Closing the 17-year gap between scientific evidence and patient care

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University Affairs</title> <link rel="canonical" href="https://universityaffairs.ca/opinion/closing-17-year-gap-scientific-evidence-patient-care/" /> <meta property="og:locale" content="en_US" /> <meta property="og:type" content="article" /> <meta property="og:title" content="Closing the 17-year gap between scientific evidence and patient care - University Affairs" /> <meta property="og:description" content="Newer tests and treatments are not always better and too much care can be bad for your health." /> <meta property="og:url" content="https://universityaffairs.ca/opinion/closing-17-year-gap-scientific-evidence-patient-care/" /> <meta property="og:site_name" content="University Affairs" /> <meta property="article:publisher" content="https://www.facebook.com/universityaffairs/" /> <meta property="article:published_time" content="2017-01-17T20:30:38+00:00" /> <meta property="og:image" content="https://universityaffairs.ca/wp-content/uploads/2024/11/opinion-medical-644.jpg" /> <meta property="og:image:width" content="644" /> <meta property="og:image:height" content="374" /> <meta property="og:image:type" content="image/jpeg" /> <meta name="author" content="Daniel Niven" /> <meta name="twitter:card" content="summary_large_image" /> <meta name="twitter:creator" content="@ua_magazine" /> <meta name="twitter:site" content="@ua_magazine" /> <meta name="twitter:label1" content="Written by" /> <meta name="twitter:data1" content="Daniel Niven" /> <meta name="twitter:label2" content="Est. reading time" /> <meta name="twitter:data2" content="4 minutes" /> <script type="application/ld+json" class="yoast-schema-graph">{"@context":"https://schema.org","@graph":[{"@type":"Article","@id":"https://universityaffairs.ca/opinion/closing-17-year-gap-scientific-evidence-patient-care/#article","isPartOf":{"@id":"https://universityaffairs.ca/opinion/closing-17-year-gap-scientific-evidence-patient-care/"},"author":{"name":"Daniel Niven","@id":"https://universityaffairs.ca/#/schema/person/e906be474d52e2676f5484516a823889"},"headline":"Closing the 17-year gap between scientific evidence and patient care","datePublished":"2017-01-17T20:30:38+00:00","dateModified":"2017-01-17T20:30:38+00:00","mainEntityOfPage":{"@id":"https://universityaffairs.ca/opinion/closing-17-year-gap-scientific-evidence-patient-care/"},"wordCount":854,"publisher":{"@id":"https://universityaffairs.ca/#organization"},"image":{"@id":"https://universityaffairs.ca/opinion/closing-17-year-gap-scientific-evidence-patient-care/#primaryimage"},"thumbnailUrl":"https://universityaffairs.ca/wp-content/uploads/2024/11/opinion-medical-644.jpg","articleSection":["In My Opinion","Opinion"],"inLanguage":"en-US"},{"@type":"WebPage","@id":"https://universityaffairs.ca/opinion/closing-17-year-gap-scientific-evidence-patient-care/","url":"https://universityaffairs.ca/opinion/closing-17-year-gap-scientific-evidence-patient-care/","name":"Closing the 17-year gap between scientific evidence and patient care - 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Called #popscope, the project began almost... </p> </span> </div> </div> </li> <li class="article-block card-with-border__holder"> <div class="article-block__holder card-with-border"> <div class="article-block__image__top"> <a class="article-block__image__holder" href="https://universityaffairs.ca/news/new-zine-developed-by-ocad-u-students-helps-artists-perfect-the-art-of-tabling/"> <figure class="article-block__image"> <img width="644" height="374" src="https://universityaffairs.ca/wp-content/uploads/2024/11/644x374-Zine.jpg" class="attachment-block_article size-block_article wp-post-image" alt="" decoding="async" srcset="https://universityaffairs.ca/wp-content/uploads/2024/11/644x374-Zine.jpg 644w, https://universityaffairs.ca/wp-content/uploads/2024/11/644x374-Zine-300x174.jpg 300w" sizes="(max-width: 644px) 100vw, 644px" /> </figure> </a> </div> <div class="article-block__divider"></div> <div class="article-block__content"> <div class="breadcrumbs"> <a href="https://universityaffairs.ca/category/news/" class="secondary-button red-color"> News </a> <span><svg height="24" viewBox="0 0 5 