Is evidence-based implementation of evidence-based care possible?

Med J Aust. 2004 Mar 15;180(S6):S50-1. doi: 10.5694/j.1326-5377.2004.tb05945.x.


Traditional approaches to disseminating research findings have failed to achieve optimal healthcare. In a systematic review of 235 studies of guideline dissemination and implementation strategies, we observed the following: there was a median 10% improvement across studies, suggesting that it is possible to change healthcare provider behaviour and improve quality of care; most dissemination and implementation strategies resulted in small to moderate improvements in care; multifaceted interventions did not appear more effective than single interventions. The interpretation of our systematic review is hindered by the lack of a robust theoretical base for understanding healthcare provider and organisational behaviour. Future research is required to develop a better theoretical base and to evaluate further guideline dissemination and implementation strategies.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Australia
  • Diffusion of Innovation*
  • Evidence-Based Medicine / organization & administration*
  • Health Plan Implementation
  • Humans
  • Information Dissemination*
  • Organizational Innovation
  • Quality Assurance, Health Care