Knowledge to Action?
Evidence-Based Health Care in Context
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Product details:
- Edition number New ed
- Publisher OUP Oxford
- Date of Publication 29 June 2006
- ISBN 9780199205103
- Binding Paperback
- No. of pages240 pages
- Size 233x157x13 mm
- Weight 403 g
- Language English
- Illustrations 6 tables, 2 figures 0
Categories
Short description:
Health services can and should be improved by applying research findings about best practice. Yet, in Knowledge to Action?, the authors explore why it nevertheless proves notoriously difficult to implement change based on research evidence in the face of strong professional views and complex organizational structures.
MoreLong description:
Health services can and should be improved by applying research findings about best practice. Yet, in Knowledge to Action?, the authors explore why it nevertheless proves notoriously difficult to implement change based on research evidence in the face of strong professional views and complex organizational structures.
The book draws on a large body of evidence acquired in the course of nearly fifty in-depth case studies, following attempts to introduce evidence-based practice in the UK NHS over more than a decade. Using qualitative methods to study hospital and primary care settings, they are able to shed light on why some of these attempts succeeded where others faltered. By opening up the intricacies and complexities of change in the NHS, they reveal the limitations of the simplistic approaches to implementing research or introducing evidence-based health care.
A unique synthesis of evidence, the book brings together data from 1,400 interviews with doctors, nurses, and managers, as well as detailed observations and documentary analysis. The authors provide an analysis, rooted in a range of theoretical perspectives, that underlines the intimate links between organizational structures and cultures and the utilization of knowledge, and draws conclusions which will be of significance for other areas of public management. Their findings have implications for the utilization of knowledge in situations where there is a professional tradition working within a politically sensitive blend of public service, managerial accountability, and technical expertise.
Knowledge to Action? will be of interest to Academics, Researchers, and Advanced Students of Organizational Behaviour, Public and Health Management, and Evidence-Based Medicine; and also of particular interest to Practitioners, Clinicians, and Public Health Managers concerned with implementing change to clinical practice.
Table of Contents:
Introduction
Studying Complex Organizations in Health Care
Evidence-Based Health Care and the Implementation Gap
Research Design: 'Upscaling' Qualitative Research
The Active Role of Context
Professional Boundaries and the Diffusion of Innovation
Knowledge, Credible Evidence, and Utilization
Knolwedge in Action
Conclusion: From Evidence to Actionable Knowledge?
