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J Invest Dermatol. 2019 Dec 17. pii: S0022-202X(19)33382-2. doi: 10.1016/j.jid.2019.10.011. [Epub ahead of print]

Using Implementation Science to Optimize the Uptake of Evidence-Based Medicine into Dermatology Practice.

Author information

1
Department of Dermatology, Massachusetts General Hospital, Boston, Massachusetts; Department of Population Medicine, Harvard Medical School and the Harvard Pilgrim Health Care Institute, Boston, Massachusetts.
2
Division of General Internal Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.
3
Center for Healthcare Delivery Sciences, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.
4
Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
5
Department of Dermatology, Massachusetts General Hospital, Boston, Massachusetts; Department of Population Medicine, Harvard Medical School and the Harvard Pilgrim Health Care Institute, Boston, Massachusetts. Electronic address: PORES@mgh.harvard.edu.

Abstract

An estimated 17-year lag exists between evidence generation and its integration into routine clinical care. The field of implementation science has emerged to close this gap by applying rigorous methods to systematically study the obstacles and facilitators of the uptake of evidence-based practices. However, implementation science has not gained wide traction in dermatology. In this narrative review, we use literature and expert input to introduce implementation science and key frameworks for implementing interventions and evaluating their uptake. We then highlight opportunities for dermatology-specific interventions at the patient-, provider-, system-, and population-levels, and advocate for the field's expansion into dermatology.

PMID:
31862108
DOI:
10.1016/j.jid.2019.10.011

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