Abstract

A substantial gap exists between medical evidence that is known and medical evidence that is put into practice. Although the Agency for Healthcare Research and Quality (AHRQ) has a long history of developing the content of evidence, the agency now pivots to close that gap by focusing on evidence dissemination and implementation. Achieving better health outcomes requires both the generation of new patient-centered outcomes research (PCOR) knowledge and the appropriate and timely implementation of that knowledge into practice. The Affordable Care Act provided funds to support both types of PCOR efforts, with AHRQ building on years of experience to advance research dissemination and implementation. This article describes the work the AHRQ has done, is doing, and will do in the future. To communicate PCOR evidence findings, AHRQ is currently synthesizing research findings into convincing collections of evidence that can be best taken up by clinicians, patients and caregivers, and policymakers. The future direction for AHRQ is to improve the context for evidence and practice improvement, thereby creating an environment receptive to PCOR. Toward this goal, AHRQ is actively engaging partners, such as professional societies and insurers, to make evidence central to decision making. In addition, AHRQ recently launched two programs that seek to both understand and encourage the use of evidence in clinical practice. Throughout these efforts, AHRQ will continually assess needs and adapt initiatives to ensure that PCOR translates into improved patient-centered health outcomes.

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