Implementation of Evidence-Based Practice and Organizational Performance |
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Authors: | Peter S Hovmand David F Gillespie |
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Institution: | (1) George Warren Brown School of Social Work, Washington University in St. Louis, Campus Box 1196, One Brookings Drive, St. Louis, MO 63130, USA |
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Abstract: | Administrators of mental health services may expect evidence-based practice (EBP) to offer strategic benefits. Existing theory
suggests that the benefits of implementing EBP vary by organizational characteristics. This paper presents a conceptual framework
for considering how implementation impacts organizational performance. The framework is developed as a system dynamics simulation
model based on existing literature, organizational theory, and key informant interviews with mental health services administrators
and clinical directors. Results from the simulations show how gains in performance depended on organizations’ initial inertia
and initial efficiency and that only the most efficient organizations may see benefits in organizational performance from
implementing EBP. Implications for administrators, policy makers, and services researchers are discussed. |
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Keywords: | |
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