BACKGROUND Guideline implementation has been an ongoing challenge in the dental practice setting. Despite this, there are no reviews summarising the existing evidence regarding effective guideline implementation strategies in this setting. In order to address this, this systematic review examines the effectiveness of guideline implementation strategies in the dental practice setting. METHODS A systematic search was undertaken according to the PRISMA statement across nine electronic databases, targeting randomised controlled trials and quasi-experimental studies which evaluated the effectiveness of guideline implementation strategies in improving guideline adherence in the dental setting. All records were independently examined for relevance and appraised for study quality by two authors, with consensus achieved by a third author. Data were extracted from included studies using a standardised data extraction pro forma. RESULTS A total of 15 records were eligible for inclusion in this review, which focused on the effects of audit and feedback, reminders, education, patient-mediated interventions, pay for performance and multifaceted interventions. Although there were some conflicting evidence, studies within each category of implementation strategy indicated a positive effect on guideline adherence. CONCLUSIONS This study has identified education, reminders and multifaceted interventions as effective implementation strategies for the dental practice setting. Although this is similar to research findings from other health sectors, there is some evidence to suggest patient-mediated interventions may be less effective and pay for performance may be more effective in the dental setting. These findings can inform policy makers, professional associations, colleges and organisations in the future adoption of clinical guidelines in the dental practice setting. TRIAL REGISTRATION This systematic review was registered with the International Prospective Register of Systematic Reviews (PROSPERO), registration ID CRD42018093023.

中文翻译：

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牙科环境中指南实施策略的有效性：系统评价。

背景技术指南的实施一直是牙科实践环境中的一个持续挑战。尽管如此，在这种情况下，尚无任何综述总结有关有效指南实施策略的现有证据。为了解决这个问题，本系统综述探讨了在牙科实践环境中指南实施策略的有效性。方法根据PRISMA声明，在9个电子数据库中进行了系统的搜索，针对随机对照试验和准实验研究，这些研究评估了指南实施策略在改善牙科环境中对指南依从性方面的有效性。所有记录均由两名作者独立检查其相关性并评估研究质量，并由第三位作者达成共识。使用标准化的数据提取备考从纳入的研究中提取数据。结果共有15条记录可纳入此评价，这些记录着重于审计和反馈，提醒，教育，患者介导的干预措施，绩效报酬和多方面干预措施的效果。尽管有一些相互矛盾的证据，但在实施策略的每个类别中的研究均显示出对准则遵守的积极影响。结论本研究已将教育，提醒和多方面的干预措施确定为牙科实践环境的有效实施策略。尽管这与其他卫生部门的研究结果相似，有证据表明，在牙科环境中，以患者为中介的干预措施可能效果较差，而按绩效付费可能更有效。这些发现可为政策制定者，专业协会，学院和组织将来在牙科实践环境中采用临床指南提供信息。试用注册本系统评价已在国际系统评价预期登记册（PROSPERO）中进行了注册，注册ID为CRD42018093023。