Ganju Vijay
Center for Mental Health Quality and Accountability, NASMHPD Research Institute, Inc., 66 Canal Center Plaza, Suite 302, Alexandria, VA 22314, USA.
Schizophr Bull. 2003;29(1):125-31. doi: 10.1093/oxfordjournals.schbul.a006982.
There is a huge gap between knowledge and practice, and between what is known through research and what is actually implemented in public mental health systems. In the past 2 decades, rigorous research has demonstrated the effectiveness of various treatments and interventions but these findings have not resulted in broad-based implementation. A major contention of this article is that while there is a growing body of knowledge related to evidence-based practices, there is a lack of understanding and research related to factors critical for implementation. This article reviews the current status of implementation of evidence-based practices in the public mental health system and identifies challenges and barriers related to their dissemination. Based on this analysis, this article proposes a research agenda that promotes the development of a science of implementation of evidence-based practices.
知识与实践之间、通过研究获得的认知与公共精神卫生系统实际实施的内容之间存在巨大差距。在过去20年里，严谨的研究已证明各种治疗方法和干预措施的有效性，但这些研究结果并未带来广泛的实施。本文的一个主要观点是，虽然与循证实践相关的知识体系在不断增长，但对于实施至关重要的因素却缺乏理解和研究。本文回顾了公共精神卫生系统中循证实践的实施现状，并确定了与其传播相关的挑战和障碍。基于这一分析，本文提出了一项研究议程，以促进循证实践实施科学的发展。
