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| Research article summary (published 30 Dec 2001): |
Use of theory to interpret elements of change.
Full Abstract
Actions useful in reducing unacceptable variation in physicians' clinical activities have been identified through critical reviews of randomized controlled trials, and, from them, Richard Grol proposed six elements of effective change for mounting programs to improve clinical practice. The elements include consideration of the complex reality of clinical practice, attention to the designated change, analysis of the target group and setting, mixed interventions to address needs, and a plan of action. Although empirically based, the elements lack a theoretical underpinning that explains why the elements work. This article interprets the elements using theories separately advanced by Dewey, Slotnick, and Wenger to suggest ways for understanding what studies have shown.
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Author information
Author/s: Slotnick, Henry B (HB); Shershneva, Marianna B (MB);
Affiliation: Department of Medicine, University of Wisconsin-Madison Medical School, 2715 Marshall Court, Madison, WI 53705, USA.
Journal and publication information
Publication Type: Journal Article
Journal: The Journal of continuing education in the health professions (J Contin Educ Health Prof), published in Canada. (Language: eng)
Reference: 2002-; vol 22 (issue 4) : pp 197-204
Dates: Created 2003/03/04; Completed 2003/03/24; Revised 2004/11/17;
PMID: 12613054, status: MEDLINE (last retrieval date: 11/6/2008)
Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.
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