This collaborative project will develop a European methodology to assess the implementation of research evidence into practice (the European Implementation Score (EIS)) in primary, secondary and specialist care from the perspectives of different target groups (users and carers, voluntary organisations, range of health and social care professionals and health policy makers) using stroke as the main example. The transferability of the developed methodologies to coronary heart disease will be assessed.
The burden of stroke, the accumulating strong evidence base and guidelines for stroke care, the emergence of national and population based data on the quality of care all highlight the need for improved implementation of effective care into routine clinical practice across EU states. Stroke is only one aspect of vascular disease and lessons can be learned from coronary heart disease that will be relevant to improving implementation.
The project aims to improve the health of EU, particularly the elderly, for a global health issue of public health and clinical importance, namely vascular disease, through multidisciplinary research to ensure the results of research in vascular health and disease management reach European Union citizens in a timely fashion.
The project will focus on developing tools for measuring implementation and for monitoring the effective diffusion of new research knowledge in the clinical field of stroke care but will validate the transferability of the developed methods using experiences from coronary heart disease. It is part of our concept to develop a theoretically derived implementation tool applicable across longer-term conditions but the clinical and research focus will initially be in vascular diseases, where we have an international track record in public health, health services and clinical research.
The project aims to advance the application of evidence-based healthcare in the diagnosis, management and secondary prevention of stroke and coronary heart disease. It will identify best practice in the implementation of evidence-based care at the patient (micro), organisation (meso) and national policy level (macro) across selected European primary and secondary care settings.
The project aims to implement policy-driven research at a European level and in particular through benchmarking, comparisons and analysis of models, systems and data of national databases, will generate new knowledge to underpin informed policy decisions on efficiency and responsiveness of health care systems in Europe, and more effective strategies in treatment for vascular disease. We will develop a tool that will identify how effective implementation of evidence in stroke and coronary heart disease is in different countries. The components of the EIS tool will identify what aspects of implementation need to be addressed to improve the likelihood of improved implementation. We will be able to demonstrate which factors regarding implementation lead to better outcomes.
This project is timely with many governments attempting to address the issues of improving the quality of care, particularly for conditions of significant public health importance in an economically difficult period in Europe. The results of the study will identify how well implementation is being achieved in this area in Europe, and will provide a tool to assess implementation in other European settings.
Having identified a tool and current gaps in implementation, it will be necessary for individual countries to use the data constructively to develop systems to improve implementation. We believe the robustness of this study and its timeliness will mean the project is highly likely to have an influence on policy at a European level.