What drives change? Barriers to and incentives for achieving evidence-based practice
What drives change? Barriers to and incentives for achieving evidence-based practice
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DOI：
10.5694/j.1326-5377.2004.tb05948.x
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发表时间：
2004-03-15
影响因子：
11.4
通讯作者：
Wensing, M
中科院分区：
文献类型：
--
作者：
Grol, R;Wensing, M
为了弥合科学证据和患者护理之间的差距，我们需要深入了解在实践中实现变革的障碍和激励因素。各种变革理论和模型指出了可能影响证据成功实施的众多因素。然而，在实地证明其价值的证据仍然有限，在规划实际的复杂变革时，需要解决各级的潜在障碍。规划需要考虑创新的性质;所涉及的专业人员和患者的特征;以及社会，组织，经济和政治背景。
To bridge the gap between scientific evidence and patient care we need an in-depth understanding of the barriers and incentives to achieving change in practice.Various theories and models for change point to a multitude of factors that may affect the successful implementation of evidence. However, the evidence for their value in the field is still limited.When planning complex changes in practice, potential barriers at various levels need to be addressed. Planning needs to take into account the nature of the innovation; characteristics of the professionals and patients involved; and the social, organisational, economic and political context.