We should overcome the barriers to evidence-based clinical diagnosis!

Research output: Contribution to journalComment/debate

22 Citations (Scopus)

Abstract

Background: The wise integration of evidence from health care research into diagnostic decisions could influence patient outcomes by improving clinical diagnosis, reducing unnecessary testing, and minimizing diagnostic error. Yet for many, this promise does not match reality. Here, we collect and categorize barriers to the use of health care research evidence in diagnostic decisions, examine their potential consequences, and propose potential ways to overcome these impediments. Methods: Barriers were derived from observations over years of trying to inform clinical diagnoses with research evidence, and from interpretations of the literature. Results: Barriers are categorized into those related to the evidence itself, those related to diagnosticians, and those related to health care systems. Tentative solutions are proffered. Data are lacking on the frequency and impact of the identified barriers, as well as on the effectiveness of the proposed solutions. Conclusions: Barriers to the sensible use of evidence from health care research in clinical diagnosis can be identified and categorized, and possible solutions can be imagined. We could, and should, muster the will to overcome these barriers.

Original languageEnglish (US)
Pages (from-to)217-227
Number of pages11
JournalJournal of Clinical Epidemiology
Volume60
Issue number3
DOIs
StatePublished - Jan 1 2007
Externally publishedYes

Fingerprint

Health Services Research
Diagnostic Errors
Delivery of Health Care
Research

Keywords

  • Barriers to research use
  • Bayes theorem
  • Clinical diagnosis
  • Diagnostic error
  • Diagnostic testing
  • Evidence-based medicine

ASJC Scopus subject areas

  • Epidemiology

Cite this

We should overcome the barriers to evidence-based clinical diagnosis! / Richardson, Scott.

In: Journal of Clinical Epidemiology, Vol. 60, No. 3, 01.01.2007, p. 217-227.

Research output: Contribution to journalComment/debate

@article{6517846bb8504c449520b3f51fdebf2a,
title = "We should overcome the barriers to evidence-based clinical diagnosis!",
abstract = "Background: The wise integration of evidence from health care research into diagnostic decisions could influence patient outcomes by improving clinical diagnosis, reducing unnecessary testing, and minimizing diagnostic error. Yet for many, this promise does not match reality. Here, we collect and categorize barriers to the use of health care research evidence in diagnostic decisions, examine their potential consequences, and propose potential ways to overcome these impediments. Methods: Barriers were derived from observations over years of trying to inform clinical diagnoses with research evidence, and from interpretations of the literature. Results: Barriers are categorized into those related to the evidence itself, those related to diagnosticians, and those related to health care systems. Tentative solutions are proffered. Data are lacking on the frequency and impact of the identified barriers, as well as on the effectiveness of the proposed solutions. Conclusions: Barriers to the sensible use of evidence from health care research in clinical diagnosis can be identified and categorized, and possible solutions can be imagined. We could, and should, muster the will to overcome these barriers.",
keywords = "Barriers to research use, Bayes theorem, Clinical diagnosis, Diagnostic error, Diagnostic testing, Evidence-based medicine",
author = "Scott Richardson",
year = "2007",
month = "1",
day = "1",
doi = "10.1016/j.jclinepi.2006.06.002",
language = "English (US)",
volume = "60",
pages = "217--227",
journal = "Journal of Clinical Epidemiology",
issn = "0895-4356",
publisher = "Elsevier USA",
number = "3",

}

TY - JOUR

T1 - We should overcome the barriers to evidence-based clinical diagnosis!

AU - Richardson, Scott

PY - 2007/1/1

Y1 - 2007/1/1

N2 - Background: The wise integration of evidence from health care research into diagnostic decisions could influence patient outcomes by improving clinical diagnosis, reducing unnecessary testing, and minimizing diagnostic error. Yet for many, this promise does not match reality. Here, we collect and categorize barriers to the use of health care research evidence in diagnostic decisions, examine their potential consequences, and propose potential ways to overcome these impediments. Methods: Barriers were derived from observations over years of trying to inform clinical diagnoses with research evidence, and from interpretations of the literature. Results: Barriers are categorized into those related to the evidence itself, those related to diagnosticians, and those related to health care systems. Tentative solutions are proffered. Data are lacking on the frequency and impact of the identified barriers, as well as on the effectiveness of the proposed solutions. Conclusions: Barriers to the sensible use of evidence from health care research in clinical diagnosis can be identified and categorized, and possible solutions can be imagined. We could, and should, muster the will to overcome these barriers.

AB - Background: The wise integration of evidence from health care research into diagnostic decisions could influence patient outcomes by improving clinical diagnosis, reducing unnecessary testing, and minimizing diagnostic error. Yet for many, this promise does not match reality. Here, we collect and categorize barriers to the use of health care research evidence in diagnostic decisions, examine their potential consequences, and propose potential ways to overcome these impediments. Methods: Barriers were derived from observations over years of trying to inform clinical diagnoses with research evidence, and from interpretations of the literature. Results: Barriers are categorized into those related to the evidence itself, those related to diagnosticians, and those related to health care systems. Tentative solutions are proffered. Data are lacking on the frequency and impact of the identified barriers, as well as on the effectiveness of the proposed solutions. Conclusions: Barriers to the sensible use of evidence from health care research in clinical diagnosis can be identified and categorized, and possible solutions can be imagined. We could, and should, muster the will to overcome these barriers.

KW - Barriers to research use

KW - Bayes theorem

KW - Clinical diagnosis

KW - Diagnostic error

KW - Diagnostic testing

KW - Evidence-based medicine

UR - http://www.scopus.com/inward/record.url?scp=33846820094&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33846820094&partnerID=8YFLogxK

U2 - 10.1016/j.jclinepi.2006.06.002

DO - 10.1016/j.jclinepi.2006.06.002

M3 - Comment/debate

VL - 60

SP - 217

EP - 227

JO - Journal of Clinical Epidemiology

JF - Journal of Clinical Epidemiology

SN - 0895-4356

IS - 3

ER -