Much of the evidence base focuses on the processes of joint commissioning and few studies have systematically studied the outcomes of this way of working.
The challenge for researchers and policy analysts in the health sector is to bridge the current knowledge gap – between what we know from the general evidence base on HRM inputs and performance, and what we know from the health-specific evidence base focusing on sector-specific outcome measures.
To achieve these, most evidence based guidelines focus on surrogate targets and stepwise medication treatment pathways.
The framework of this research is evidence based healthcare; its focus is on the context of implementation and acceptability to staff and patients [ 11].
As Glasziou and colleagues [ 44] highlight evidence based medicine which focuses on 'doing the right things' and quality improvement which focuses on 'doing things right' should be viewed as complementary, with benefits for patients if these approaches were integrated.
Evidence based guidance that focuses on the highest risk occupational groups will help contain costs, and limit the extent of reliance on antiviral prophylaxis.
8: Both government policy and donor programming should have clearly defined objectives - Both government policy and donor programming should have clearly defined objectives, which can be measured in order to evaluate their effectiveness and ensure evidence based policy making focused on impact.
Clinical methods in primary care may be most successful in achieving evidence based management if disease focused and illness focused interventions are integrated.
The adapted version evaluated in the current study did not include any supporting evidence within the documentation and no mention was made during the interviews of the support of the pathway to promote evidence based practice - the focus was support for midwifery practice.
