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J Fam Pract. 2000 May;49(5):461-4.

Strategies for changing clinicians' practice patterns. A new perspective.

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Department of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor 48109-2029, USA.


How can we persuade clinicians to adopt proven practices? Education, incentives, feedback, social marketing, and various other change strategies have inconsistent and unpredictable effects. We propose a theoretical framework that can provide a reliable basis for selecting effective change strategies. We divide clinicians into 4 categories on the basis of their responses to new information about the effectiveness of clinical strategies. We similarly divide the universe of practice change strategies into knowledge-oriented and behavior-oriented methods. We then show why specific combinations of these strategies are likely to be consistently effective for each of the 4 categories of clinicians.

[Indexed for MEDLINE]

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