The case for knowledge translation: shortening the journey from evidence to effect
The case for knowledge translation: shortening the journey from evidence to effect
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DOI：
10.1136/bmj.327.7405.33
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发表时间：
2003-07-05
影响因子：
105.7
通讯作者：
Zwarenstein, M
中科院分区：
文献类型：
--
作者：
Davis, D;Evans, M;Zwarenstein, M
我们的知识和实践之间仍有很大的鸿沟。Eisenberg和加尔宗指出，尽管有充分的证据证明阿司匹林、钙拮抗剂、β受体阻滞剂和抗缺血药物的最佳使用，但在美国、欧洲和加拿大，这些药物的使用存在广泛差异。1这种差异不仅在国际上而且在国家内部都很常见。2在执行准则方面，最佳证据与实践之间也存在巨大差距。未能遵循最佳证据突出了药物使用不足，过度使用和滥用的问题，并导致对患者安全性的广泛关注。[4]毫不奇怪，人们已经做了许多努力来缩小证据与实践之间的差距。这些措施包括改变从业者行为的教育战略5以及组织和行政干预。我们探讨三个结构：继续医学教育（CME）、继续专业发展（CPD）和（三个中最新的）知识转化（方框）。知识转化既包含又拓宽了继续医学教育和持续专业发展的概念，并有可能提高对实施循证实践的理解，克服实施循证实践的障碍。
A large gulf remains between what we know and what we practise. Eisenberg and Garzon point to widespread variation in the use of aspirin, calcium antagonists, β blockers, and anti-ischaemic drugs in the United States, Europe, and Canada despite good evidence on their best use. 1 Such variation is common not only internationally but within countries. 2 Large gaps also exist between best evidence and practice in the implementation of guidelines. Failure to follow best evidence highlights issues of underuse, overuse, and misuse of drugs3 and has led to widespread interest in the safety of patients. 4 Not surprisingly, many attempts have been made to reduce the gap between evidence and practice. These have included educational strategies to alter practitioners’ behaviour5 and organisational and administrative interventions. We explore three constructs: continuing medical education (CME), continuing professional development (CPD), and (the newest of the three) knowledge translation (box). Knowledge translation both subsumes and broadens the concepts of CME and CPD and has the potential to improve understanding of, and overcome the barriers to, implementing evidence based practice.