title: Evidence over barriers: important but not enough.
abstract: Overcoming the boundary conditions that impede the flow of evidence derived from research from academia to healthcare decision-makers in government and their agencies continues to be a challenge. But even the reduction/elimination of all such barriers and perfect collaboration are unlikely to yield what those of us in the "real world" yearn for, doing the right things right - policy and other decisions perfectly informed by evidence of what works and what doesn't to achieve a defined outcome. For that to happen, the calculus of decision-makers would have to exclude or evidence would have to trump political considerations, both large P and small p, an unlikely accomplishment in British Columbia or anywhere in our so-called healthcare system. That's reality!
authors.affiliation: Ontario Health Services Restructuring Commission.
authors.forename: Duncan G
authors.initials: DG
authors.lastname: Sinclair
mesh_terms: D001955:British Columbia; D002170:Canada; D003299:Cooperative Behavior; D019317:Evidence-Based Medicine / Q000458:organization & administration* / Q000592:standards; D006801:Humans; D033181:Information Dissemination; D007373:Interinstitutional Relations; D007400:Interprofessional Relations