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Evaluating and Integrating Research into Clinical Practice

The impetus for evidence-based medicine (EBM), or its younger brother, evidence-based practice, has been that it takes too long for efficacious and effective treatments to be brought to bear in routine clinical practice. The usual time given is a 17-year delay between demonstration of efficacy and routine practice, although the evidence for this specific time frame is sparse. However, as a social value in medicine, most believe that it is better for patients to receive effective care than none, so regardless of the true time delay, researchers, healthcare administrators, policy makers, clinicians, and patients all now recognize as crucial the systemic issues that delay the integration of research into practice. Like medical care, addressing this issue requires diagnosis of the systemic issues that prevent the ...

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