Evidence map›Paper›PMID 27431911›Full record

ArticleHealth research policy and systems2016

Meeting physicians' needs: a bottom-up approach for improving the implementation of medical knowledge into practice.

Carla Vaucher, Emilie Bovet, Theresa Bengough, Vincent Pidoux, Michèle Grossen, Francesco Panese, Bernard Burnand

Open access · goldAbstract read
In one paragraph

Article in Health research policy and systems, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
7.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.

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  9. Developing Research Education Groups in African Cancer Centers: The Experience in Tanzania.Journal of cancer education : the official journal of the American Association for Cancer Education · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Carla VaucherHealthcare Evaluation Unit, Institute of Social & Preventive Medicine (IUMSP), Lausanne University Hospital, Biopôle 2, Rte de la Corniche 10, CH-1010, Lausanne, Switzerland. carla.vaucher@chuv.ch.
Emilie BovetHealthcare Evaluation Unit, Institute of Social & Preventive Medicine (IUMSP), Lausanne University Hospital, Biopôle 2, Rte de la Corniche 10, CH-1010, Lausanne, Switzerland.
Theresa BengoughAustrian Federal Institute of Healthcare (ÖBIG), 1010, Vienna, Austria.
Vincent PidouxInstitute of Psychology, University of Lausanne, Lausanne, Switzerland.
Michèle GrossenInstitute of Psychology, University of Lausanne, Lausanne, Switzerland.
Francesco PaneseUniversity Institute of the History of Medicine and Public Health, Lausanne University Hospital, Lausanne, Switzerland.
Bernard BurnandHealthcare Evaluation Unit, Institute of Social & Preventive Medicine (IUMSP), Lausanne University Hospital, Biopôle 2, Rte de la Corniche 10, CH-1010, Lausanne, Switzerland.
Institute of Social and Preventive Medicine · CHUniversity of Lausanne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMultiple barriers to knowledge translation in medicine have been identified (ranging from information overload to abstraction of models), leading to important implementation gaps. This study aimed at assessing the suggestions of practicing physicians for possible improvements of knowledge translation (KT) effectiveness into clinical practice.

methodsWe used a mixed methods design. French- German- and Italian-speaking general practitioners, psychiatrists, orthopaedic surgeons, cardiologists, and diabetologists practicing in Switzerland were interrogated through semi-structured interviews, focus group discussions, and an online survey.

resultsA total of 985 physicians from three regions of Switzerland participated in the online survey, whereas 39 participated in focus group discussions and 14 in face-to-face interviews. Physicians expressed limitations and difficulties related to KT into their daily practice. Several barriers were identified, including influence and pressure of pharmaceutical companies, non-publication of negative results, mismatch between guidelines and practice, education gaps, and insufficient collaboration between research and practice. Suggestions to overcome barriers were improving education concerning the evaluation of scientific publications, expanding applicability of guidelines, having free and easy access to independent journals, developing collaborations between research and practice, and creating tools to facilitate access to medical information.

conclusionsOur study provides suggestions for improving KT into daily medical practice, matching the views, needs and preferences of practicing physicians. Responding to suggestions for improvements brought up by physicians may lead to better knowledge translation, higher professional satisfaction, and better healthcare outcomes.

Indexed as

Attitude of Health PersonnelEvidence-Based PracticePhysiciansPractice Patterns, Physicians'Translational Research, BiomedicalEuropeFemaleFocus GroupsHumansKnowledgeMaleQuality ImprovementSurveys and QuestionnairesSwitzerlandFocus group discussionsImprovementsInterviewsKnowledge translation and implementationOnline surveyPhysiciansQualitative analysisQualitative methods

Identifiers

PMID27431911
PMCPMC4949753
OpenAlexW2495542001

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.