University of Leicester
Browse
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

Download (255.17 kB)
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.

History

Citation

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

Author affiliation

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

Version

  • AM (Accepted Manuscript)

Published in

Age and Ageing

Publisher

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

issn

0002-0729

eissn

1468-2834

Acceptance date

2016-01-11

Copyright date

2016

Available date

2017-03-02

Publisher version

http://ageing.oxfordjournals.org/content/45/2/194

Notes

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.

Language

en

Usage metrics

    University of Leicester Publications

    Categories

    Exports

    RefWorks
    BibTeX
    Ref. manager
    Endnote
    DataCite
    NLM
    DC