Career stage and work setting create different barriers for evidence-based medicine

Journal of Evaluation in Clinical Practice

Volumn 17, Issue 4, 2011, Pages 775-785

  Swennen, Maartje H J ^a   Van Der Heijden, Geert J M G ^a   Blijham, Geert H ^b   Kalkman, Cor J ^c  

^a Division Julius Centre for Health Sciences and Primary Care   (Netherlands)

^b Emeritus of Internal Medicine   (Netherlands)

^c UNIVERSITY MEDICAL CENTER UTRECHT   (Netherlands)

Author keywords

barrier; EBM; EBP; implementation; system 1 and 2 processing; triage

Indexed keywords

ARTICLE; CAREER PLANNING; CLINICAL PRACTICE; EVIDENCE BASED MEDICINE; FEMALE; HOSPITAL MANAGEMENT; HUMAN; MALE; MEDICAL EXPERT; PRIORITY JOURNAL; SEMI STRUCTURED INTERVIEW; SOCIAL DOMINANCE; WORK CAPACITY;

ATTITUDE OF HEALTH PERSONNEL; CAREER MOBILITY; DIFFUSION OF INNOVATION; EVIDENCE-BASED MEDICINE; FEMALE; HUMANS; INTERVIEWS AS TOPIC; MALE; NETHERLANDS; WORKPLACE;

EID: 79961065583     PISSN: 13561294     EISSN: 13652753     Source Type: Journal    
DOI: 10.1111/j.1365-2753.2010.01435.x     Document Type: Article

References (41)