24" width="5" xmlns="http://www.w3.org/2000/svg"><path d="m3.25809011-.02696608.34581978.05393216-3.431 22.00000002-.34581978-.0539322z" transform="translate(1 1)"/></svg></span> <a href="https://universityaffairs.ca/article_topic/campus-section-print/" class="secondary-button red-color"> Campus section – Print </a> </div> <a class="article-block__title" href="https://universityaffairs.ca/news/new-zine-developed-by-ocad-u-students-helps-artists-perfect-the-art-of-tabling/"> <h3 class="step--2"> New zine developed by OCAD U students helps artists perfect the art of tabling </h3> </a> <span class="article-block__excerpt"> <p> ‘The goal was to create something both practical and visually engaging,’ says one of the creators. </p> </span> </div> </div> </li> <li class="article-block card-with-border__holder"> <div class="article-block__holder card-with-border"> <div class="article-block__image__top"> <a class="article-block__image__holder" href="https://universityaffairs.ca/news/quebec-universities-concerned-about-losing-their-autonomy/"> <figure class="article-block__image"> <img width="644" height="374" src="https://universityaffairs.ca/wp-content/uploads/2024/11/644x374-Loi-74.jpg" class="attachment-block_article size-block_article wp-post-image" alt="" decoding="async" srcset="https://universityaffairs.ca/wp-content/uploads/2024/11/644x374-Loi-74.jpg 644w, https://universityaffairs.ca/wp-content/uploads/2024/11/644x374-Loi-74-300x174.jpg 300w" sizes="(max-width: 644px) 100vw, 644px" /> </figure> </a> </div> <div class="article-block__divider"></div> <div class="article-block__content"> <div class="breadcrumbs"> <a href="https://universityaffairs.ca/category/news/" class="secondary-button red-color"> News </a> <span><svg height="24" viewBox="0 0 5 24" width="5" xmlns="http://www.w3.org/2000/svg"><path d="m3.25809011-.02696608.34581978.05393216-3.431 22.00000002-.34581978-.0539322z" transform="translate(1 1)"/></svg></span> <a href="https://universityaffairs.ca/article_topic/international-students/" class="secondary-button red-color"> International students </a> </div> <a class="article-block__title" href="https://universityaffairs.ca/news/quebec-universities-concerned-about-losing-their-autonomy/"> <h3 class="step--2"> Quebec universities concerned about losing their autonomy </h3> </a> <span class="article-block__excerpt"> <p> Ottawa has tightened the belt on international student admissions in Canada. Now Quebec wants to implement further changes, but universities are worried the Legault government might go too far. </p> </span> </div> </div> </li> <li class="article-block card-with-border__holder"> <div class="article-block__holder card-with-border"> <div class="article-block__image__top"> <a class="article-block__image__holder" href="https://universityaffairs.ca/news/mcgill-researchers-help-advance-genetic-research-through-a-video-game/"> <figure class="article-block__image"> <img width="2560" height="1691" src="https://universityaffairs.ca/wp-content/uploads/2024/11/1920x1268-Boardlands-scaled.jpg" class="attachment-block_article size-block_article wp-post-image" alt="Boderlands" decoding="async" srcset="https://universityaffairs.ca/wp-content/uploads/2024/11/1920x1268-Boardlands-scaled.jpg 2560w, https://universityaffairs.ca/wp-content/uploads/2024/11/1920x1268-Boardlands-300x198.jpg 300w, https://universityaffairs.ca/wp-content/uploads/2024/11/1920x1268-Boardlands-1024x676.jpg 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href="https://universityaffairs.ca/news/mcgill-researchers-help-advance-genetic-research-through-a-video-game/"> <h3 class="step--2"> McGill researchers help advance genetic research through a video game </h3> </a> <span class="article-block__excerpt"> <p> Borderlands Science, a mini-game within the popular Borderlands 3 video game is putting a new spin on citizen science. </p> </span> </div> </div> </li> </ul> </div> </div> <div class="mega-menu__content" data-category="opinion"> <div class="grid-wrapper"> <ul class="cards-with-borders four"> <li class="article-block card-with-border__holder"> <div class="article-block__holder card-with-border"> <div class="article-block__image__top"> <a class="article-block__image__holder" href="https://universityaffairs.ca/opinion/supporting-students-in-the-age-of-genai/"> <figure