Knowledge to Action?: Evidence-Based Health Care in Context

Paperback | July 6, 2006

EditorSue Dopson, Louise Fitzgerald

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Health services can and should be improved by applying research findings about best practice. Yet, in Knowledge to Action?, the authors explore why it nevertheless proves notoriously difficult to implement change based on research evidence in the face of strong professional views and complexorganizational structures. The book draws on a large body of evidence acquired in the course of nearly fifty in-depth case studies, following attempts to introduce evidence-based practice in the UK NHS over more than a decade. Using qualitative methods to study hospital and primary care settings, they are able to shed lighton why some of these attempts succeeded where others faltered. By opening up the intricacies and complexities of change in the NHS, they reveal the limitations of the simplistic approaches to implementing research or introducing evidence-based health care. A unique synthesis of evidence, the book brings together data from 1,400 interviews with doctors, nurses, and managers, as well as detailed observations and documentary analysis. The authors provide an analysis, rooted in a range of theoretical perspectives, that underlines the intimate linksbetween organizational structures and cultures and the utilization of knowledge, and draws conclusions which will be of significance for other areas of public management. Their findings have implications for the utilization of knowledge in situations where there is a professional tradition workingwithin a politically sensitive blend of public service, managerial accountability, and technical expertise. Knowledge to Action? will be of interest to Academics, Researchers, and Advanced Students of Organizational Behaviour, Public and Health Management, and Evidence-Based Medicine; and also of particular interest to Practitioners, Clinicians, and Public Health Managers concerned with implementingchange to clinical practice.

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Health services can and should be improved by applying research findings about best practice. Yet, in Knowledge to Action?, the authors explore why it nevertheless proves notoriously difficult to implement change based on research evidence in the face of strong professional views and complexorganizational structures. The book draws on ...

Sue Dopson is Rhodes Reader in Organizational Behaviour, Said Business School, and Fellow of Templeton College, University of Oxford. A member of the Oxford Health Care Management Institute, she is involved in the development of courses for the NHS and a number of research projects, including the evaluation of projects aimed at improv...

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Knowledge to Action?: Evidence-Based Health Care in Context
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Hardcover|Mar 15 2005

$172.50 online$345.00list price(save 50%)
Format:PaperbackDimensions:240 pages, 9.21 × 6.14 × 0.54 inPublished:July 6, 2006Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0199205108

ISBN - 13:9780199205103

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Table of Contents

1. Sue Dopson and Louise Fitzgerald: Introduction2. Ewan Ferlie and Sue Dopson: Studying Complex Organizations in Health Care3. Sue Dopson, Louise Locock, John Gabbay, Ewan Ferlie, and Louise Fitzgerald: Evidence-Based Health Care and the Implementation Gap4. Louise Locock, Ewan Ferlie, Sue Dopson, and Louise Fitzgerald: Research Design: 'Upscaling' Qualitative Research5. Sue Dopson and Louise Fitzgerald: The Active Role of Context6. Louise Fitzgerald and Sue Dopson: Professional Boundaries and the Diffusion of Innovation7. Louise Fitzgerald and Sue Dopson: Knowledge, Credible Evidence, and Utilization8. Louise Fitzgerald, Sue Dopson, Ewan Ferlie, and Louise Locock: Knolwedge in Action9. Ewan Ferlie: Conclusion: From Evidence to Actionable Knowledge?

Editorial Reviews

"Dopson and Fitzgerald and their colleagues provide an integrating framework to improve our understanding of what makes information credible and why clinicians and managers use new knowledge in making decisions. ... In all, this book is an important advance, demonstrating the utility ofcross-case comparison in the expanding world of EBHC."--Arnold D. Kaluzny, Professor Emeritus of Health Policy and Administration, School of Public Health, University of North Carolina at Chapel Hill