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      Using Implementation Science to Optimize the Uptake of Evidence-Based Medicine into Dermatology Practice

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          Abstract

          An estimated 17-year lag exists between evidence generation and its integration into routine clinical care. The field of implementation science has emerged to close this gap by applying rigorous methods to systematically study the obstacles and facilitators of the uptake of evidence-based practices. However, implementation science has not gained wide traction in dermatology. In this narrative review, we use literature and expert input to introduce implementation science and key frameworks for implementing interventions and evaluating their uptake. We then highlight opportunities for dermatology-specific interventions at the patient-, provider-, system-, and population-levels, and advocate for the field’s expansion into dermatology.

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          Author and article information

          Journal
          0426720
          4839
          J Invest Dermatol
          J Invest Dermatol
          The Journal of investigative dermatology
          0022-202X
          1523-1747
          1 December 2020
          18 December 2019
          May 2020
          07 December 2020
          : 140
          : 5
          : 952-958
          Affiliations
          [1 ]Department of Dermatology, Massachusetts General Hospital, Boston, Massachusetts
          [2 ]Department of Population Medicine, Harvard Medical School and the Harvard Pilgrim Health Care Institute, Boston, Massachusetts
          [3 ]Division of General Internal Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts
          [4 ]Center for Healthcare Delivery Sciences, Department of Medicine, Brigham and Women’s Hospital and Harvard Medical School, Boston, Massachusetts
          [5 ]Harvard T.H. Chan School of Public Health, Boston, Massachusetts
          Author notes
          Correspondence: Maryam M. Asgari, Department of Dermatology, Massachusetts General Hospital, 50 Staniford Street, Suite 270, Boston, MA 02114. PORES@ 123456mgh.harvard.edu
          Author information
          http://orcid.org/0000-0001-5010-3460
          http://orcid.org/0000-0003-2259-6282
          http://orcid.org/0000-0001-7719-2248
          http://orcid.org/0000-0003-3303-5667
          http://orcid.org/0000-0003-1582-3475
          Article
          PMC7720814 PMC7720814 7720814 nihpa1649888
          10.1016/j.jid.2019.10.011
          7720814
          31862108
          90134ce6-ad9f-4a5e-8008-0d8cf7a2df5a
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