What drives change? Barriers to and incentives for achieving evidence-based practice

Richard Grol and Michel Wensing
Med J Aust 2004; 180 (6 Suppl): S57.


  • To bridge the gap between scientific evidence and patient care we need an in-depth understanding of the barriers and incentives to achieving change in practice.

  • Various theories and models for change point to a multitude of factors that may affect the successful implementation of evidence. However, the evidence for their value in the field is still limited.

  • When planning complex changes in practice, potential barriers at various levels need to be addressed. Planning needs to take into account the nature of the innovation; characteristics of the professionals and patients involved; and the social, organisational, economic and political context.

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  • Richard Grol1
  • Michel Wensing2

  • Centre for Quality of Care Research (WOK), Nijmegen, The Netherlands.


Competing interests:

None identified.

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