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FROM HERE TO ETERNITY? EPILOGUE! DR JOHN BEST & DR ALISON CLEGG

FROM HERE TO ETERNITY? EPILOGUE! DR JOHN BEST & DR ALISON CLEGG. NATIONAL HEALTH AND MEDICAL RESEARCH COUNCIL (NHMRC). Australia’s leading health and medical research agency. health advice health ethics health and medical research. POLICY UNDERPINNED BY RESEARCH. MONITOR.

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FROM HERE TO ETERNITY? EPILOGUE! DR JOHN BEST & DR ALISON CLEGG

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  1. FROM HERE TO ETERNITY?EPILOGUE!DR JOHN BEST& DR ALISON CLEGG

  2. NATIONAL HEALTH AND MEDICAL RESEARCH COUNCIL (NHMRC) Australia’s leading health and medicalresearch agency • health advice • health ethics • health and medical research

  3. POLICY UNDERPINNED BY RESEARCH MONITOR NEED FOR TRANSLATION RESEARCH IS THERE A NEED FOR RESEARCH AND POLICY? POLICY NOT UNDERPINNED BY RESEARCH RESEARCH-POLICY RELATIONSHIP NO POLICY POLICY RESEARCH NO RESEARCH

  4. EVIDENCE BASED CLINICAL PRACTICE RESEARCH • Evidence Based Clinical Practice Research Program (1999/2000) • identify facilitating factors and barriers to translation of research outcomes • 14 projects funded for 12 months

  5. FACILITATING FACTORS • Perception of local ownership • Support of senior clinicians, health professionals and patients • Support of senior administration • Promotional programs for guidelines

  6. BARRIERS • Lack of consensus on best practice - too many guidelines! • Lack of skills • Additional workload • Fear of medico-legal issues • Patient preference

  7. UNANSWERED QUESTIONS • Sustainability of change to policy and/or practice • Generalisability/transferability of outcomes to other settings • Effect of change on health outcomes

  8. EPILOGUE STUDIES • 13/14 teams funded two years after completion to examine: • Sustainability of changes effected • Translation of the project outcomes to other settings • Health outcomes

  9. EPILOGUE OUTCOMES • Difficult to draw generic conclusions on sustainability and transferability • different nature of projects • introspective reporting • Little evidence of strong links between research outcomes and policy

  10. LESSONS LEARNED • Define measurable parameters for sustainability • multiple components • specifics will differ • Limited information on • generalisability/transferability • health outcomes

  11. THE WAY FORWARD? (1) • ? value of small research projects to contribute to knowledge of implementation of best practice • ? larger scale study on a single clinical area where evidence and practice differ

  12. THE WAY FORWARD? (2) • Extend research endeavour to include policy makers and agents for change • alter incentives & measures of research success (from bibliometric to social benefits) • practice what we preach

  13. Health Outcomes monitor Outcome A/E = 1 Practice Outcome No Practice A/E < 1 More research A = Actual E = Expected RESEARCH PARADIGM Translational Evidence Base Research Guidelines

  14. CONCLUSION FROM HERE (isolation and introspection) TO ETERNITY (engagement and coordination) BUT NOT interference and coercion

  15. ACKNOWLEDGMENTS EBCPRP Investigators Dr Sue Morey More Information on www.nhmrc.gov.au

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