“Entrenched practices and other biases”: unpacking the historical, economic, professional, and social resistance to de-implementation

  title={“Entrenched practices and other biases”: unpacking the historical, economic, professional, and social resistance to de-implementation},
  author={Theresa Montini and Ian D. Graham},
  journal={Implementation Science : IS},
  • T. Montini, I. Graham
  • Published 13 February 2015
  • Medicine, Political Science
  • Implementation Science : IS
BackgroundIn their article on “Evidence-based de-implementation for contradicted, unproven, and aspiring healthcare practices,” Prasad and Ioannidis (IS 9:1, 2014) referred to extra-scientific “entrenched practices and other biases” that hinder evidence-based de-implementation.DiscussionUsing the case example of the de-implementation of radical mastectomy, we disaggregated “entrenched practices and other biases” and analyzed the historical, economic, professional, and social forces that… 

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