The role of evidence reports in evidence-based medicine: a mechanism for linking scientific evidence and practice improvement.

Journal Article (Journal Article)

STUDY QUESTIONS: In this article two related questions are considered: (1) Why isn't evidence-based medicine (EBM) more consistently implemented? and (2) Using the EBM paradigm, by what mechanism can we link evidence reports to concrete practice improvement activities? STUDY DESIGN: To motivate a systematic analysis, answers to these questions are framed within the context of a general conceptual model for practice improvement, using as an example the application of this general model to the question of improving anticoagulation. CONCLUSIONS: The potential role of evidence reports is quite broad and to be most effective, they should (1) be considered as part of a comprehensive strategy for practice improvement and (2) be designed with their customers in mind. A system-based method for using the information from evidence reports involves ultimately suggesting specific practice improvement strategies in which the strategies are defined in terms of (1) a set of functional specifications and (2) a toolbox of implementation options. Such an approach brings to bear the specialized expertise and generalized fund of scientific knowledge used to produce the evidence report, but does so in a way that facilitates local tailoring. That is, while information synthesis should be global, implementation must be local.

Full Text

Duke Authors

Cited Authors

  • Matchar, DB; Samsa, GP

Published Date

  • October 1999

Published In

Volume / Issue

  • 25 / 10

Start / End Page

  • 522 - 528

PubMed ID

  • 10522233

International Standard Serial Number (ISSN)

  • 1070-3241

Digital Object Identifier (DOI)

  • 10.1016/s1070-3241(16)30466-7


  • eng

Conference Location

  • United States