Donaldson Nancy, Horn Susan D, Edwards Janine C, Miller George, Gassaway Julie, Delbanco Suzanne F, Belden Greg, Hagan Michael
Center for Research & Innovation in Patient Care, School of Nursing, University of California, San Francisco, USA.
Jt Comm J Qual Patient Saf. 2007 Dec;33(12 Suppl):27-36. doi: 10.1016/s1553-7250(07)33121-8.
Translating research into practice and policy is a complex process that links the research enterprise and health care delivery system of the United States. The Agency for Healthcare Research and Quality (AHRQ) Partnerships for Quality (PFQ) initiative expanded the scope of research translation beyond clinical practice, highlighting the role of strategic partners. A work group of AHRQ grantees developed a framework for systematic evaluation of the impact of strategic partnerships on research translation.
The evaluation framework posits a hierarchy of impacts that cumulatively lead to observable patient outcomes. The evaluation framework captures (1) health care outcomes improvement, (2) clinical practice changes, (3) policies, procedures, and protocols, and (4) research and knowledge. After the framework and tool were subjected to face-validity critique among PFQ investigators, the concept of synergy was added. PFQ investigators pilot-tested the evaluation framework, and the PFQ tool was refined further.
Early feedback from PFQ grantees suggested that the framework is generalizable and potentially useful to guide investigators in capturing impacts of their work that might otherwise go unrecognized or trivialized.
The PFQ Evaluation Tool, a pragmatic approach for evaluating the impact of partnership-driven translation projects, provides a comprehensive evaluation of impacts, including synergistic outcomes.
将研究成果转化为实践和政策是一个复杂的过程，它连接着美国的研究事业和医疗保健提供系统。医疗保健研究与质量局（AHRQ）的质量伙伴关系（PFQ）倡议将研究转化的范围扩展到临床实践之外，突出了战略合作伙伴的作用。一个由AHRQ受资助者组成的工作组制定了一个框架，用于系统评估战略伙伴关系对研究转化的影响。
该评估框架提出了一个影响层次结构，这些影响会累积导致可观察到的患者结果。评估框架涵盖（1）医疗保健结果改善、（2）临床实践变化、（3）政策、程序和协议以及（4）研究和知识。在该框架和工具在PFQ研究人员中接受了表面效度批判之后，增加了协同作用的概念。PFQ研究人员对评估框架进行了预测试，并对PFQ工具进行了进一步完善。
PFQ受资助者的早期反馈表明，该框架具有普遍性，可能有助于指导研究人员捕捉其工作中可能未被认识或被轻视的影响。
PFQ评估工具是一种评估伙伴关系驱动的转化项目影响的实用方法，它对影响进行了全面评估，包括协同成果。
