Toward evidence-based quality improvement. Evidence (and its limitations) of the effectiveness of guideline dissemination and implementation strategies 1966-1998.

Journal of General Internal Medicine
Jeremy GrimshawLuke Vale

Abstract

To determine effectiveness and costs of different guideline dissemination and implementation strategies. MEDLINE (1966 to 1998), HEALTHSTAR (1975 to 1998), Cochrane Controlled Trial Register (4th edn 1998), EMBASE (1980 to 1998), SIGLE (1980 to 1988), and the specialized register of the Cochrane Effective Practice and Organisation of Care group. Randomized-controlled trials, controlled clinical trials, controlled before and after studies, and interrupted time series evaluating guideline dissemination and implementation strategies targeting medically qualified health care professionals that reported objective measures of provider behavior and/or patient outcome. Two reviewers independently abstracted data on the methodologic quality of the studies, characteristics of study setting, participants, targeted behaviors, and interventions. We derived single estimates of dichotomous process variables (e.g., proportion of patients receiving appropriate treatment) for each study comparison and reported the median and range of effect sizes observed by study group and other quality criteria. We included 309 comparisons derived from 235 studies. The overall quality of the studies was poor. Seventy-three percent of comparisons evaluated mul...Continue Reading

References

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May 5, 2000·The Cochrane Database of Systematic Reviews·M A Thomson O'BrienE L Harvey
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Citations

May 26, 2010·Archives of Internal Medicine·Randall S StaffordUNKNOWN ALLHAT Collaborative Research Group
Apr 4, 2008·International Archives of Occupational and Environmental Health·Nathalie I R HugenholtzFrank J H van Dijk
Oct 20, 2010·Administration and Policy in Mental Health·Enola ProctorMelissa Hensley
Oct 15, 2010·Aging & Mental Health·Christopher M CallahanHugh C Hendrie
Jul 27, 2012·Journal of Evidence-based Social Work·Melanie A BarwickIan Manion
Sep 3, 2010·Journal of Pediatric Gastroenterology and Nutrition·Andrea Lo VecchioAlfredo Guarino
Dec 29, 2011·Medical Care Research and Review : MCRR·Byron J PowellJennifer L York
Sep 14, 2013·BMC Medical Research Methodology·Monika KastnerOnil Bhattacharyya
Sep 24, 2011·BMC Family Practice·Marjolein LugtenbergGert P Westert
Oct 21, 2006·BMC Family Practice·Eva Lena StrandbergMargareta Troein
Dec 21, 2013·BMC Pregnancy and Childbirth·Caroline A CrowtherUNKNOWN WISH Project Team
Jan 5, 2011·BMC Cancer·Geoffrey A PorterEva Grunfeld
Nov 8, 2012·BMC Medical Education·Janet I VaughanSusan Arbuckle
Oct 18, 2011·BMC Medical Informatics and Decision Making·Emma WallaceUNKNOWN International Diagnostic and Prognosis Prediction (IDAPP) group
Sep 16, 2008·BMC Medical Informatics and Decision Making·Anneke L FranckePatriek Mistiaen
Jan 13, 2010·BMC Health Services Research·Jan van LieshoutRichard Grol
May 7, 2013·BMC Health Services Research·Kathleen M McElwaineJohn H Wiggers
Oct 31, 2009·Implementation Science : IS·Mindy E FlanaganBradley N Doebbeling
Dec 22, 2011·Implementation Science : IS·Melissa C BrouwersUNKNOWN KT for Cancer Control in Canada Project Research Team
Mar 24, 2011·Implementation Science : IS·Anna R GagliardiJeremy M Grimshaw

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