Changing Provider Behavior

An Overview of Systematic Reviews of Interventions

Datos Bibliográficos

ID9103535
AutoresJeremy M Grimshaw (0000-0001-8015-8243, University of Aberdeen, autor de correspondencia), Liz Shirran (autor de correspondencia), Ruth Thomas (0000-0002-8316-2616, autor de correspondencia), Graham Mowatt, Cynthia Fraser (0000-0003-4587-4994, autor de correspondencia), Lisa Bero (0000-0003-1893-6651), Roberto Grilli (0000-0001-9425-7170), Emma Harvey (0000-0001-8453-4963), Andy Oxman, Mary Ann O’Brien (0000-0001-6093-1040)
Año2001
Volumen39
PáginasII-2-II-45
Fecha de publicación2001-08-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaMedical Care (JOURNAL)
Identificadores de la revistaISSN: 0025-7079 • E-ISSN: 1537-1948
EditorialOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-200108002-00002
OpenAlexW4295816668
IdiomaEN
Citas recibidas41
Referencias citadas26

Background. Increasing recognition of the failure to translate research findings into practice has led to greater awareness of the importance of using active dissemination and implementation strategies. Although there is a growing body of research evidence about the effectiveness of different strategies, this is not easily accessible to policy makers and professionals. Objectives. To identify, appraise, and synthesize systematic reviews of professional educational or quality assurance interventions to improve quality of care. Research design. An overview was made of systematic reviews of professional behavior change interventions published between 1966 and 1998. Results. Forty-one reviews were identified covering a wide range of interventions and behaviors. In general, passive approaches are generally ineffective and unlikely to result in behavior change. Most other interventions are effective under some circumstances; none are effective under all circumstances. Promising approaches include educational outreach (for prescribing) and reminders. Multifaceted interventions targeting different barriers to change are more likely to be effective than single interventions. Conclusions. Although the current evidence base is incomplete, it provides valuable insights into the likely effectiveness of different interventions. Future quality improvement or educational activities should be informed by the findings of systematic reviews of professional behavior change interventions

Behavior change · Medical education · MEDLINE · Outreach · Political science · Professional association · Psychological intervention · Public relations · Quality (philosophy) · Quality assurance · Systematic review · Health Policy Implementation Science · Health Sciences Research and Education · Medicine · Nursing · Primary Care and Health Outcomes · Psychology · Social Psychology