pu.12.050191.000353

Cited by 289 publications

(107 citation statements)

References 54 publications

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“…Research also shows that educational interventions alone do not strongly influence the practice behavior of health care providers [14][15][16]. Studies of the impact of practice guidelines also suggest that publication and distribution of guidelines is not enough to change the practice of clinicians [17][18][19][20]. We already know that the causes for the quality gap are complex and include system-based factors.…”

Section: Knowledge Explosion and Widening Gap Between Science And Pramentioning

confidence: 99%

Role of Leadership in Narrowing the Gap between Science and Practice: Improving Treatment Outcomes at the Systems Level

2015

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It's been well documented that health care does not reliably transfer what we know from science into clinical practice. As a result, Americans do not always receive the care suggested by the scientific evidence. Despite the best intentions of a dedicated and skilled healthcare workforce, this can often lead to poor clinical outcomes. As research and technology rapidly advance, this gap between science and practice appears to be widening. There is an increasing public concern about a lack of access to appropriate treatment, pervasiveness of unsafe practices, and wasteful uses of precious health care resources leading to suboptimum treatment outcomes. Leadership has a critical role in creating and sustaining the environment that supports health services for individuals and populations that increase the likelihood of desired health outcomes and are consistent with current professional knowledge. Leadership has some responsibility to improve outcomes by insuring effective use of evidence-based treatment guidelines; measurement-based care; knowledge and skills management; care coordination; and information technologies. This paper addresses leadership issues in these components of a system's ability to improve treatment outcomes.

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Section: Knowledge Explosion and Widening Gap Between Science And Pramentioning

confidence: 99%

Role of Leadership in Narrowing the Gap between Science and Practice: Improving Treatment Outcomes at the Systems Level

2015

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“…Even guidelines developed by the WHO may not have been rigorously produced [16]. Also where there are no effective intervention plans, even good quality guidelines are most likely to be 'words without action' [17]. In reality, many guidelines have no clear implementation plans [14].…”

Section: Guidelines and Behaviour Changementioning

confidence: 99%

Falling on stony ground? A qualitative study of implementation of clinical guidelines’ prescribing recommendations in primary care

2008

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“…Traditional didactic continuing medical education lectures (38) Dissemination of newsletters Dissemination of clinical practice guidelines (46) Computerized guidelines (45) Training in critical appraisal Medication profiles Drug utilization review, retrospective or prospective (39)…”

Section: Ineffective (Or Minimally Effective) Strategiesmentioning

confidence: 99%

From knowledge to practice in chronic cardiovascular disease: a long and winding road

Majumdar

McAlister

Furberg

2004

Journal of the American College of Cardiology

142

110

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Although clinical practices evolve over time, the translation of specific research evidence into clinical practice is unpredictable, inconsistent, and complex. In this paper, we use examples from chronic cardiovascular conditions to: 1). highlight two types of care gaps; 2). describe the most common potential barriers to the application of evidence into clinical care; and 3). outline which of the strategies for translating evidence into clinical care have been shown to be ineffective, which strategies have been shown to be effective and to describe some untested approaches that hold promise.

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Words Without Action? The Production, Dissemination, and Impact of Consensus Recommendations

Cited by 289 publications

References 54 publications

Role of Leadership in Narrowing the Gap between Science and Practice: Improving Treatment Outcomes at the Systems Level

Role of Leadership in Narrowing the Gap between Science and Practice: Improving Treatment Outcomes at the Systems Level

Falling on stony ground? A qualitative study of implementation of clinical guidelines’ prescribing recommendations in primary care

From knowledge to practice in chronic cardiovascular disease: a long and winding road

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