class="article-block__image"> <img width="644" height="374" src="https://universityaffairs.ca/wp-content/uploads/2024/11/644x374-GenAI.jpg" class="attachment-block_article size-block_article wp-post-image" alt="" decoding="async" srcset="https://universityaffairs.ca/wp-content/uploads/2024/11/644x374-GenAI.jpg 644w, https://universityaffairs.ca/wp-content/uploads/2024/11/644x374-GenAI-300x174.jpg 300w" sizes="(max-width: 644px) 100vw, 644px" /> </figure> </a> </div> <div class="article-block__divider"></div> <div class="article-block__content"> <div class="breadcrumbs"> <a href="https://universityaffairs.ca/category/opinion/" class="secondary-button red-color"> Opinion </a> <span><svg height="24" viewBox="0 0 5 24" width="5" xmlns="http://www.w3.org/2000/svg"><path d="m3.25809011-.02696608.34581978.05393216-3.431 22.00000002-.34581978-.0539322z" transform="translate(1 1)"/></svg></span> <a href="https://universityaffairs.ca/article_topic/artificial-intelligence/" class="secondary-button red-color"> Artificial Intelligence </a> </div> <a class="article-block__title" href="https://universityaffairs.ca/opinion/supporting-students-in-the-age-of-genai/"> <h3 class="step--2"> Supporting students in the age of GenAI </h3> </a> <span class="article-block__excerpt"> <p> Universities need to rethink student discipline when it comes to reinforcing academic integrity. </p> </span> </div> </div> </li> <li class="article-block card-with-border__holder"> <div class="article-block__holder card-with-border"> <div class="article-block__image__top"> <a class="article-block__image__holder" href="https://universityaffairs.ca/opinion/improving-universities-public-standing/"> <figure class="article-block__image"> <img width="644" height="374" src="https://universityaffairs.ca/wp-content/uploads/2024/11/644x374-Eroding-Trust-II.jpg" class="attachment-block_article size-block_article wp-post-image" alt="" decoding="async" srcset="https://universityaffairs.ca/wp-content/uploads/2024/11/644x374-Eroding-Trust-II.jpg 644w, https://universityaffairs.ca/wp-content/uploads/2024/11/644x374-Eroding-Trust-II-300x174.jpg 300w" sizes="(max-width: 644px) 100vw, 644px" /> </figure> </a> </div> <div class="article-block__divider"></div> <div class="article-block__content"> <div class="breadcrumbs"> <a href="https://universityaffairs.ca/category/opinion/" class="secondary-button red-color"> Opinion </a> <span><svg height="24" viewBox="0 0 5 24" width="5" xmlns="http://www.w3.org/2000/svg"><path d="m3.25809011-.02696608.34581978.05393216-3.431 22.00000002-.34581978-.0539322z" transform="translate(1 1)"/></svg></span> <a href="https://universityaffairs.ca/article_topic/communication/" class="secondary-button red-color"> Communication </a> </div> <a class="article-block__title" href="https://universityaffairs.ca/opinion/improving-universities-public-standing/"> <h3 class="step--2"> Improving universities’ public standing </h3> </a> <span class="article-block__excerpt"> <p> How universities can help make their case </p> </span> </div> </div> </li> <li class="article-block card-with-border__holder"> <div class="article-block__holder card-with-border"> <div 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xmlns="http://www.w3.org/2000/svg"><path d="m3.25809011-.02696608.34581978.05393216-3.431 22.00000002-.34581978-.0539322z" transform="translate(1 1)"/></svg></span> <a href="https://universityaffairs.ca/article_topic/advice/" class="secondary-button red-color"> Advice </a> </div> <a class="article-block__title" href="https://universityaffairs.ca/opinion/how-to-stay-up-to-date-within-your-field-of-research-when-you-are-busy-teaching/"> <h3 class="step--2"> How to stay up to date within your field of research when you are busy teaching </h3> </a> <span class="article-block__excerpt"> <p> Instead of trying to cram all of your research prep into the summer months, why not set aside some time each week to read about what’s new in your field of scholarship? </p> </span> </div> </div> </li> <li class="article-block card-with-border__holder"> <div class="article-block__holder card-with-border"> <div class="article-block__image__top"> <a class="article-block__image__holder" href="https://universityaffairs.ca/opinion/reclaiming-open-access/"> <figure