4 Topic Commentaries

Why do some good practices fail?

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  Michael D. Cabana, MD, MPH

  Michael I. Cohen, M.D., University Chair, Department of Pediatrics; Professor of Pediatrics

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  Albert Einstein College of Medicine and Montefiore Medical Center

  Despite wide promulgation, clinical practice guidelines have had limited effect on changing physician behavior.

  [Source]
• 

  Lindsey Ann Martin, PhD

  Health Scientist Administrator, Population Health Branch, Division of Extramural Research and Training

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  National Institute of Environmental Health Sciences (NIEHS), National Institutes of Health

  Implementation will fail if you don't have what we call buy-in.

  [Source]
• 

  Otavio Berwanger, MD, PhD

  Director, Research Institute HCor at the Cardiac Hospital of São Paulo; Co-chair of the study

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  Hospital do Coração (HCor), São Paulo

  Reminders are powerful tools to change behavior, and active interventions that involve the physician in decision-making are more effective than passive interventions such as posters.

  [Source]
• 

  Roger I. Glass, MD, PhD

  Director, Fogarty International Center; Associate Director for International Research (NIH)

  •

  Fogarty International Center, National Institutes of Health

  Many evidence-based innovations fail to produce results when transferred to communities in the global south, largely because their implementation is untested, unsuitable, or incomplete.

  [Source]