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Family Practice Vol. 18, No. 4, 353-355
© Oxford University Press 2001


Editorial

Why does primary care need more implementation research?

Robbie Foya, Martin Ecclesb and Jeremy Grimshawc

a Department of Reproductive and Developmental Sciences, University of Edinburgh, Edinburgh EH3 9ET,
b Centre for Health Services Research, University of Newcastle, 21 Claremont Place, Newcastle Upon Tyne NE3 4AH and
c Health Services Research Unit, University of Aberdeen, Polwarth Building, Foresterhill, Aberdeen AB25 2ZD, UK.

Foy R, Eccles M and Grimshaw J. Why does primary care need more implementation research? Family Practice 2001; 18: 353–355.

Received 10 January 2001; Accepted 12 March 2001.

How can we improve the quality of primary care?

Clinical research continually produces new findings that can contribute to effective and efficient patient care. However, such research cannot change patient outcomes unless health services and health care professionals adopt them in practice. Uneven uptake of research findings—and thus inappropriate care—occurs across different health care settings, countries and specialities, as demonstrated by two papers on implementing evidence-based medicine published in this issue of Family Practice.1,2

In primary care, the detection and management of risks related to hypertension3 or hyperlipidaemia are highly variable.4 The impact of secondary prevention, including the administration of secondary prophylactic drugs to patients surviving a myocardial infarction, is reduced by similar disparities.57 Much of this variation . . . [Full Text of this Article]

What is known?

Limitations of the evidence

What is needed?

Conclusion

References


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