class="article-block__image"> <img width="644" height="374" src="https://universityaffairs.ca/wp-content/uploads/2024/11/644x374-Open-Access.jpg" class="attachment-block_article size-block_article wp-post-image" alt="" decoding="async" srcset="https://universityaffairs.ca/wp-content/uploads/2024/11/644x374-Open-Access.jpg 644w, https://universityaffairs.ca/wp-content/uploads/2024/11/644x374-Open-Access-300x174.jpg 300w" sizes="(max-width: 644px) 100vw, 644px" /> </figure> </a> </div> <div class="article-block__divider"></div> <div class="article-block__content"> <div class="breadcrumbs"> <a href="https://universityaffairs.ca/category/opinion/" class="secondary-button red-color"> Opinion </a> <span><svg height="24" viewBox="0 0 5 24" width="5" xmlns="http://www.w3.org/2000/svg"><path d="m3.25809011-.02696608.34581978.05393216-3.431 22.00000002-.34581978-.0539322z" transform="translate(1 1)"/></svg></span> <a href="https://universityaffairs.ca/article_topic/research/" class="secondary-button red-color"> Research </a> </div> <a class="article-block__title" href="https://universityaffairs.ca/opinion/reclaiming-open-access/"> <h3 class="step--2"> Reclaiming open access </h3> </a> <span class="article-block__excerpt"> <p> It’s time to prioritize investments in open infrastructure to realize truly transformational open access. </p> </span> </div> </div> </li> </ul> </div> </div> <div class="mega-menu__content" data-category="features"> <div class="grid-wrapper"> <ul class="cards-with-borders four"> <li class="article-block card-with-border__holder"> <div class="article-block__holder card-with-border"> <div class="article-block__image__top"> <a class="article-block__image__holder" href="https://universityaffairs.ca/features/jean-pierre-bergevin-celebrates-50-years-at-universite-de-hearst/"> <figure class="article-block__image"> <img width="644" height="374" src="https://universityaffairs.ca/wp-content/uploads/2024/11/644x374-JP.jpg" class="attachment-block_article size-block_article wp-post-image" alt="" decoding="async" srcset="https://universityaffairs.ca/wp-content/uploads/2024/11/644x374-JP.jpg 644w, https://universityaffairs.ca/wp-content/uploads/2024/11/644x374-JP-300x174.jpg 300w" sizes="(max-width: 644px) 100vw, 644px" /> </figure> </a> </div> <div class="article-block__divider"></div> <div class="article-block__content"> <div class="breadcrumbs"> <a href="https://universityaffairs.ca/category/features/" class="secondary-button red-color"> Features </a> <span><svg height="24" viewBox="0 0 5 24" width="5" xmlns="http://www.w3.org/2000/svg"><path d="m3.25809011-.02696608.34581978.05393216-3.431 22.00000002-.34581978-.0539322z" transform="translate(1 1)"/></svg></span> <a href="https://universityaffairs.ca/article_topic/profile/" class="secondary-button red-color"> Profile </a> </div> <a class="article-block__title" href="https://universityaffairs.ca/features/jean-pierre-bergevin-celebrates-50-years-at-universite-de-hearst/"> <h3 class="step--2"> Jean-Pierre Bergevin celebrates 50 years at Université de Hearst </h3> </a> <span class="article-block__excerpt"> <p> The passionate psychologist and teacher is a prominent figure in Hearst’s university community. </p> </span> </div> </div> </li> <li class="article-block card-with-border__holder"> <div class="article-block__holder card-with-border"> <div class="article-block__image__top"> <a class="article-block__image__holder" href="https://universityaffairs.ca/features/the-fragile-state-of-student-housing/"> <figure class="article-block__image"> <img width="644" height="374" src="https://universityaffairs.ca/wp-content/uploads/2024/11/644x374-Housing-Crisis.jpg" class="attachment-block_article size-block_article wp-post-image" alt="" decoding="async" srcset="https://universityaffairs.ca/wp-content/uploads/2024/11/644x374-Housing-Crisis.jpg 644w, https://universityaffairs.ca/wp-content/uploads/2024/11/644x374-Housing-Crisis-300x174.jpg 300w" sizes="(max-width: 644px) 100vw, 644px" /> </figure> </a> </div> <div class="article-block__divider"></div> <div class="article-block__content"> <div class="breadcrumbs"> <a href="https://universityaffairs.ca/category/features/" class="secondary-button red-color"> Features </a> <span><svg