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Cited by 1,479Electronic Health Records SystemsHealth Sciences Research and EducationClinical practice guidelines implementation

Managing Clinical Knowledge for Health Care Improvement

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Balas, E.A., Boren, S.A.·2000·Yearbook of Medical Informatics
DOI 10.1055/s-0038-1637943
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Crossref · 10.1055/s-0038-1637943

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61 of 61 references verified0 citation errors · 0 not checkable

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  • On average, only around 50% of evidence-based interventions are successfully implemented in routine practice.

    “extensive evidence from implementation science across healthcare indicates that, on average, only around 50% of evidence-based interventions are successfully implemented in routine practice.13”

    From Mapping evidence on implementation research in oral health: a global scoping review protocol (2026) · cites this paper as [13]

    The “Slow Transfer of Research to Practice” section documents slow uptake of evidence-based procedures and discusses a 50% utilization threshold. It does not report that, on average across healthcare, 50% of evidence-based interventions are successfully implemented; its table gives varying use rates for nine selected procedures. (LLM, conf=0.85)

    Experimental — accuracy not yet measured

  • The translation of discoveries into benefits for human health can be frustratingly slow.

    “Yet, the translation of discoveries into benefits for human health can be frustratingly slow (Balas & Boren, 2000; Ioannidis, 2006).”

    From ‘You feel part of something bigger’: Stakeholders’ experiences of a long-term community–academic participatory research partnership (2025) · cites this paper as Balas & Boren, 2000

  • The movement of effective EBPs has been slow and relatively ineffective.

    “While there are a number of effective EBPs tailored to the needs of various service systems and their clients and patients, the movement of such interventions has been slow and relatively ineffective (Balas and Boren 2000).”

    From Advancing a Conceptual Model of Evidence-Based Practice Implementation in Public Service Sectors (2011) · cites this paper as Balas and Boren 2000

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Cites

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Research works printed but not linked: 15

  1. Cochrane Library. The Cochrane Controlled Trials Register. Oxford, England: Cochrane Collaboration, 1996.
  2. Bordley J, McGehee Harvey A : Two centu- ries of American Medicine. Philadelphia: W.B. Saunders, 1976.
  3. Diabetic Retinopathy Study Research Group. Photocoagulation treatment of prolifera- tive diabetic retinopathy. Clinical applica- tion of Diabetic Retinopathy study (DRS) findings. Ophthalmology 1981;88:583- 600.
  4. Beare AS, HobsonD, ReedSE, Tyrrell DA. A comparison oflive and killed influenza- virus vaccines. Report to the Medical Re- search Council's Committee on Influenza and other Respiratory Virus Vaccines. Lan- cet 1968;2:418-22.
  5. Centers for Disease Control Prevention Guidelines. MMWR 1997;46:913-9.
  6. Hardcastle JD, Armitage NC, Chamberlain J, AmarSS,JamesPD, BalfourTW. Fecal occult blood screening for colorectal cancer in the general population. Results of a controlled trial. Cancer 1986;58:397 -403.
  7. Ziegler JE. ADA offers revised guidelines for treating diabetes patients. Drug Topics 1998;142:44.
  8. Pulido M, Gonzalez JC, Sanz F. Original articles published inMedicina Clinicadur- ing 30 years (1962-1992): number of au- thors, interval between acceptance and publication and bibliographic references. Med Clin (Bare) 1994; 103:770-5.
  9. Mulrow CD. Rationale for systematic re- views. Br Med J 1994;309:597-9.
  10. DavidoffF, Haynes RB, Sackett DL, Smith R. Evidence-based medicine: anew journal to help doctors identify the information they need. Br Med J 1995 ;31 0: 1085-6.
  11. Elks ML. Malaise in medicine: we don't teachwhatwedo. SouthMedJ 1994;87:70- 3.
  12. Balas EA, Boren SA, Hicks LL, Chonko AM, Stephenson K. Effects oflinking prac- tice data to published evidence: a random- ized controlled trial of clinical direct re- ports. Med Care 1998;36:79-87.
  13. Chambers CV, Balaban DJ, Carlson BL, Ungemack JA, Grasberger DM. Micro- computer-generatedreminders: Improving the compliance of primary care physicians with mammography screening guidelines. J Faro Pract 1989;3:273-80.
  14. Chambers CV, Balaban DJ, Carlson BL, Gras berger DM. The effect of microcom. puter-gerenrated reminders on influenza vaccination rates in a university-based fam. ily practice center. JAm Board Faro Pract 1991;4:19-26.
  15. Turner BJ, Day SC, Borenstein B. A con- trolled trial to improve delivery of preven- tive care: physician or patient reminders? J Gen Intern Med 1989;4:403-9.

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Authors
Balas, E. A., & Boren, S. A.
Affiliations
University of Missouri (US)
ORCID
Venue
Yearbook of Medical Informatics
Publisher
Georg Thieme Verlag KG
Published
2000-08
Volume
09
Issue
01
Pages
65-70
ISSN
  • 0943-4747 (ISSN-L)
  • 2364-0502
DOI
10.1055/s-0038-1637943
OpenAlex
W160573773
Cited by
1,479
References
61
Citations by year
2026: 43 · 2025: 89 · 2024: 117 · 2023: 106 · 2022: 129 · 2021: 122 · 2020: 118 · 2019: 98 · 2018: 89 · 2017: 70 · 2016: 57 · 2015: 54 · 2014: 49 · 2013: 51 · 2012: 55
FWCI
13.24
Type
journal article
Language
en
Open access
Locations
  • Yearbook of Medical Informatics (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
  • Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
Keywords
clinical knowledge management, health service improvement, clinical decision support, knowledge management systems

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