Journal
ANNALS OF THE RHEUMATIC DISEASES
Volume 81, Issue 10, Pages 1344-1347Publisher
BMJ PUBLISHING GROUP
DOI: 10.1136/ard-2022-223016
Keywords
Quality Indicators; Health Care; Outcome and Process Assessment; Health Care; Health services research
Categories
Funding
- European Alliance of Associations for Rheumatology (EULAR) [EPI023]
- National Institute for Health and Care Research (NIHR) Applied Health Research Collaboration (ARC) West Midlands [NIHR 200165]
- NIHR Knowledge Mobilisation Research Fellowship [KMRF-2014-03-002]
- NIHR Senior Investigator [NIHR 200259]
- Versus Arthritis [20385, 20380]
- NIHR Manchester Biomedical Research Centre
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This article describes the principles of implementation science to facilitate and optimize the implementation of clinical recommendations in rheumatic and musculoskeletal diseases (RMDs).
A clinical guideline is a document with the aim of guiding decisions based on evidence regarding diagnosis, management and treatment in specific areas of healthcare. Specific to rheumatic and musculoskeletal diseases (RMDs), adherence to clinical guidelines recommendations impacts the outcomes of people with these diseases. However, currently, the implementation of recommendations is less than optimal in rheumatology. The WHO has described the implementation of evidence-based recommendations as one of the greatest challenges facing the global health community and has identified the importance of scaling up these recommendations. But closing the evidence-to-practice gap is often complex, time-consuming and difficult. In this context, the implementation science offers a framework to overcome this scenario. This article describes the principles of implementation science to facilitate and optimise the implementation of clinical recommendations in RMDs. Embedding implementation science methods and techniques into recommendation development and daily practice can help maximise the likelihood that implementation is successful in improving the quality of healthcare and healthcare services.
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