The use of health care policy to facilitate evidence-based knowledge translation in emergency medicine.
Health care policy can facilitate emergency medicine knowledge translation (KT). Because of this, the 2007 Academic Emergency Medicine Consensus Conference on KT identified a specific theme regarding issues of health care policy and KT. Six months before the Consensus Conference, international experts in the area were invited to communicate on health care policies regarding all areas of KT via e-mail and "Google groups." From this communication, and using available evidence, specific recommendations and research questions were developed. At the Consensus Conference, additional comments were incorporated. This report summarizes the results of this collaborative effort and provides a set of recommendations and accompanying research questions to guide development, implementation, and evaluation of health care policies intended to promote KT in emergency medicine. The recommendations are to 1a) involve appropriate stakeholders in the health care policy process; 1b) collaborate with policy makers when health care policy focus areas are being developed; 2) use previously validated clinical practice guideline development tools; 3) address implementation issues during the development of health care policies; 4) monitor outcomes with performance measures appropriate to different practice environments; and 5) plan periodic reviews to uncover new clinical evidence, new methods to improve KT, and new technologies. To advance the further development of these recommendations, a research agenda is proposed.
Irvin
Charlene B
CB
Wayne State University School of Medicine, St. John Hospital and Medical Center, Detroit, MI, USA. cbi@123.net
Afilalo
Marc
M
Sherman
Scott C
SC
Stack
Steven J
SJ
Huckson
Sue
S
Kaji
Amy
A
Eskin
Barnet
B
D004059:Diffusion of Innovation; D004635:Emergency Medicine; D019317:Evidence-Based Medicine; D006291:Health Policy; D006801:Humans; D019359:Knowledge