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CHANGING PRACTICE   Evidence Based Implementation José Francisco García Gutiérrez Escuela Andaluza de Salud Pública PAHO HQ  HSS/HRH
The Path Continuous Improvement     Design & Evaluation   Need Redesign Design Management Audit Implementation
 
NO MAGIC BULLETS ! All strategies are effective sometimes,  but none is effective in all circumstances
Summary points ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Consistently effective interventions ,[object Object],[object Object],[object Object]
Interventions of variable effectiveness ,[object Object],[object Object],[object Object],[object Object]
Interventions that have little or no effect ,[object Object],[object Object]
 
TRADITIONAL  MODEL  OF DISEMINATION Publication of information Target audience Changes in clinical practice
DESIGN OF INTERVENTIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IMPLEMENTATION  PLAN ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
FROM THEORY TO ACTION Three key questions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 

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Changing Practice: Implementation strategies

  • 1. CHANGING PRACTICE Evidence Based Implementation José Francisco García Gutiérrez Escuela Andaluza de Salud Pública PAHO HQ HSS/HRH
  • 2. The Path Continuous Improvement Design & Evaluation Need Redesign Design Management Audit Implementation
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  • 4. NO MAGIC BULLETS ! All strategies are effective sometimes, but none is effective in all circumstances
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  • 11. TRADITIONAL MODEL OF DISEMINATION Publication of information Target audience Changes in clinical practice
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