Division of Cancer Control and Population Sciences, National Cancer Institute, NIH, Rockville, MD 20852, USA.
Am J Prev Med. 2012 Jun;42(6):646-54. doi: 10.1016/j.amepre.2012.02.016.
Over-reliance on decontextualized, standardized implementation of efficacy evidence has contributed to slow integration of evidence-based interventions into health policy and practice. This article describes an "evidence integration triangle" (EIT) to guide translation, implementation, prevention efforts, comparative effectiveness research, funding, and policymaking. The EIT emphasizes interactions among three related components needed for effective evidence implementation: (1) practical evidence-based interventions; (2) pragmatic, longitudinal measures of progress; and (3) participatory implementation processes. At the center of the EIT is active engagement of key stakeholders and scientific evidence and attention to the context in which a program is implemented. The EIT model is a straightforward framework to guide practice, research, and policy toward greater effectiveness and is designed to be applicable across multiple levels-from individual-focused and patient-provider interventions, to health systems and policy-level change initiatives.
过度依赖于非语境化、标准化的疗效证据实施,导致基于证据的干预措施难以融入卫生政策和实践。本文描述了一个“证据整合三角”(EIT),以指导转化、实施、预防工作、比较效果研究、资金和决策制定。EIT 强调了有效证据实施所需的三个相关组成部分之间的相互作用:(1)实用的基于证据的干预措施;(2)务实的、纵向的进展衡量标准;(3)参与式实施过程。EIT 的核心是关键利益相关者和科学证据的积极参与,以及对项目实施背景的关注。EIT 模型是一个简单的框架,旨在指导实践、研究和政策,以提高效果,并且旨在适用于多个层次,从以个人为中心和以患者为中心的干预措施,到卫生系统和政策层面的变革举措。