One of the most consistent findings in health research is thegap between evidence and practice. It is estimated that thecare received by 30 to 40 percent of patients in the UnitedStates and the Netherlands does not conform to currently availablescientific evidence.1,2 In most developed countries, the publicationof national clinical practice guidelines over the past 15 yearsmarked the first attempt to fill this gap. However, merely issuingrecommendations is not enough to change practice. Numerous studieshave shown that well-designed, complex interventions are requiredto change physicians' behavior. Reminders that appear when physiciansare writing . . . [Full Text of this Article]
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From Hôpital Européen Georges Pompidou, Faculté de Médecine René Descartes, Paris 5 and INSERM Unité 729, Paris.
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