Division of Cancer Prevention, National Cancer Institute, Bethesda, Maryland, USA.
Cancer. 2010 Oct 1;116(19):4440-9. doi: 10.1002/cncr.25248.
The recent rapid acceleration of basic science is reshaping both our clinical research system and our healthcare delivery system. The pace and growing volume of medical discoveries are yielding exciting new opportunities, yet we continue to face old challenges to maintain research progress and effectively translate research into practice. The National Institutes of Health and individual government programs increasingly are emphasizing research agendas that involve evidence development, comparative-effectiveness research among heterogeneous populations, translational research, and accelerating the translation of research into evidence-based practice as well as building successful research networks to support these efforts. For more than 25 years, the National Cancer Institute Community Clinical Oncology Program has successfully extended research into the community and facilitated the translation of research into evidence-based practice. By describing its keys to success, this article provides practical guidance to cancer-focused, provider-based research networks as well as those in other disciplines.
近年来,基础科学的快速发展正在重塑我们的临床研究体系和医疗保健提供体系。医学发现的速度和数量不断增加,为我们带来了令人兴奋的新机遇,但我们仍然面临着一些旧的挑战,需要维持研究进展并将研究有效地转化为实践。美国国立卫生研究院和个别政府计划越来越强调涉及证据开发、异质人群中的比较效果研究、转化研究以及加速将研究转化为基于证据的实践的研究议程,同时建立成功的研究网络以支持这些努力。 25 多年来,美国国立癌症研究所社区临床肿瘤学计划成功地将研究扩展到社区,并促进了研究向基于证据的实践的转化。本文通过描述其成功的关键因素,为以癌症为重点的、以提供者为基础的研究网络以及其他学科的研究网络提供了实用的指导。