Implementing Clinical Guidelines in Patient Care
By Richard Grol, Michel Wensing and Professor Martin Eccles, MD, MRCGP, FRCP(UK), FRCGP, MFPHM, FMedSci.
304 pp., 17 ills., Copyright 2005
This book provides readers with information on how to promote the implementation of valuable new and existing insights and how procedures can best be designed to contribute to optimal patient care. The editor and contributors of this book are prominent international researchers in the area of implementation research and have a wide range of experience across all the areas covered.
Section 1 Principles of implementation, provides an introduction to the subject and covers the theoretical basis of the subject.
Section 2 describes the characteristics of successful innovations and discusses clinical practice guidelines as a tool for improvements in health care.
Section 3 covers diagnostic analysis - the methods of examining why change is or is not happening and includes factors influencing implementation of change and a description and discussion of the methods to identify obstacles to change.
Section 4 covers the range of currently considered or used interventions and strategies to achieve the implementation of change. This section includes educational interventions, feedback and reminders, organisational and financial interventions, patient-oriented interventions and multifaceted interventions.
Section 5 shows how to take the strategies and use them in healthcare systems and includes planning the process, measuring performance, the role and conduct of rigorous evaluations, the role and conduct of small scale evaluations, and economic evaluations.
Table of Contents
Introduction (Richard Grol)
1. Implementation of change: introduction (Richard Grol)
2. Theories on implementation of change (Richard Grol, Marlies Hulscher, Michel Wensing, Martin Eccles)
3. Effective implementation: a model (Richard Grol, Michel Wensing, Martin Eccles)
4. Characteristics of successful innovations (Richard Grol, Michel Wensing)
5. Guidelines as a tool for implementing change in patient care (Jako Burgers, Richard Grol, Martin Eccles)
6. Factors influencing the implementation of change (Michel Wensing, Richard Grol)
7. Methods to identify implementation problems (Michel Wensing, Richard Grol)
8. Development and selection of strategies (Richard Grol, Michel Wensing, Martin Eccles)
9. Dissemination of innovations (Richard Grol, Michel Wensing)
10. Educational interventions (Michel Wensing, Richard Grol, Martin Eccles, Jeremy Grimshaw)
11. Feedback and reminders (Trudy van der Weijden, Ron Winkens, Richard Grol, Martin Eccles)
12. Organisational and financial interventions (Michel Wensing, Niek Klazinga, Richard Grol, Martin Eccles, Huw Davies)
13. Patient-oriented interventions (Michel Wensing, Glyn Elwyn, Richard Grol)
14. Multifaceted interventions (Michel Wensing, Richard Grol, Martin Eccles, Jeremy Grimshaw)
15. Measurement of performance change (Jozé Braspenning, Steve Campbell, Martin Marshall, Richard Grol)
16. Measuring effects of implementation: randomised and non-randomised studies (Martin Eccles, Jeremy Grimshaw, Michel Wensing)
17. Measuring effects of implementation: small scale projects and large scale programmes (Michel Wensing, Marlies Hulscher)
18. Process evaluation (Marlies Hulscher, Miranda Laurant, Richard Grol)
19. Statistical issues in implementing change (Martin Eccles, Michel Wensing)
20. Economic evaluation of implementation (Hans Severens, Martin Eccles, James Mason, Michel Wensing)
21. Effective organisation of the implementation activities (Richard Grol, Martin Eccles)
Epilogue (Richard Grol)