Promoting the uptake and use of evidence: an overview of the problem.
Clin Perinatol
; 30(2): 389-402, 2003 Jun.
Article
em En
| MEDLINE
| ID: mdl-12875361
ABSTRACT
Application of evidence-based practice principles in neonatology requires that the use of proved therapies is monitored and evaluated. Although studies of neonatal center practice variation are appearing in the literature, careful, population-based assessments of the use of proved therapies are lacking. Few center comparison studies focus on proved therapies or explore the patient-independent reasons for practice variation. For a specific proved neonatal therapy, the ideal studies would carefully determine the number of eligible patients and the proportion who receive the therapy and then evaluate the characteristics of hospitals, clinicians, parents, and other decision makers among users and non-users. This information may allow for targeted interventions to disseminate evidence to both clinicians and parents, train clinicians critically to appraise the evidence, address identified barriers, and train clinicians to recognize and deal with the inevitable uncertainties associated with changing practice. The authors suggest that studies designed to evaluate the net benefit of proposed new therapies include a plan for evaluating the extent of incorporation of the therapy into practice if and when the therapy is shown to be beneficial. Studies should also rigorously evaluate alternative methods of disseminating the primary study's findings and identify the characteristics of clinicians, patients, and parents associated with practice change.
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Coleções:
01-internacional
Contexto em Saúde:
1_ASSA2030
Base de dados:
MEDLINE
Assunto principal:
Terapêutica
/
Medicina Baseada em Evidências
/
Neonatologia
Tipo de estudo:
Prognostic_studies
/
Sysrev_observational_studies
Aspecto:
Implementation_research
Limite:
Humans
Idioma:
En
Revista:
Clin Perinatol
Ano de publicação:
2003
Tipo de documento:
Article