'Bench To Behavior': Translating Comparative Effectiveness Research Into Improved Clinical Practice

被引:67
作者
Avorn, Jerry [1 ,2 ]
Fischer, Michael [1 ,2 ]
机构
[1] Harvard Univ, Sch Med, Cambridge, MA 02138 USA
[2] Brigham & Womens Hosp, Div Pharmacoepidemiol & Pharmacoecon, Dept Med, Boston, MA 02115 USA
关键词
CONGESTIVE-HEART-FAILURE; QUALITY-OF-CARE; MYOCARDIAL-INFARCTION; CORONARY-ANGIOGRAPHY; RANDOMIZED-TRIAL; DECISION-SUPPORT; MORTALITY; CAPTOPRIL; IMPACT; PAY;
D O I
10.1377/hlthaff.2010.0696
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The new national emphasis on comparative effectiveness research is likely to generate an unprecedented volume of new findings. It is essential to anticipate the obstacles that front-line health care professionals will face in translating these results into better clinical decision making. We review the current barriers to the dissemination of evidence-based clinical recommendations, including problems with continuing medical education, provider incentives, and quality assurance. We then propose solutions, including more effective educational outreach programs, requirements for practitioners to master important findings, and alignment of incentives to encourage evidence-based practice. Such strategies can lead to policies that could encourage the uptake of new comparative effectiveness data and encourage their translation into better clinical practice.
引用
收藏
页码:1891 / 1900
页数:10
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