Challenges in translating research into practice.
This paper provides a high-level summary of the literature concerning barriers to disseminating research findings about medication use into clinical practice. Various interventions targeting patients or providers are reviewed. Conceptual models for understanding the multiple barriers to dissemination are critically reviewed, and an alternative framework is proposed that considers the perspective of both providers and patients and the characteristics of treatments. Areas of further research are suggested.
Col
Nananda F
NF
Brown Medical School and Rhode Island Hospital, Providence, Rhode Island, USA. ncol@lifespan.org
D004059:Diffusion of Innovation; D019468:Disease Management; D004363:Drug Utilization / Q000592:standards*; D019317:Evidence-Based Medicine; D006302:Health Services Research; D006801:Humans; D033181:Information Dissemination; D020380:Needs Assessment; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D014481:United States