height="24" viewBox="0 0 5 24" width="5" xmlns="http://www.w3.org/2000/svg"><path d="m3.25809011-.02696608.34581978.05393216-3.431 22.00000002-.34581978-.0539322z" transform="translate(1 1)"/></svg></span> <a href="https://universityaffairs.ca/article_topic/students/" class="secondary-button red-color"> Students </a> </div> <a class="article-block__title" href="https://universityaffairs.ca/features/the-fragile-state-of-student-housing/"> <h3 class="step--2"> The fragile state of student housing </h3> </a> <span class="article-block__excerpt"> <p> In an unprecedented housing shortage, Canadian and 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red-color"> People to know </a> </div> <a class="article-block__title" href="https://universityaffairs.ca/features/asa-mckercher-looks-to-canadas-future-by-understanding-its-past-relations-with-the-u-s/"> <h3 class="step--2"> Asa McKercher looks to Canada’s future by understanding its past relations with the U.S. </h3> </a> <span class="article-block__excerpt"> <p> He is described by colleagues as ‘one of our most prolific writers on Canada-U.S. relations.’ </p> </span> </div> </div> </li> <li class="article-block card-with-border__holder"> <div class="article-block__holder card-with-border"> <div class="article-block__image__top"> <a class="article-block__image__holder" href="https://universityaffairs.ca/features/how-edward-akuffos-curiosity-sparked-new-international-relations/"> <figure class="article-block__image"> <img width="644" height="374" src="https://universityaffairs.ca/wp-content/uploads/2024/11/644x374-PTK-Akuffo.jpg" class="attachment-block_article size-block_article 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src='https://secure.gravatar.com/avatar/00e5f5847df7d9a8732b1f8aae5222e8?s=40&d=mm&r=g' srcset='https://secure.gravatar.com/avatar/00e5f5847df7d9a8732b1f8aae5222e8?s=80&d=mm&r=g 2x' class='avatar avatar-40 photo' height='40' width='40' loading='lazy' decoding='async'/> </figure> <p class="paragraph--teaser"> Daniel Niven </p> </a> </div> <div class="single-intro__date paragraph--teaser"> January 17, 2017 </div> </div> </div> <div class="single-intro__bottom"> <div class="single-intro__bottom__left__holder"> <div class="single-intro__bottom__left"> <p class="paragraph--teaser"> Posted in </p> <a href="https://universityaffairs.ca/category/opinion/in-my-opinion/" class="paragraph--caption"> In My Opinion </a> </div> </div> <div class="news__social"> <div class="news__share"> <ul class="news__share__list"> <li class="news__share__el news__share__el--facebook"> <a class="jaotama__window-opener facebook" 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wp-post-image" alt="stethoscope" decoding="async" loading="lazy" srcset="https://universityaffairs.ca/wp-content/uploads/2024/11/opinion-medical-644.jpg 644w, https://universityaffairs.ca/wp-content/uploads/2024/11/opinion-medical-644-300x174.jpg 300w" sizes="auto, (max-width: 644px) 100vw, 644px" /> </figure> <div class="single__content"> <div class="single__content__top"> <div class="single__content__top__header"> <a href="https://www.affairesuniversitaires.ca/opinion-fr/reduire-lecart-actuel-de-17-ans-entre-recherche-et-prestation-des-soins/" class="secondary-button"> Read this article in French </a> <a id="anchor-comments" href="#comments-toggle" class="secondary-button"> 0 Comments </a> </div> </div> <div class="content"> <p>Not many patients would be happy to hear that there’s a lag of about 17 years between when health scientists learn something significant from rigorous research and when health practitioners change their patient care as a result, but that’s what <a href="http://www.nationalacademies.org/hmd/Reports/2001/Crossing-the-Quality-Chasm-A-New-Health-System-for-the-21st-Century.aspx">a now famous study</a> from the Institute of Medicine (now known as the National Academy of Medicine) uncovered in 2001.</p> <p>The study reflects a major problem that has plagued health care systems for decades – namely, the timely integration of high quality scientific evidence into daily patient care practices.