Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Trends in publications regarding evidencepractice gaps: A literature review | Evensen et al. Implementation Science 2010 5 11 http content 5 1 11 Implementation Science IMPLEMENTATION SCIENCE RESEARCH ARTICLE Open Access Trends in publications regarding evidencepractice gaps A literature review Ann E Evensen1 Rob Sanson-Fisher2 Catherine D Este2 Michael Fitzgerald3 Abstract Background Well-designed trials of strategies to improve adherence to clinical practice guidelines are needed to close persistent evidence-practice gaps. We studied how the number of these trials is changing with time and to what extent physicians are participating in such trials. Methods This is a literature-based study of trends in evidence-practice gap publications over 10 years and participation of clinicians in intervention trials to narrow evidence-practice gaps. We chose nine evidence-based guidelines and identified relevant publications in the PubMed database from January 1998 to December 2007. We coded these publications by study type intervention versus non-intervention studies . We further subdivided intervention studies into those for clinicians and those for patients. Data were analyzed to determine if observed trends were statistically significant. Results We identified 1 151 publications that discussed evidence-practice gaps in nine topic areas. There were 169 intervention studies that were designed to improve adherence to well-established clinical guidelines averaging studies per year per topic area. Twenty-eight publications 34 95 CI 24 - 45 reported interventions intended for clinicians or health systems that met Effective Practice and Organization of Care EPOC criteria for adequate design. The median consent rate of physicians asked to participate in these well-designed studies was 60 95 CI 25 to 69 . Conclusions We evaluated research publications for nine evidence-practice gaps and identified small numbers of well-designed intervention trials and low rates of physician participation in these trials. Background Many .
