Califf Robert M, Harrington Robert A, Madre Leanne K, Peterson Eric D, Roth Deborah, Schulman Kevin A
Duke Clinical Research Institute, Durham, North Carolina, USA.
Health Aff (Millwood). 2007 Jan-Feb;26(1):62-74. doi: 10.1377/hlthaff.26.1.62.
Despite decades of progress in the diagnosis, treatment, and prevention of cardiovascular disease, its prevalence continues to grow in both developed and developing countries. We have constructed a model, the "cycle of quality," which connects the innovation of initial scientific discovery with validated methods of translating research into effective delivery. This model can serve as a basis for evaluating proposed efforts to improve interactions among private and public aspects of health care to accelerate development and appropriate adoption of new treatments, and to achieve greater penetration of effective behavioral therapies and established technologies, resulting in major improvements in cardiovascular health.
尽管在心血管疾病的诊断、治疗和预防方面已取得了数十年的进展，但其在发达国家和发展中国家的患病率仍在持续上升。我们构建了一个“质量循环”模型，该模型将最初的科学发现创新与将研究转化为有效应用的经过验证的方法联系起来。此模型可作为评估所提议努力的基础，这些努力旨在改善医疗保健公私部门之间的互动，以加速新治疗方法的开发和适当采用，并实现有效行为疗法和现有技术的更大普及，从而大幅改善心血管健康状况。
