Meeting physicians' needs: a bottom-up approach for improving the implementation of medical knowledge into practice.

Details

Ressource 1Download: BIB_94DBBFE53747.P001.pdf (558.99 [Ko])
State: Public
Version: Final published version
Serval ID
serval:BIB_94DBBFE53747
Type
Article: article from journal or magazin.
Collection
Publications
Title
Meeting physicians' needs: a bottom-up approach for improving the implementation of medical knowledge into practice.
Journal
Health research policy and systems
Author(s)
Vaucher C., Bovet E., Bengough T., Pidoux V., Grossen M., Panese F., Burnand B.
ISSN
1478-4505 (Electronic)
ISSN-L
1478-4505
Publication state
Published
Issued date
18/07/2016
Peer-reviewed
Oui
Volume
14
Number
1
Pages
49
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Multiple barriers to knowledge translation in medicine have been identified (ranging from information overload to abstraction of models), leading to important implementation gaps. This study aimed at assessing the suggestions of practicing physicians for possible improvements of knowledge translation (KT) effectiveness into clinical practice.
We used a mixed methods design. French- German- and Italian-speaking general practitioners, psychiatrists, orthopaedic surgeons, cardiologists, and diabetologists practicing in Switzerland were interrogated through semi-structured interviews, focus group discussions, and an online survey.
A total of 985 physicians from three regions of Switzerland participated in the online survey, whereas 39 participated in focus group discussions and 14 in face-to-face interviews. Physicians expressed limitations and difficulties related to KT into their daily practice. Several barriers were identified, including influence and pressure of pharmaceutical companies, non-publication of negative results, mismatch between guidelines and practice, education gaps, and insufficient collaboration between research and practice. Suggestions to overcome barriers were improving education concerning the evaluation of scientific publications, expanding applicability of guidelines, having free and easy access to independent journals, developing collaborations between research and practice, and creating tools to facilitate access to medical information.
Our study provides suggestions for improving KT into daily medical practice, matching the views, needs and preferences of practicing physicians. Responding to suggestions for improvements brought up by physicians may lead to better knowledge translation, higher professional satisfaction, and better healthcare outcomes.

Keywords
Attitude of Health Personnel, Europe, Evidence-Based Practice, Female, Focus Groups, Humans, Knowledge, Male, Physicians, Practice Patterns, Physicians', Quality Improvement, Surveys and Questionnaires, Switzerland, Translational Medical Research/standards
Pubmed
Open Access
Yes
Create date
20/07/2016 9:53
Last modification date
20/08/2019 14:57
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