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If this is considered to be a cost-effective use of resources, the care pathways should be investigated with a view to disseminating practice at hospital A to the other hospitals.
Starfield et al. [ 30] have argued that disseminating practice in this area remains a 'worldwide challenge' while Gilbert et al. [ 31] feel that the high level of professional autonomy within primary care impedes the achievement of large-scale change.
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The advent of Global Health: Science and Practice is one manifestation of this growing interest in producing and disseminating practice-oriented knowledge and experience.
Finally, technology can play a key role in disseminating practices and knowledge by creating integrated information repositories where commissioners will be able to access the necessary intelligence and evidence to support their work.
We believe that Internet technology is a powerful medium to reach physicians of different horizons in their own environment, and could prove to be an effective research tool to disseminate practice guidelines and evaluate their appropriateness.
One strategy to disseminate practice-oriented interventions is academic detailing (AD), a method that transfers knowledge or methods to physicians, nurses or office staff through the visit(s) of a trained educator.
The emergence of translational science highlights the unifying framework that bridges the continuum of knowledge creation and deployment, converting fundamental discoveries to human application, advancing the information into clinical practice, disseminating best clinical practices into communities and, ultimately, modifying the behavior of populations to improve global health[4].
And the associations want more support for local authorities to improve, through thematic studies and disseminating good practice.
In England the problem is exacerbated by the decentralised structure of the NHS, which works against disseminating good practice and ensuring it is followed.
For that, he needs to knit together the various operators, centralising group management and research and development, disseminating best practice and forging strong links with the operating companies.
On 15 December, the DCSF launched its RPA delivery plan for local authorities, which includes providing a better preparation route to apprenticeships, disseminating good practice for early intervention work at key stage 3 and supporting young people at risk through new "learning and support agreements".
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