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Healthy Skepticism Library item: 18243

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Roughead EE.
Enhancing early uptake of drug evidence into primary care.
Expert Rev Pharmacoecon Outcomes Res 2006 Dec; 6:(6):661-71
http://www.expert-reviews.com/doi/abs/10.1586/14737167.6.6.661?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=ncbi.nlm.nih.gov


Abstract:

Closing the gap between evidence and healthcare practice is critical for improving health outcomes for consumers. This is particularly critical for medicines, which are the most commonly used healthcare intervention. This paper describes relevant communication, persuasion, behavior change theories, diffusion of innovation and health promotion models, and considers how they apply to enhance the uptake of evidence in primary care. The implementation of new evidence into practice requires a change in behavior. This is complex and requires multistrategic interventions. The understanding and application of the communication and behavioral theories examined in this paper can assist in maximizing the impact of interventions to enhance uptake of evidence concerning medicines.

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909