Effect of interventions for implementing clinical practice guidelines

The Norwegian Directorate of Health develops clinical practice guidelines, and requested the Norwegian Knowledge Centre for the Health Services to summarise research findings on the effectiveness of guideline implementation interventions. This report is an overview of existing systematic reviews. Ke...

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Main Authors: Fretheim, Atle, Flottorp, Signe (Author), Oxman, Andy (Author)
Format: eBook
Language:English
Published: Oslo Kunnskapssenter [2015], 2015
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Collection: National Center for Biotechnology Information - Collection details see MPG.ReNa
Summary:The Norwegian Directorate of Health develops clinical practice guidelines, and requested the Norwegian Knowledge Centre for the Health Services to summarise research findings on the effectiveness of guideline implementation interventions. This report is an overview of existing systematic reviews. Key findings from the identified systematic reviews are that:1. Implementation interventions such as electronic decision-support, educational meetings, outreach visits, audit and feedback, and tailored interventions are probably effective, but: The size of the effect varies.The effect on clinical practice is most often moderate; The expected effect on health outcomes is modest. For other of the interventions, the size of the effect varied considerably across studies. It is difficult to explain this variation. Consequently, it is uncertain how much these interventions will improve adherence to clinical guidelines. For some measures, such as financial incentives and public release of performance data, evidence is lacking or scarce. We therefore cannot say how effective these types of interventions are
Item Description:"This is an excerpt from the full technical report, which is written in Norwegian. The excerpt provides the report's main messages in English, No. 10-2015. Review of systematic reviews."
Physical Description:1 PDF file (7 pages)
ISBN:9788281219595