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Timmermans, Mauck (2005) The Promises And Pitfalls Of Evidence-Based Medicine

Discussion in 'Health News and Research unrelated to ME/CFS' started by WillowJ, Feb 10, 2019.

  1. WillowJ

    WillowJ Senior Member (Voting Rights)

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    Extract (paragraph breaks added):

    Increasingly, however, EBM researchers have reached the conclusion that one implementation model does not fit all and that, instead, a series of overlapping implementation strategies best target specific groups. 34

    Consequently, a multi-faceted approach to guideline implementation has developed, which uses a more expansive approach that reaches out to multiple local stakeholders who are affected by the guideline, including physicians, nurses, pharmacists, equipment suppliers, administrators, and patients.

    Although it is still premature to attempt to disentangle which components of a multifaceted approach are most effective, reviews suggest that the successful implementation of clinical practice guidelines requires the construction of well-supported, uncomplicated guidelines with input from various stakeholders. 35

    In addition, the implementation of guidelines should be provided with strong leadership and sufficient resources. A multistage education campaign and the ability to select, involve, and follow up with target patients and provide feedback to providers also seem to improve the ability to change health care behavior.

    Guideline implementation also demands regular review of the scientific literature to implement updates if needed. Rather than a specific configuration of implementation strategies, the novelty of the multifaceted approach might reside in its inadvertent appreciation of the interdependent and collaborative nature of medicine.
     
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  2. Hutan

    Hutan Moderator Staff Member

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    Link

    https://www.healthaffairs.org/doi/full/10.1377/hlthaff.24.1.18#R35
    The Promises And Pitfalls Of Evidence-Based Medicine

    Makes sense. If you involve a range of stakeholders in making clinical guidance, then you have a lot more stakeholders invested in ensuring the guidance is followed, and improved.

    Clearly, getting a decent guideline is just the beginning.
     
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  3. WillowJ

    WillowJ Senior Member (Voting Rights)

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    I knew I forgot something, but I couldn't work out what it was.

    Thanks for digging up the link, @Hutan .
     
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