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

TitreMeeting physicians' needs: a bottom-up approach for improving the implementation of medical knowledge into practice.
Publication TypeJournal Article
Year of Publication2016
AuthorsVaucher, C, Bovet, E, Bengough, T, Pidoux, V, Grossen, M, Panese, F, Burnand, B
JournalHealth research policy and systems
Volume14
Issue1
Pagination49
Date Published07/2016
DOI10.1186/s12961-016-0120-5
ISSN1478-4505
Mots-clésAttitude of Health Personnel, Europe, Evidence-Based Practice, Female, Focus Groups, Humans, Knowledge, Male, Physicians, Physicians', Practice Patterns, Quality Improvement, Surveys and Questionnaires, Switzerland, Translational Medical Research/standards
Abstract

BACKGROUND: 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.

METHODS: 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.

RESULTS: 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.

CONCLUSIONS: 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.

Alternate URL

http://www.ncbi.nlm.nih.gov/pubmed/27431911?dopt=Abstract

WOS ID (UT)

000380003500001

Alternate JournalHealth Res Policy Syst
Citation Key / SERVAL ID7164
Peer reviewRefereed
PubMed ID27431911
PubMed Central IDPMC4949753

                         

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