The logic behind a multimethod intervention to improve adherence to clinical practice guidelines in a nationwide network of primary care practices
The logic behind a multimethod intervention to improve adherence to clinical practice guidelines in a nationwide network of primary care practices
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DOI：
10.1177/0163278705284443
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发表时间：
2006-03-01
影响因子：
2.9
通讯作者：
Liszka, H
中科院分区：
文献类型：
--
作者：
Feifer, C;Ornstein, SM;Liszka, H
临床护理循证指南与其在医疗环境中的应用之间存在差距，这一点已经得到了广泛的讨论。需要采取有效的干预措施来帮助卫生保健提供者缩小这一差距。而从生物医学和临床研究的临床实践指南的发展是一个例子，I型翻译，2型翻译涉及在临床实践中成功实施指南。本文介绍了一种多方法干预，这是2型翻译项目的一部分，旨在提高遵守临床实践指南在全国网络的初级保健实践，使用一个共同的电子病历（EMR）。实践绩效报告、现场访问和网络会议是旨在通过解决个人和组织因素来促进实践改进的干预方法。支持这些干预措施的理论和证据被描述，并可能证明对其他试图将医学研究转化为实践的人有用。需要进一步的理论发展来支持医疗办公室的翻译。
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 I 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.