Abstract:
:The gap between evidence-based guidelines for clinical care and their application in medical settings is well established and widely discussed. Effective interventions are needed to help health care providers reduce this gap. Whereas the development of clinical practice guidelines from biomedical and clinical research is an example of Type 1 translation, Type 2 translation involves successful implementation of guidelines in clinical practice. This article describes a multimethod intervention that is part of a Type 2 translation project aimed at increasing adherence to clinical practice guidelines in a nationwide network of primary care practices that use a common electronic medical record (EMR). Practice performance reports, site visits, and network meetings are intervention methods designed to stimulate improvement in practices by addressing personal and organizational factors. Theories and evidence supporting these interventions are described and could prove useful to others trying to translate medical research into practice. Additional theory development is needed to support translation in medical offices.
journal_name
Eval Health Profjournal_title
Evaluation & the health professionsauthors
Feifer C,Ornstein SM,Jenkins RG,Wessell A,Corley ST,Nemeth LS,Roylance L,Nietert PJ,Liszka Hdoi
10.1177/0163278705284443subject
Has Abstractpub_date
2006-03-01 00:00:00pages
65-88issue
1eissn
0163-2787issn
1552-3918pii
29/1/65journal_volume
29pub_type
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