Health Service and Population Research Department, King's College, London, Institute of Psychiatry, De Crespigny Parl, London, England.
Epidemiol Psychiatr Sci. 2012 Sep;21(3):241-4. doi: 10.1017/S2045796012000261. Epub 2012 May 28.
Although the evidence base for what to do about the mental health gap in low- and middle-income countries (LAMICs) has improved significantly over the last decade, mental health care in LAMICs still provide services to only a small minority of people with mental disorders. The problem is how to translate the relevant body of scientific knowledge into routine practice. It is clear from over two decades of research that the creation of evidence-based guidelines is necessary but not sufficient for evidence-based practice, whether in high- or low-income settings. In this Editorial, I discuss whether the recent development of 'implementation science' may offer an opportunity towards effective guideline implementation in low- and medium-income settings, so that clinical practice is more often based on evidence that does lead to patient benefit.
尽管在过去十年中，关于如何解决中低收入国家（LMICs）心理健康差距的证据基础有了显著改善，但 LMICs 的心理健康护理仍然只为少数精神障碍患者提供服务。问题是如何将相关的科学知识转化为常规实践。从二十多年的研究中可以清楚地看出，无论在高收入还是低收入环境中，制定基于证据的指南对于循证实践都是必要的，但还不够。在这篇社论中，我讨论了最近“实施科学”的发展是否为在中低收入环境中有效实施指南提供了机会，以便临床实践更经常基于确实能为患者带来益处的证据。
