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Changing Practice: Implementation strategies

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Jose Francisco García Gutiérrez
Jose Francisco García Gutiérrez

Evidence based summary of strategies for changing clinical practice

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CHANGING PRACTICE Evidence Based Implementation JosĂ© Francisco GarcĂ­a GutiĂ©rrez Escuela Andaluza de Salud PĂșblica PAHO HQ HSS/HRH
The Path Continuous Improvement Design & Evaluation Need Redesign Design Management Audit Implementation
 
NO MAGIC BULLETS ! All strategies are effective sometimes, but none is effective in all circumstances
Summary points ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Consistently effective interventions ,[object Object],[object Object],[object Object]
Interventions of variable effectiveness ,[object Object],[object Object],[object Object],[object Object]
Interventions that have little or no effect ,[object Object],[object Object]
 
TRADITIONAL MODEL OF DISEMINATION Publication of information Target audience Changes in clinical practice
DESIGN OF INTERVENTIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IMPLEMENTATION PLAN ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
FROM THEORY TO ACTION Three key questions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 

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Changing Practice: Implementation strategies

  • 1. CHANGING PRACTICE Evidence Based Implementation JosĂ© Francisco GarcĂ­a GutiĂ©rrez Escuela Andaluza de Salud PĂșblica PAHO HQ HSS/HRH
  • 2. The Path Continuous Improvement Design & Evaluation Need Redesign Design Management Audit Implementation
  • 4. NO MAGIC BULLETS ! All strategies are effective sometimes, but none is effective in all circumstances
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  • 10.  
  • 11. TRADITIONAL MODEL OF DISEMINATION Publication of information Target audience Changes in clinical practice
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  • 16. Â