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真正的转化研究:通过数据和行为连接转化的三个阶段。

True translational research: bridging the three phases of translation through data and behavior.

机构信息

Department of Medicine, Division of Medical Oncology, Duke University Medical Center, DUMC Box 3436, Durham, NC 27710 USA ; Department of Palliative and Supportive Services, Division of Medicine, Flinders University, Bedford Park, SA Australia.

出版信息

Transl Behav Med. 2011 Mar;1(1):26-30. doi: 10.1007/s13142-010-0013-z.

Abstract

Translational medicine has yet to deliver on its vast potential. Obstacles, or "blocks," to translation at three phases of research have impeded the application of research findings to clinical needs and, subsequently, the implementation of newly developed interventions in patient care. Recent federal support for comparative effectiveness research focuses attention on the clinical relevance of already-developed diagnostic and therapeutic interventions and on translating interventions found to be effective into new population-level strategies for improving health-thereby overcoming blocks at one end of the translational continuum. At the other end, while there is a preponderance of federal funding underwriting basic science research, further improvement is warranted in translating results of basic research into clinical applications and in integrating the basic sciences into the translational continuum. With its focus on the human and interactional aspects of health, medical practice, and healthcare delivery systems, behavioral medicine, itself a component of translational medicine, can inform this process.

摘要

转化医学尚未充分发挥其巨大潜力。在研究的三个阶段,存在着阻碍研究成果转化为临床需求的障碍或“阻碍因素”,进而阻碍了新开发的干预措施在患者护理中的应用。最近联邦政府对比较有效性研究的支持,关注已经开发的诊断和治疗干预措施的临床相关性,以及将已被证明有效的干预措施转化为改善健康的新的人群水平策略,从而克服转化连续体一端的障碍。在另一端,尽管有大量的联邦资金支持基础科学研究,但仍需要进一步改进将基础研究的结果转化为临床应用,并将基础科学纳入转化连续体。行为医学作为转化医学的一个组成部分,其重点是健康、医疗实践和医疗保健提供系统的人类和相互作用方面,可以为这一过程提供信息。

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