Effectiveness and efficiency of guideline dissemination and implementation strategies
J. M. Grimshaw a1, R. E. Thomas a1, G. MacLennan a1, C. Fraser a1, C.R. Ramsay a1, L. Vale a1, P. Whitty a2, M. P. Eccles a2, L. Matowe a1, L. Shirran a1, M. Wensing a3, R. Dijkstra a3andC. Donaldson a4 a1 University of Aberdeen a2 University of Newcastle upon Tyne a3 University of Nijmegen a4 University of Calgary
Objectives: A systematic review of the
effectiveness and costs of different guideline development,
dissemination, and implementation strategies wasundertaken. The resource
implications of these strategies was estimated, and a framework for
deciding when it is efficient to develop and introduce clinical
guidelines was developed.