The evolving science of translating research evidence into clinical practice

This editorial was published in the February 2007 issue of Evidence Based Medicine, and again in the May/June 2007 issue of ACP Journal Club. It presents a good overview of evidence dissemination, looking at six models.

Scott IA. The evolving science of translating research evidence into clinical practice. ACP J Club 2007 May-Jun;146(3):A8-11. [subscription required]

Excerpt: Practicing clinicians have to swim in an ocean of clinical research evidence that varies in rigor, consistency, and applicability to the care of individual patients. They are expected to stay up to date, be authoritative, and practice to a high standard. They work in an environment that obliges them to reconcile patient preferences and societal and professional expectations with the need for cost restraint and accountability for quality and safety of care. …What have we learned and what lessons can we apply to minimize the pressure drops in the pipeline from the generation of research evidence to its consistent application in clinical decision making? This editorial looks at 6 models of evidence dissemination that have evolved over the past few decades.:

1. Evidence speaking for itself
2. Evidence as prepackaged “ready-to-go” knowledge
3. Evidence as an industrial commodity
4. Evidence within a framework of systems engineering
5. Evidence within a framework of social innovation
6. Evidence as common property in need of a common language

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