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Title: New horizons in the implementation and research of comprehensive geriatric assessment: knowing, doing and the ‘know-do’ gap
Authors: Gladman, John R. F.
Conroy, Simon Paul
Ranhoff, Anette Hylen
Gordon, Adam Lee
First Published: 2-Mar-2016
Publisher: Oxford University Press (OUP) on behalf of British Geriatrics Society
Citation: Age and Ageing, 2016, 45 (2), pp. 194-200
Abstract: In this paper, we outline the relationship between the need to put existing applied health research knowledge into practice (the ‘know-do gap’) and the need to improve the evidence base (the ‘know gap’) with respect to the healthcare process used for older people with frailty known as comprehensive geriatric assessment (CGA). We explore the reasons for the know-do gap and the principles of how these barriers to implementation might be overcome. We explore how these principles should affect the conduct of applied health research to close the know gap. We propose that impaired flow of knowledge is an important contributory factor in the failure to implement evidence-based practice in CGA; this could be addressed through specific knowledge mobilisation techniques. We describe that implementation failures are also produced by an inadequate evidence base that requires the co-production of research, addressing not only effectiveness but also the feasibility and acceptability of new services, the educational needs of practitioners, the organisational requirements of services, and the contribution made by policy. Only by tackling these issues in concert and appropriate proportion, will the know and know-do gaps for CGA be closed.
DOI Link: 10.1093/ageing/afw012
ISSN: 0002-0729
eISSN: 1468-2834
Version: Post-print
Status: Peer-reviewed
Type: Journal Article
Rights: Copyright © The Author(s) 2016. Published by Oxford University Press on behalf of the British Geriatrics Society. Deposited with reference to the publisher’s archiving policy available on the SHERPA/RoMEO website.
Description: The file associated with this record is under a 12-month embargo from publication in accordance with the publisher's self-archiving policy. The full text may be available through the publisher links provided above.
Appears in Collections:Published Articles, Dept. of Health Sciences

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