How can healthcare trusts effectively implement evidence-based practices? This paper proposes a diagnostic framework to aid Trust managers in devising and implementing strategies for improving clinical effectiveness. The gap framework highlights failures that contribute to the gap between research evidence and its implementation in health care. The framework incorporates personal competency profiles and is inspired by the gap model developed by Zeithaml, Parasuraman and Berry from their research into service quality. It also incorporates Dave Sackett’s schema as well as a personal competency profile needed for the practice of evidence based health‐care (EBHC). The study is based on research incorporating clinicians, managers, and professional staff in four NHS Trusts in the North Thames Region. To bridge these gaps, Trusts must set clear goals and address cultural, organizational, and attitudinal factors, investing in information infrastructure and training for doctors. Researchers should enhance the quality and accessibility of evidence, while purchasers should incentivize EBHC use by directing funding away from ineffective care.
| Category | Category Repetition |
|---|---|
| Medicine: Medicine (General): Medical technology | 1 |
| Medicine: Public aspects of medicine | 1 |
| Medicine: Medicine (General) | 1 |