Dissemination and implementation of comparative effectiveness evidence: key informant interviews with Clinical and Translational Science Award institutions
- PMID: 24236560
- PMCID: PMC3961460
- DOI: 10.2217/cer.13.10
Dissemination and implementation of comparative effectiveness evidence: key informant interviews with Clinical and Translational Science Award institutions
Abstract
Aim: To identify ongoing practices and opportunities for improving national comparative effectiveness research (CER) translation through dissemination and implementation (D&I) via NIH-funded Clinical and Translational Science Award (CTSA) institutions.
Materials & methods: Key informant interviews were conducted with 18 CTSA grantees sampled to represent a range of D&I efforts.
Results & conclusions: The institutional representatives endorsed fostering CER translation nationally via the CTSA Consortium. However, five themes emerged from the interviews as barriers to CER D&I: lack of institutional awareness, insufficient capacity, lack of established D&I methods, confusion among stakeholders about what CER actually is and limited funding opportunities. Interviewees offered two key recommendations to improve CER translation: development of a centralized clearing house to facilitate the diffusion of CER D&I resources and methods across CTSA institutions; and formalization of the national CTSA network to leverage existing community engagement relationships and resources for the purpose of adapting and disseminating robust CER evidence locally with providers, patients and healthcare systems.
Conflict of interest statement
The authors have no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed.
No writing assistance was utilized in the production of this manuscript.
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References
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- Institute of Medicine. Learning What Works: Infrastructure Required for Comparative Effectiveness Research: Workshop Summary. The National Academies Press; Washington, DC, USA: 2011. - PubMed
Websites
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- [6 August 2012];NIH budget (2012) www.nih.gov/about/budget.htm.
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- [5 February 2013];Federal Coordinating Council for Comparative Effectiveness Research: Report to The President and The Congress. 2009 Jun 30; www.hhs.gov/recovery/programs/cer/cerannualrpt.pdf. Discusses the potential for CER to catalyze a patient-centered transformation of the US healthcare system. It identifies the dissemination and translation of CER findings to patients and clinicians as a major gap in the CER landscape. The council recommended that dissemination and translation of CER was as critical to success in CER as the primary focus on research investment.
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