title: [Implementation of clinical practice guidelines: how can we close the evidence-practice gap?].
abstract: Guidelines are intended as instruments of knowledge transfer to support decision-making by physicians, other health professionals and patients in clinical practice and thereby contribute to quality improvements in healthcare. To date they are an indispensable tool for healthcare. Their benefit for patients can only be seen in application, i.e. the implementation of guideline recommendations. For successful implementation, implementability and practicability play a crucial role and these characteristics can be influenced and should be promoted by the guideline development group. In addition, a force field analysis to identify barriers against and facilitators for the implementation of specific guideline recommendations from the perspective of physicians and patients is recommended to guide the development of an individual implementation strategy and the selection of appropriate interventions. However, implementation cannot be achieved by the guideline development group alone and a universal implementation strategy does not exist. Therefore, a process using theory, analysis, experience and shared responsibility of stakeholders in healthcare is recommended, with the aim to achieve sustainable behavioral change and improve the quality of care by guideline-oriented behavior.
authors.affiliation: Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften (AWMF), Institut für Medizinisches Wissensmanagement, c/o FB Medizin der Philipps-Universität, Karl-von-Frisch-Str.1, 35043, Marburg, Deutschland, muche-borowski@awmf.org.
authors.forename: Cathleen
authors.initials: C
authors.lastname: Muche-Borowski
authors.forename: M
authors.initials: M
authors.lastname: Nothacker
authors.forename: I
authors.initials: I
authors.lastname: Kopp
mesh_terms: D003695:Delivery of Health Care / Q000592:standards*; D019317:Evidence-Based Medicine; D005858:Germany; D019983:Guideline Adherence; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000592:standards*; D011785:Quality Assurance, Health Care / Q000458:organization & administration*