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New Horizons in urgent care of older people SC 8.5.16.pdf (255.17 kB)

New horizons in the implementation and research of comprehensive geriatric assessment: knowing, doing and the ‘know-do’ gap

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journal contribution
posted on 2016-06-14, 09:02 authored by John R. F. Gladman, Simon Paul Conroy, Anette Hylen Ranhoff, Adam Lee Gordon
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.



Age and Ageing, 2016, 45 (2), pp. 194-200

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/Organisation/COLLEGE OF MEDICINE, BIOLOGICAL SCIENCES AND PSYCHOLOGY/School of Medicine/Department of Health Sciences


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Age and Ageing


Oxford University Press (OUP) on behalf of British Geriatrics Society





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