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The Alberta Ambassador Program: delivering Health Technology Assessment results to rural practitioners

DOI: 10.1186/1472-6920-6-21

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Abstract:

A multidisciplinary team developed an interactive case-based instructional strategy on the topic of chronic non-cancer pain (CNCP) management using clinical evidence derived by HTA. The evidence for each of 18 CNCP interventions was distilled into single-sheet summaries. Clinicians and HTA specialists ('Ambassadors') conducted 11 two-hour interactive sessions on CNCP in eight of Alberta's nine health regions. Pre- and post-session evaluations were conducted.The sessions were attended by 130 individuals representing 14 health and administrative disciplines. The ambassador model was well received. The use of content experts as ambassadors was highly rated. The educational strategy was judged to be effective. Awareness of the best evidence in CNCP management was increased. Although some participants reported practice changes as a result of the workshops, the program was not designed to measure changes in patient outcome.The ambassador program was successful in increasing awareness of the best evidence in CNCP management, and positively influenced treatment decisions. Its teaching methods were felt to be unique and innovative by participants. Its methods could be applied to other clinical content areas in order to increase the uptake of the results of HTA.The need for practitioners to stay abreast of the medical literature is critical, but tools to actively support this goal are few. One response is Health Technology Assessment (HTA), a systematic search, assessment and summary of the extant literature on a specific health intervention or policy, analyzed both for outcome and the quality of the evidence itself. The goal of HTA is to produce credible information that policy makers and clinicians can use to guide clinical decision making and healthcare system change.HTA reports or systematic reviews are usually generated in response to a specific question from an interested party but the information generated may be useful to other practitioners and organizations that may

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