Implementing Evidence-Based Practice in Health Care

The authors conclude that the evidence in support of single interventions being effective in bringing about practitioner change is weak at best.

Abstract

This article summarizes recent research on the effectiveness of efforts to implement evidence-based health care. The authors conclude that the evidence in support of single interventions being effective in bringing about practitioner change is weak at best. The authors give examples and evaluative comments on more complex organizational and systemic interventions that are aimed at changing clinical practice, and discuss some of the barriers to their application.