</p> <p>If you knew there was research available to guide the care you required, wouldn’t you want your health care provider and the system to use that research to inform decisions pertaining to your care? Wouldn’t you want to receive care that is scientifically proven to be of benefit and not receive care that is scientifically proven to be of no benefit?</p> <p>Although it has been clear for centuries that science contributes to advancing the practice of medicine and improving disease-specific survival rates (for example, the discovery of penicillin and its effect on infection-related mortality rates), this concept only became popularized within the medical community toward the last quarter of the 20<sup>th</sup> Century through the “<a href="https://en.wikipedia.org/wiki/Evidence-based_medicine">evidence-based medicine</a>” movement.</p> <h2>closing the gap between research and practice</h2> <p>More recently, those who work in the field of “<a href="http://www.cihr-irsc.gc.ca/e/29418.html">Knowledge Translation</a>” have been working hard to close the gap between research and practice. For the most part, they’ve done this successfully by making the abundant research findings more accessible to policy makers, professional societies and practitioners as well as “nudging” these parties to adopt more timely evidence-based practices.</p> <p>Their methods have largely focused on the adoption of new beneficial practices – new drugs, tests or interventions with substantial evidence behind them. But a pattern has lately emerged from the scientific literature: new is not always better and too much health care can sometimes be bad for you.</p> <p>Owing to the recognition that unnecessary practices may negatively affect patient outcomes – and contribute to burgeoning costs within health care systems – there is now a movement afoot to promote the discontinuation of practices currently used in daily patient care that research finds to be of no benefit or potentially harmful, collectively referred to as unnecessary practices. Initiatives such as the <a href="https://www.ncbi.nlm.nih.gov/pubmed/22492759">Choosing Wisely campaign</a>, the <a href="https://www.ncbi.nlm.nih.gov/pubmed/20458080">Less is More</a> and <a href="https://www.ncbi.nlm.nih.gov/pubmed/24411643">Reducing Research Waste</a> initiatives have sprung from medical professional societies and high-ranking medical journals to help reduce the practice of “too much” health care.</p> <p>For example, it turns out that <a href="https://www.ncbi.nlm.nih.gov/pubmed/26457643">cervical cancer screening</a> in women under age 30 years is not beneficial and may cause unnecessary follow up testing; the <a href="https://www.ncbi.nlm.nih.gov/pubmed/?term=PMID%3A+19657121">use of bone cement</a> to treat painful spine fractures among patients with osteoporosis does not improve pain any more than usual care, and <a href="https://www.ncbi.nlm.nih.gov/pubmed/17387127">placement of stents</a> in the coronary arteries of patients with narrowed arteries but minimal symptoms is no better than treatment with medications alone.</p> <p>Other examples include reducing the use of a sophisticated monitoring device (pulmonary artery catheter) to obtain frequent measures of heart function <a href="https://www.ncbi.nlm.nih.gov/pubmed/26618346">in patients with heart failure</a> and <a href="https://www.ncbi.nlm.nih.gov/pubmed/25775163">tightly controlling blood sugar</a> using intravenous insulin in patients admitted to intensive care units.</p> <p>For each of these examples, new research demonstrates that they do not improve patient outcomes, yet each persists to some degree in current clinical practice.</p> <p>The 17-year gap between research and practice traditionally refers to the time required to adopt new practices. Unfortunately, <a href="https://www.ncbi.nlm.nih.gov/pubmed/?term=PMID%3A+25775163">new research shows</a> that it may take even longer to de-adopt unnecessary practices. Regardless of the direction of practice change, shortening the gap between research and practice has been a long time coming and can only help improve outcomes for patients and control health care spending.</p> <h2>How do we get there?</h2> <p>Shortening the time gap between research and practice will require an increased understanding of what it takes to implement new research and a reduction in the time new research is reflected in professional guidelines.