Research by the Academic Unit of Primary Care
Measuring and understanding the uptake of evidence-based practice
This work mainly involves hypothesis generating studies, qualitative and quantitative, to describe and explain the uptake of evidence-based practice:
- Identifying health problems with high impacts (e.g. mortality, morbidity, costs) where there are significant gaps between evidence and practice;
- Developing criteria and methods for measuring the implementation of evidence-based practice;
- Identifying patterns of variations in implementation (e.g. areas of care where all or most practices perform poorly, subsets of practices or patients consistently associated with poorer performance);
- Diagnosing the most important causes of inappropriate variations that are amenable to change.
Changing clinical and organisational practice
This work mainly involves hypothesis testing studies to estimate the effects of implementation strategies and embedded process evaluations to explore causal mechanisms:
- The design of implementation strategies targeting the most important determinants of practice based upon available systematic reviews, diagnostic analyses and the explicit mapping of intervention elements to key determinants of change;
- Randomised and quasi-experimental studies to evaluate the effectiveness and cost-effectiveness of interventions;
- Theory-guided process evaluations, using qualitative and quantitative methods, embedded within intervention studies to explore and explain effects.