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Implementation of recommendations in rheumatic and musculoskeletal diseases: Considerations for development and uptake

Loza, Estibaliz; Carmona, Loreto; Woolf, Anthony; Fautrel, Bruno; Courvoisier, Delphine S.; Verstappen, Suzanne; Aarrestad Provan, Sella; Boonen, Annelies; Vliet Vlieland, Thea; Marchiori, Francesca; Jasinski, Tiina; Van Der Elst, Kristien; Ndosi, Mwidimi; Dziedzic, Krysia; Carrasco, Jose Miguel


Estibaliz Loza

Loreto Carmona

Anthony Woolf

Bruno Fautrel

Delphine S. Courvoisier

Suzanne Verstappen

Sella Aarrestad Provan

Annelies Boonen

Thea Vliet Vlieland

Francesca Marchiori

Tiina Jasinski

Kristien Van Der Elst

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Dr Mwidimi Ndosi
Associate Professor in Nursing Rheumatology

Krysia Dziedzic

Jose Miguel Carrasco


A clinical guideline is a document with the aim of guiding decisions based on evidence regarding diagnosis, management and treatment in specific areas of healthcare. Specific to rheumatic and musculoskeletal diseases (RMDs), adherence to clinical guidelines recommendations impacts the outcomes of people with these diseases. However, currently, the implementation of recommendations is less than optimal in rheumatology. The WHO has described the implementation of evidence-based recommendations as one of the greatest challenges facing the global health community and has identified the importance of scaling up these recommendations. But closing the evidence-to-practice gap is often complex, time-consuming and difficult. In this context, the implementation science offers a framework to overcome this scenario. This article describes the principles of implementation science to facilitate and optimise the implementation of clinical recommendations in RMDs. Embedding implementation science methods and techniques into recommendation development and daily practice can help maximise the likelihood that implementation is successful in improving the quality of healthcare and healthcare services.


Loza, E., Carmona, L., Woolf, A., Fautrel, B., Courvoisier, D. S., Verstappen, S., …Carrasco, J. M. (2022). Implementation of recommendations in rheumatic and musculoskeletal diseases: Considerations for development and uptake. Annals of the Rheumatic Diseases, 81, 1344-1347.

Journal Article Type Article
Acceptance Date Jul 18, 2022
Online Publication Date Aug 12, 2022
Publication Date 2022-10
Deposit Date Aug 15, 2022
Publicly Available Date Aug 15, 2022
Journal Annals of the Rheumatic Diseases
Print ISSN 0003-4967
Electronic ISSN 1468-2060
Publisher BMJ Publishing Group
Peer Reviewed Peer Reviewed
Volume 81
Pages 1344-1347
Keywords Health services research, Outcome and Process Assessment, Health Care, Quality Indicators, Health Care
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