Bridging the implementation gap between knowledge and action for health
There is widespread evidence of failure to implement health interventions that have been demonstrated to be cost-effective by high-quality research; this failure affects both high-income and low-income countries. Low-income countries face additional challenges to using research evidence including: t...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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The World Health Organization
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| Series: | Bulletin of the World Health Organization |
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| Online Access: | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862004001000005&lng=en&tlng=en |
| _version_ | 1797285056744521728 |
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| author | Andy Haines Shyama Kuruvilla Matthias Borchert |
| author_facet | Andy Haines Shyama Kuruvilla Matthias Borchert |
| author_sort | Andy Haines |
| collection | DOAJ |
| description | There is widespread evidence of failure to implement health interventions that have been demonstrated to be cost-effective by high-quality research; this failure affects both high-income and low-income countries. Low-income countries face additional challenges to using research evidence including: the weakness of their health systems, the lack of professional regulation and a lack of access to evidence. There is a need to strengthen institutions and mechanisms that can more systematically promote interactions between researchers, policy-makers and other stakeholders who can influence the uptake of research findings. The concept of public engagement with health research requires a public that is both informed and active. Even when systematic reviews are available further work is needed to translate their findings into guidelines or messages that are understandable to patients and health professionals. Many of the commonly used approaches for keeping health professionals' knowledge up-to-date appear to have small or inconsistent effects. The evidence-base is more extensive for interventions directed towards professionals, such as education, reminders or feedback, than for those directed at organizations or patients. The effect of interventions varies according to the setting and the behaviour that is targeted. Case studies in low-income settings suggest that some strategies can result in increased coverage of evidence-based interventions, but there is a lack of evidence from systematic reviews of rigorous research. Given the potential for near-term improvements in health, finding more effective ways of promoting the uptake of evidence-based interventions should be a priority for researchers, practitioners and policy-makers. |
| first_indexed | 2024-03-07T17:57:40Z |
| format | Article |
| id | doaj.art-4fc59ea1f27b4219885d9b8e64296371 |
| institution | Directory Open Access Journal |
| issn | 0042-9686 |
| language | English |
| last_indexed | 2024-03-07T17:57:40Z |
| publisher | The World Health Organization |
| record_format | Article |
| series | Bulletin of the World Health Organization |
| spelling | doaj.art-4fc59ea1f27b4219885d9b8e642963712024-03-02T11:40:09ZengThe World Health OrganizationBulletin of the World Health Organization0042-9686821072473110.1590/S0042-96862004001000005S0042-96862004001000005Bridging the implementation gap between knowledge and action for healthAndy Haines0Shyama Kuruvilla1Matthias Borchert2London School of Hygiene and Tropical MedicineLondon School of Hygiene and Tropical MedicineLondon School of Hygiene and Tropical MedicineThere is widespread evidence of failure to implement health interventions that have been demonstrated to be cost-effective by high-quality research; this failure affects both high-income and low-income countries. Low-income countries face additional challenges to using research evidence including: the weakness of their health systems, the lack of professional regulation and a lack of access to evidence. There is a need to strengthen institutions and mechanisms that can more systematically promote interactions between researchers, policy-makers and other stakeholders who can influence the uptake of research findings. The concept of public engagement with health research requires a public that is both informed and active. Even when systematic reviews are available further work is needed to translate their findings into guidelines or messages that are understandable to patients and health professionals. Many of the commonly used approaches for keeping health professionals' knowledge up-to-date appear to have small or inconsistent effects. The evidence-base is more extensive for interventions directed towards professionals, such as education, reminders or feedback, than for those directed at organizations or patients. The effect of interventions varies according to the setting and the behaviour that is targeted. Case studies in low-income settings suggest that some strategies can result in increased coverage of evidence-based interventions, but there is a lack of evidence from systematic reviews of rigorous research. Given the potential for near-term improvements in health, finding more effective ways of promoting the uptake of evidence-based interventions should be a priority for researchers, practitioners and policy-makers.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862004001000005&lng=en&tlng=enrecherche en santé publiquemise en œuvre plan sanitairechoix d'une politiquemédecine factuellegestion informationpersonnel sanitaireligne directricepratique médicalerevue de la littératurepays en développement |
| spellingShingle | Andy Haines Shyama Kuruvilla Matthias Borchert Bridging the implementation gap between knowledge and action for health Bulletin of the World Health Organization recherche en santé publique mise en œuvre plan sanitaire choix d'une politique médecine factuelle gestion information personnel sanitaire ligne directrice pratique médicale revue de la littérature pays en développement |
| title | Bridging the implementation gap between knowledge and action for health |
| title_full | Bridging the implementation gap between knowledge and action for health |
| title_fullStr | Bridging the implementation gap between knowledge and action for health |
| title_full_unstemmed | Bridging the implementation gap between knowledge and action for health |
| title_short | Bridging the implementation gap between knowledge and action for health |
| title_sort | bridging the implementation gap between knowledge and action for health |
| topic | recherche en santé publique mise en œuvre plan sanitaire choix d'une politique médecine factuelle gestion information personnel sanitaire ligne directrice pratique médicale revue de la littérature pays en développement |
| url | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862004001000005&lng=en&tlng=en |
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