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Implementing Early Warning Messages on Emerging Health Technologies

Published online by Cambridge University Press:  10 March 2009

Graham Mowatt
Affiliation:
University of Aberdeen
Mary Ann Thomson
Affiliation:
McMaster University
Jeremy Grimshaw
Affiliation:
University of Aberdeen
Adrian Grant
Affiliation:
University of Aberdeen

Abstract

The purpose of this study was to determine how horizon-scanning organizations can encourage the implementation of recommendations contained in their early warning messages about emerging health technologies. We reviewed the conclusions of the EUR-ASSESS Project Subgroup report on dissemination and impact, an overview of systematic reviews of interventions to promote implementation of research findings by health care professionals, and various Cochrane Effective Practice and Organisation of Care Group protocols and reviews. The evidence on the effectiveness of different implementation strategies aimed at distinct target groups is of variable quality. There is some evidence from rigorous study designs on the effectiveness of strategies designed to influence the behavior of health care professionals; the quality of the evidence relating to policy makers and the general public is more limited. Horizon-scanning organizations can improve the likelihood of their recommendations being acted upon by developing active implementation strategies based on the best available evidence, establishing links with key groups, and directing early warning messages at specific target audiences. Given the relative lack of good quality evidence, it is important that implementation strategies be rigorously evaluated to determine their effectiveness.

Type
Special Section: Early Identification and Assessment of Emerging Health Technology
Copyright
Copyright © Cambridge University Press 1998

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References

REFERENCES

1.Banta, H. D., & Gelijns, A. C.The future and health care technology: Implications of a system for early identification. World Health Statistics Quarterly, 1994, 47, 140–48.Google ScholarPubMed
2.Bero, L., Grilli, R., Grimshaw, J., et al. Closing the gap between research and practice: An overview of systematic reviews of interventions to promote implementation of research findings by health care professionals. British Medical Journal, 1998, 317, 465–68.CrossRefGoogle Scholar
3.Bero, L., Grilli, R., Grimshaw, J., & Oxman, A. (eds). The Cochrane Effective Practice and Organisation of Care Group (EPOC) Module of The Cochrane Database of Systematic Reviews. In The Cochrane Library, Issue 4, 1998. Oxford: Update Software.Google Scholar
4.Bero, L. A., Mays, N. B., Barjesteh, K., & Bond, C.Expanding outpatient pharmacists’ roles and health services utilization, costs, and patient outcomes (Cochrane Review). In The Cochrane Library, Issue 4, 1998. Oxford: Update Software.Google Scholar
5.Bloor, K., Maynard, A., & Freemantle, N.Lessons from international experience in controlling pharmaceutical expenditure, III: Regulating industry. British Medical Journal, 1996, 313, 3335.CrossRefGoogle ScholarPubMed
6.Department of Health. Assessing the effects of health technologies: Principles, practice, proposals. London: Department of Health, 1992.Google Scholar
7.EUR-ASSESS Subgroup on Dissemination and Impact. EUR-ASSESS Project Subgroup report on dissemination and impact. International Journal of Technology Assessment in Health Care, 1997, 13, 220–86.CrossRefGoogle Scholar
8.Freemantle, N., Harvey, E. L., Wolf, F., et al. Printed educational materials to improve the behavior of health care professionals and patient outcomes (Cochrane Review). In The Cochrane Library, Issue 4, 1998. Oxford: Update Software.Google Scholar
9.Giuffrida, A., Leese, B., Forland, F., et al. The effect of target payments on primary care professional behavior (Protocol for a Cochrane Review). In The Cochrane Library, Issue 4, 1998. Oxford: Update Software.Google Scholar
10.Grilli, R., & Lomas, J.Evaluating the message: The relationship between compliance rate and the subject of a practice guideline. Medical Care, 1994, 32, 202–13.CrossRefGoogle ScholarPubMed
11.Grilli, R., Minozzi, S., Freemantle, N., Domenighetti, G. F., & Finer, D. The impact of mass media campaigns on health services utilization and health care outcomes (Protocol for a Cochrane Review). In The Cochrane Library, Issue 4, 1998. Oxford: Update Software.Google Scholar
12.Maynard, A., & Bloor, K.Regulating the pharmaceutical industry: Pricing should be negotiated to control research costs and encourage cost effectiveness. British Medical Journal, 1997, 315, 200–01.CrossRefGoogle Scholar
13.Parkes, J., & Shepperd, S. Discharge planning from hospital to home (Protocol for a Cochrane Review). In The Cochrane Library, Issue 4, 1998. Oxford: Update Software.Google Scholar
14.Pearson, V. A. H.Minimal access surgery: A review. Bristol: University of Bristol, 1994.Google Scholar
15.Rogers, E. M.Diffusion of innovations, 3rd ed.New York: Free Press, 1983.Google Scholar
16.Shepperd, S., & Iliffe, S. Hospital at home compared to in-patient hospital care (Cochrane Review). In The Cochrane Library, Issue 4,1998. Oxford: Update Software.Google Scholar
17.Thomson, M. A., Oxman, A. D., Davis, D. A., et al. Outreach visits to improve health professional practice and health care outcomes (Cochrane Review). In The Cochrane Library, Issue 4, 1998. Oxford: Update Software.Google Scholar
18.Thomson, M. A., Freemantle, N., Wolf, F., Davis, D. A., & Oxman, A. D. Educational meetings, workshops and preceptorships to improve the practice of health professionals and health care outcomes (Protocol for a Cochrane Review). In The Cochrane Library, Issue 4, 1998. Oxford: Update Software.Google Scholar
19.Thomson, M. A., Oxman, A. D., Haynes, R. B., et al. Audit and feedback to improve health care professional practice and health care outcomes (Part 1) (Cochrane Review). In The Cochrane Library, Issue 4, 1998. Oxford: Update Software.Google Scholar
20.Thomson, M. A., Oxman, A. D., Haynes, R. B., et al. Audit and feedback to improve health care professional practice and health care outcomes (Part 2) (Cochrane Review). In The Cochrane Library, Issue 4, 1998. Oxford: Update Software.Google Scholar
21.Thomson, M. A., Oxman, A. D., Haynes, R. B., et al. Local opinion leaders to improve health professional practice and health care outcomes (Cochrane Review). In The Cochrane Library, Issue 4, 1998. Oxford: Update Software.Google Scholar