The Many Meanings of Evidence: Implications for the Translational Science Agenda in Healthcare

Document Type : Editorial

Author

Manchester Business School, University of Manchester, Manchester, UK

Abstract

Health systems across the world are concerned with the quality and safety of patient care. This includes investing in research and development to progress advances in the treatment and management of individuals and healthcare organisations. The concept of evidence- based healthcare has gained increasing currency over the last two decades; yet questions persist about the time it takes for new research evidence to find its way into day to day healthcare decision-making. This paper explores the reasons for this apparent gap between research and healthcare practice, management and policy-making. In particular, the paper argues that different meanings attached to the word ‘evidence’ fundamentally influence the way in which the research-practice gap is conceptualised and subsequent strategies that are implemented to increase the uptake of research.

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1. Schuster M, McGlynn E, Brook RH. How good is the quality of health care in the United States? Milbank Q 1998; 76: 517–63. doi: 10.1111/1468-0009.00105
2. Grol R. Successes and failures in the implementation of evidence-based guidelines for clinical practice. Med Care 2001; 39: 1146–54. doi: 10.1097/00005650-200108002-00003
3. Walshe K, Rundall T. Evidence-based management: from theory to practice in health care. Milbank Q 2001; 79: 429–57. doi: 10.1111/1468-0009.00214
4. Pfeffer J, Sutton RI. Hard Facts, Dangerous Half-Truths, and Total Nonsense: Profiting from Evidence-Based Management. Harvard: Harvard Business School Press; 2006. doi: 10.1111/j.1540-5885.2007.00266_3.x
5. Dopson S, Fitzgerald L. Knowledge to Action? Evidence-based health care in context. Oxford: Oxford University Press; 2005.
6. Rycroft-Malone J, Seers K, Titchen A, Harvey G, Kitson A, McCormack B. What counts as evidence in evidence-based practice? J Adv Nurs 2004; 47: 81–90. doi: 10.1111/j.1365-2648.2004.03068.x
7. Greenhalgh T, Wieringa S. Is it time to drop the ‘knowledge translation’ metaphor? A critical literature review. J R Soc Med 2011; 104: 501–9. doi: 10.1258/jrsm.2011.110285
8. Brown JS, Duguid P. Knowledge and organization: A social-practice perspective. Organization Science 2001; 12: 198–213. doi: 10.1287/orsc.12.2.198.10116
9. Van de Ven AH, Johnson PE. Knowledge for theory and practice. Acad Manage Rev 2006; 31: 802–21.
10. Davies HTO, Nutley SM, Walter I. Why ‘knowledge transfer’ is misconceived for applied social research. J Health Serv Res Policy 2008; 13: 188–90. doi: 10.1258/jhsrp.2008.008055
11. Markides C. Crossing the Chasm: How to convert relevant research into managerially useful research. J Appl Behav Sci 2011; 47: 121–34. doi: 10.1177/0021886310388162
12. Nutley SM, Walter I, Davies HTO. Using Evidence: How research can inform public services. Bristol: The Policy Press; 2007. doi: 10.1332/policypress/9781861346650.001.0001
13. Powell K, Kitson A, Hoon E, Newbury J, Wilson A, Beilby J. A study protocol for applying the co-creating knowledge translation framework to a population health study. Implement Sci 2013; 8: 98. doi: 10.1186/1748-5908-8-98
  • Receive Date: 01 September 2013
  • Revise Date: 20 September 2013
  • Accept Date: 16 September 2013
  • First Publish Date: 21 September 2013