“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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A conceptual framework is proposed to guide and prioritize this process of abandoning ineffective medical practices, shifting emphasis toward the principles of evidence-based medicine, acknowledging that evidence may still be misinterpreted or distorted by recalcitrant proponents of entrenched practices and other biases.
Barriers to Implementing the DSM-5 Cultural Formulation Interview: A Qualitative Study
Perceived barriers to CFI implementation in clinical practice reported by patients and clinicians at the New York site within the DSM-5 international field trial are presented.
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Evolution and Translation of Research Findings: From Bench to Where?
Some of the evidence (or lack thereof) for the process of evolution and translation of research findings, with emphasis on the biomedical sciences are discussed.
Policy makers' perspectives on tobacco control advocates' roles in regulation development
There is an important role for tobacco control advocates in the policy development process in regulatory agencies and policy makers suggested that Tobacco control advocates should present science in a format that is well organised and easily absorbed.
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