Operational Centre Brussels, Medical Department, Médecins Sans Frontières, Luxembourg, Luxembourg.
Lancet Infect Dis. 2012 May;12(5):415-21. doi: 10.1016/S1473-3099(11)70309-7. Epub 2012 Feb 9.
Operational research in low-income countries has a key role in filling the gap between what we know from research and what we do with that knowledge-the so-called know-do gap, or implementation gap. Planned research that does not tangibly affect policies and practices is ineffective and wasteful, especially in settings where resources are scarce and disease burden is high. Clear parameters are urgently needed to measure and judge the success of operational research. We define operational research and its relation with policy and practice, identify why operational research might fail to affect policy and practice, and offer possible solutions to address these shortcomings. We also propose measures of success for operational research. Adoption and use of these measures could help to ensure that operational research better changes policy and practice and improves health-care delivery and disease programmes.
在低收入国家开展的运营研究在弥合我们从研究中了解到的知识与我们如何利用这些知识之间的差距方面发挥着关键作用，即所谓的知易行难差距或实施差距。没有明显影响政策和实践的计划性研究是无效和浪费的，尤其是在资源稀缺和疾病负担沉重的环境中。迫切需要明确的参数来衡量和判断运营研究的成功。我们定义了运营研究及其与政策和实践的关系，确定了运营研究为何未能影响政策和实践，并提出了解决这些缺陷的可能方法。我们还提出了衡量运营研究成功的标准。采用和使用这些措施可以帮助确保运营研究更好地改变政策和实践，改善医疗服务提供和疾病规划。
