Wyszewianski L, Green L A
Department of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor 48109-2029, USA.
J Fam Pract. 2000 May;49(5):461-4.
How can we persuade clinicians to adopt proven practices? Education, incentives, feedback, social marketing, and various other change strategies have inconsistent and unpredictable effects. We propose a theoretical framework that can provide a reliable basis for selecting effective change strategies. We divide clinicians into 4 categories on the basis of their responses to new information about the effectiveness of clinical strategies. We similarly divide the universe of practice change strategies into knowledge-oriented and behavior-oriented methods. We then show why specific combinations of these strategies are likely to be consistently effective for each of the 4 categories of clinicians.
我们如何说服临床医生采用已被证实的做法？教育、激励措施、反馈、社会营销以及各种其他变革策略所产生的效果并不一致且难以预测。我们提出了一个理论框架，该框架可为选择有效的变革策略提供可靠依据。我们根据临床医生对有关临床策略有效性的新信息的反应，将他们分为四类。同样，我们将实践变革策略的范围分为以知识为导向的方法和以行为为导向的方法。然后，我们将说明为什么这些策略的特定组合可能对四类临床医生中的每一类都始终有效。
