Centre for Clinical Epidemiology and Evaluation, Vancouver Coastal Health Research Institute, Vancouver, Canada.
J Health Organ Manag. 2009;23(6):627-41. doi: 10.1108/14777260911001644.
This paper aims to describe methods and models designed to build a comprehensive, integrative framework to guide the research to policy and practice cycle in health care.
DESIGN/METHODOLOGY/APPROACH: Current models of science are summarised, identifying specific challenges they create for knowledge to action (KTA). Alternative models for KTA are outlined to illustrate how researchers and decision makers can work together to fit the KTA model to specific problems and contexts. The Canadian experience with the evolving paradigm shift is described, along with recent initiatives to develop platforms and tools that support the new thinking. Recent projects to develop and refine methods for embedded research are described. The paper concludes with a summary of lessons learned and recommendations that will move the KTA field towards an integrated science.
Conceptual models for KTA are advancing, benefiting from advances in team science, development of logic models that address the realities of complex adaptive systems, and new methods to more rapidly deliver knowledge syntheses more useful to decision and policy makers.
KTA is more likely when co-produced by researchers, practitioners, and policy makers. Closer collaboration requires shifts in thinking about the ways we work, capacity development, and greater learning from practice.
ORIGINALITY/VALUE: More powerful ways of thinking about the complexities of knowledge to action are provided, along with examples of tools and priorities drawn from systems thinking.
本文旨在描述旨在构建综合、综合框架以指导医疗保健研究向政策和实践转化的方法和模型。
设计/方法/途径：总结了当前的科学模型，确定了它们为知识转化为行动（KTA）带来的具体挑战。概述了替代 KTA 模型，以说明研究人员和决策者如何共同努力，使 KTA 模型适应特定问题和背景。描述了加拿大在不断发展的范式转变方面的经验，以及最近为支持新思维而开发平台和工具的举措。还描述了最近开发和完善嵌入式研究方法的项目。本文最后总结了经验教训和建议，这些经验教训和建议将推动 KTA 领域朝着综合科学的方向发展。
KTA 的概念模型正在发展，从团队科学的进步、解决复杂自适应系统现实问题的逻辑模型的发展以及为决策者提供更有用的知识综合的新方法中受益。
当研究人员、从业人员和政策制定者共同参与知识转化时，KTA 更有可能实现。更密切的合作需要转变我们工作方式、能力建设和从实践中学习的思维方式。
原创性/价值：本文提供了更有力的方法来思考知识转化为行动的复杂性，并提供了来自系统思维的工具和优先事项的示例。