1. Guyatt, G., &, Rennie, D., (2002) Users' Guides to the Medical Literature. A Manual for Evidence-Based Clinical Practice. Chicago, IL: AMA Press.
2. Straus, S. E., Richardson, W. S., Glasziou, P., &, Haynes, R. B., (2005) Evidence-Based Medicine: How to Practice and Teach EBM. Edinburgh: Churchill Livingstone. p. 1.
3. McGlynn, E. A., Asch, S. M., Adams, J., Keesey, J., Hicks, J., DeCristofaro, A., &, Kerr, E. A., (2003) The quality of care delivered to adults in the United States. New England Journal of Medicine, 348 (26), 2635-2645. (Pubitemid 36741592)
4. Schuster, M. A., McGlynn, E. A., &, Brook, R. H., (1998) How good is the quality of health care in the United States? The Milbank Quarterly, 76 (4), 517-563. (Pubitemid 128463044)
5. Mangione-Smith, R., DeCristofaro, A. H., Setodji, C. M., Keesey, J., Klein, D. J., Adams, J. L., Schuster, M. A., &, McGlynn, E. A., (2007) The quality of ambulatory care delivered to children in the United States. New England Journal of Medicine, 357 (15), 1515-1523. (Pubitemid 47572637)
6. Asch, S. M., Kerr, E. A., Keesey, J., Adams, J. L., Setodji, C. M., Malik, S., &, McGlynn, E. A., (2006) Who is at greatest risk for receiving poor-quality health care? New England Journal of Medicine, 354 (11), 1147-1156.
7. Grol, R., (2001) Successes and failures in the implementation of evidence based guidelines for clinical practice. Medical Care, 39 (2), 1146-1154.
8. Fisher, E. S., Bynum, J. P., &, Skinner, J. S., (2009) Slowing the growth of health care costs-lessons from regional variation. New England Journal of Medicine, 360 (9), 849-852.
9. Fisher, E. S., Wennberg, D. E., Stukel, T. A., Gottlieb, D. J., Lucas, F. L., &, Pinder, E. L., (2003) The implications of regional variations in Medicare spending. Part 1: the content, quality, and accessibility of care. Annals of Internal Medicine, 138 (4), 273-287. (Pubitemid 36205924)
10. Fisher, E. S., Wennberg, D. E., Stukel, T. A., Gottlieb, D. J., Lucas, F. L., &, Pinder, E. L., (2003) The implications of regional variations in Medicare spending. Part 2: health outcomes and satisfaction with care. Annals of Internal Medicine, 138 (4), 288-298. (Pubitemid 36205925)
11. Sirovich, B., Gallagher, P. M., Wennberg, D. E., &, Fisher, E. S., (2008) Discretionary decision making by primary care physicians and the cost of U.S. health care. Health Affairs, 27 (3), 813-823. (Pubitemid 351770251)
12. Brook, R. H., (2009) Assessing the appropriateness of Care, its time has come. JAMA, 302 (9), 997-998.
13. Burge, P., Devlin, N., Appleby, J., Gallo, F., Nason, E., &, Ling, T., (2006) Understanding Patients' Choices at the Point of Referral. Santa Monica, CA: RAND Corporation.
14. Health Economics Research Group, Office of Health Economics, RAND Europe (2008) Medical Research: What's It Worth? Estimating the Economic Benefits from Medical Research in the UK. London: UK Evaluation Forum.
15. Grol, R., &, Grimshaw, J., (2003) From best evidence to best practice: effective implementation of change in patients' care. Lancet, 362 (9391), 1225-1230. (Pubitemid 37255352)
16. Bryar, R. M., Closs, S. J., Baum, G., Cooke, J., Griffiths, J., Hostick, T., Kelly, S., Knight, S., Marshall, K., &, Thompson, D. R., (2003) Yorkshire BARRIERS project. International Journal of Nursing Studies, 40 (1), 73-84.
17. Cabana, M. D., Rand, C. S., Powe, N. R., Wu, A. W., Wilson, M. H., Abboud, P. A. C., &, Rubin, H. R., (1999) Why don't physicians follow clinical practice guidelines? A framework for improvement. Journal of the American Medical Association, 282 (15), 1458-1465. (Pubitemid 29493800)
18. Grol, R., (1997) Personal paper. Beliefs and evidence in changing clinical practice. British Medical Journal, 315 (7150), 418-421. (Pubitemid 27346046)
19. McNeill, B. J., (2001) Hidden barriers to improvement in the quality of care. New England Journal of Medicine, 345 (22), 1612-1620.
20. Sackett, D. L., Rosenberg, W. M., Gray, J. A., Haynes, R. B., &, Richardson, W. S., (1996) Evidence based medicine: what it is and what it isn't. British Medical Journal, 312 (7023), 71-72.
21. Haynes, R. B., Devereaux, P. J., &, Guyatt, G. H., (2002) Physicians' and patients' choices in evidence based practice. Evidence does not make decisions, people do. British Medical Journal, 321 (7350), 1350.
22. Newman, M., Papadopoulos, I., &, Sigsworth, J., (1998) Barriers to evidence-based practice. Intensive and Critical Care Nursing, 14 (5), 231-238. (Pubitemid 128654655)
23. Melnyk, B. M., (2002) Strategies for overcoming barriers in implementing evidence based practice. Pedicatric Nursing, 28 (2), 159-161.
24. Retsas, A. S., (2000) Barriers to using research evidence in nursing practice. Journal of Advanced Nursing, 31 (3), 599-606.
25. Straus, S. E., &, McAlister, F. A., (2000) Evidence-based medicine: a commentary on common criticisms. Canadian Medical Association Journal, 163 (7), 837-841.
26. McAlister, F. A., Graham, I., Karr, G. W., &, Laupacis, A., (1999) Evidence-based medicine and the practicing clinician. Journal of General Internal Medicine, 14 (4), 236-242. (Pubitemid 29196426)
27. DeLisa, J. A., Jain, S. S., Kirshblum, S., &, Christodoulou, C., (1999) Evidence-based medicine in physiatry: the experience of one department's faculty and trainees. American Journal of Physical Medicine & Rehabilitation, 78 (3), 228-232. (Pubitemid 29227169)
28. Bhandari, M., Montori, V., Devereaux, P. J., Dosanjh, S., Sprague, S., &, Guyatt, G. H., (2003) Challenges to the practice of evidence-based medicine during residents' surgical training: a qualitative study using grounded theory. Academic Medicine, 78 (11), 1183-1190. (Pubitemid 37370353)
29. Green, M. L., &, Ruff, T. R., (2005) Why do residents fail to answer their clinical questions? A qualitative study of barriers to practicing evidence-based medicine. Academic Medicine, 80 (2), 176-182. (Pubitemid 40165716)
30. Creswell, J. W., (2003) Research Design. Qualitative, Quantitative and Mixed Methods Approaches. Thousand Oaks, CA: Sage publications.
31. Dawes, M., Summerskill, W., Glasziou, P., Cartabellotta, A., Martin, J., Hopayian, K., Porzsolt, F., Burls, A., &, Osborne, J., (2005) Sicily statement on evidence-based practice. BMC Medical Education, 5, 1. doi:10.1186/1472-6920-5-1. (Pubitemid 40322791)
32. Glasziou, P., &, Haynes, B., (2005) The paths from research to improved health outcomes. ACP Journal Club, 142, A8-A10.
33. Institute of Medicine (2001) Crossing the Quality Chasm: A New Health System for the Twenty-First Century. Washington, DC: National Academy Press.
34. Simon, H. A., (1947) Administrative Behaviour: A Study of Decision-Making Processes in Administrative Organisations. New York: The free Press.
35. Simon, H. A., (1982) Models of Bounded Rationality. Vols 1 and 2. Cambridge and London, respectively: MIT press.
36. Kahneman, D., (2002) Maps of Bounded Rationality: A Perspective on Intuitive Judgment and Choice. Stockholm: Noble Prize Lecture.
37. Maskrey, N., Hutchinson, A., &, Underhill, J., (2009) Getting a better grip on research: the comfort of opinion. InnovAiT, 2 (11), 679-686.
38. Gigerenzer, G., (2008) Gut Feelings: Short Cuts to Better Decision Making. London: Penguin.
39. Walker, A., Grimshaw, J. M., Johnston, M., Pitts, N., Steen, N., &, Eccles, M. P., (2003) Process modelling in implementation research: selecting a theoretical basis for interventions to change clinical practice. BMC Health Services Research, 3 (1), 22.
40. Eccles, M., Grimshaw, J., Walker, A., Johnston, M., &, Pitts, N., (2005) Changing the behaviour of healthcare professionals: the use of theory in promoting the uptake of research findings. Journal of Clinical Epidemiology, 58 (2), 107-112. (Pubitemid 40174916)
41. The Improved Clinical Effectiveness through Behavioural Research Group (ICEBeRG) (2006) Designing theoretically-informed implementation interventions. Implementation Science, 1, 4.