Family Practice Vol. 16, No. 3, 213-215
© Oxford University Press 1999
Editorial |
Implementing findings of research revisited
Northern and Yorkshire Research Training Fellow, Newcastle upon Tyne and
a Wolfson Professor of General Practice, Guy's Kings and St Thomas' School of Medicine, London, UK.
Dr Toby Lipman, Westerhope Medical Group, 377 Stamfordham Road, Westerhope, Newcastle upon Tyne NE5 2LH, UK. E mail: toby@tobylipm.demon.co.uk
In 1994 Haines and Jones described and reviewed the reasons for "unacceptable delays in the implementation of many findings of research".1 They concluded, from a wide-ranging discussion, that any single approach to enhancing the implementation of research findings was unlikely to be effective, and that a shift in attitude towards a more evaluative culture among health professionals and managers was required. Patients should expect a clear explanation about the effectiveness of the treatments they are offered, and health policy should be supported by evidence from research where available. Changes in health service management and organization should be designed as experiments and evaluated appropriately wherever possible. Methods of promoting the use of research findings require further evaluation, and an integrated approach incorporating techniques of critical appraisal should minimize the possibility of uncritical acceptance of information and guidelines. Clinical practice clearly should be responsive to the best available evidence, but in the
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