Intended for healthcare professionals


Implementing research findings in developing countries

BMJ 1999; 318 doi: (Published 30 January 1999) Cite this as: BMJ 1999;318:331

Skills for appraising evidence must be taught

  1. Alison Hill, Director of public health and primary care. (,
  2. Katie Enock, Critical appraisal skills programme manager.,
  3. Catherine Brogan, Consultant in public health medicine.
  1. Buckinghamshire Health Authority, Aylesbury, Buckinghamshire HP19
  2. Critical Appraisal Skills Programme, Public Health Resource Unit, Institute of Health Sciences, Oxford OX3 7LF
  3. Anglia and Oxford Office of the NHS Executive, Department of Health, Milton Keynes MK14 6QP
  4. Department of Primary Care, University of Liverpool, Liverpool L69 3GB

    EDITOR—The paper on implementing research findings in developing countries sets out a clear framework for getting research findings into practice.1 With the creation of systematic reviews and guidelines, and implementation programmes through workshops and published work, the framework is in line with the process in Western countries. However, one element that we would add is the development of skills to find and appraise the scientific evidence.

    We know that on its own the dissemination of guidelines and other educational materials has only a small impact on practice2 and that approaches have to be multifaceted to work. Yet for many parts of the developing world access to evidence will be through literature in one form or another, and there …

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