</p> <p>Guidelines also need to be less cumbersome and directed more toward use at the point-of-care rather than simply a reference document. Health care systems also need to be engineered so that front line providers have a greater likelihood of providing care that is congruent with current science. This is likely best facilitated through use of comprehensive electronic medical records. Given that many health care systems still employ the traditional paper-based charting and order system, this will require considerable financial commitment.</p> <p>Moving from research to improved practice more rapidly will also take an engaged group of stakeholders – professional societies, health care providers, patients and their family members, medical administrators and governments – who appreciate the long-term benefit that may be derived from such considerable initial investment of time and money.</p> <p>A health care system that enables providers to consistently deliver care that aligns with recommended best practice should arguably be one of our national priorities.</p> <p><em>Daniel Niven is an expert advisor with EvidenceNetwork.ca, an intensive care physician and assistant professor in the departments of critical care medicine and community health sciences in the Cumming School of Medicine at the University of Calgary.</em></p> </div> <div class="single__content__authors"> <a href="https://universityaffairs.ca/author/dnivenname-com/" class="single__content__author"> <figure class="single__content__author__avatar"> <img alt='' src='https://secure.gravatar.com/avatar/00e5f5847df7d9a8732b1f8aae5222e8?s=96&d=mm&r=g' srcset='https://secure.gravatar.com/avatar/00e5f5847df7d9a8732b1f8aae5222e8?s=192&d=mm&r=g 2x' class='avatar avatar-96 photo' height='96' width='96' loading='lazy' decoding='async'/> </figure> <div class="single__content__author__info"> <p class="paragraph--teaser"> Daniel Niven </p> <p></p> </div> </a> </div> <div class="news__social"> <h2 class="paragraph--teaser"> Share </h2> <div class="news__share"> <ul class="news__share__list"> <li class="news__share__el news__share__el--facebook"> <a class="jaotama__window-opener facebook" href="https://www.facebook.com/sharer.php?u=https://universityaffairs.ca/opinion/closing-17-year-gap-scientific-evidence-patient-care/" target="_self"> <span class="news__share__label vh"> Share it with facebook </span> <span class="news__share__title"> facebook </span> <span class="news__share__ico"> <svg height="24" viewBox="0 0 24 24" width="24" xmlns="http://www.w3.org/2000/svg"><path d="m15.8999998 5h-2.1545454c-1.9832043 0-3.590909 1.60770472-3.590909 3.590909v2.1545454h-2.1545454v2.8727272h2.1545454v5.7454544h2.8727272v-5.7454544h2.1545454l.7181818-2.8727272h-2.8727272v-2.1545454c0-.39664086.3215409-.7181818.7181818-.7181818h2.1545454z" fill="#2c3030" fill-rule="evenodd"/></svg> </span> </a> </li> <li class="news__share__el news__share__el--twitter"> <a class="jaotama__window-opener twitter" href="https://twitter.com/intent/tweet?url=https://universityaffairs.ca/opinion/closing-17-year-gap-scientific-evidence-patient-care/&text=Closing the 17-year gap between scientific evidence and patient care - 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d="m3.25809011-.02696608.34581978.05393216-3.431 22.00000002-.34581978-.0539322z" transform="translate(1 1)"/></svg> <p class="paragraph--teaser">November 13, 2024</p> </div> </div> </div> </li> <li class="article-block card-with-border__holder"> <div class="article-block__holder card-with-border"> <div class="article-block__image__top"> <a class="article-block__image__holder" href="https://universityaffairs.ca/opinion/universities-must-lead-in-addressing-the-growing-mental-health-crisis/"> <figure class="article-block__image"> <img width="644" height="374" src="https://universityaffairs.ca/wp-content/uploads/2024/11/644x374-BAB.jpg" class="attachment-block_article size-block_article wp-post-image" alt="" decoding="async" loading="lazy" srcset="https://universityaffairs.ca/wp-content/uploads/2024/11/644x374-BAB.jpg 644w, https://universityaffairs.ca/wp-content/uploads/2024/11/644x374-BAB-300x174.jpg 300w" sizes="auto, (max-width: 644px) 100vw, 644px" /> </figure> </a> </div> <div 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