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量化转化研究中的复杂性:一种综合方法。

Quantifying complexity in translational research: an integrated approach.

作者信息

Munoz David A, Nembhard Harriet Black, Kraschnewski Jennifer L

出版信息

Int J Health Care Qual Assur. 2014;27(8):760-76. doi: 10.1108/ijhcqa-01-2014-0002.

Abstract

PURPOSE

The purpose of this paper is to quantify complexity in translational research. The impact of major operational steps and technical requirements is calculated with respect to their ability to accelerate moving new discoveries into clinical practice.

DESIGN/METHODOLOGY/APPROACH: A three-phase integrated quality function deployment (QFD) and analytic hierarchy process (AHP) method was used to quantify complexity in translational research. A case study in obesity was used to usability.

FINDINGS

Generally, the evidence generated was valuable for understanding various components in translational research. Particularly, the authors found that collaboration networks, multidisciplinary team capacity and community engagement are crucial for translating new discoveries into practice.

RESEARCH LIMITATIONS/IMPLICATIONS: As the method is mainly based on subjective opinion, some argue that the results may be biased. However, a consistency ratio is calculated and used as a guide to subjectivity. Alternatively, a larger sample may be incorporated to reduce bias.

PRACTICAL IMPLICATIONS

The integrated QFD-AHP framework provides evidence that could be helpful to generate agreement, develop guidelines, allocate resources wisely, identify benchmarks and enhance collaboration among similar projects.

ORIGINALITY/VALUE: Current conceptual models in translational research provide little or no clue to assess complexity. The proposed method aimed to fill this gap. Additionally, the literature review includes various features that have not been explored in translational research.

摘要

目的

本文旨在量化转化研究中的复杂性。根据主要操作步骤和技术要求将新发现加速转化为临床实践的能力来计算其影响。

设计/方法/途径:采用三阶段综合质量功能展开(QFD)和层次分析法(AHP)来量化转化研究中的复杂性。以肥胖症为例进行案例研究以检验实用性。

研究结果

总体而言,所产生的证据对于理解转化研究中的各个组成部分具有重要价值。特别是,作者发现合作网络、多学科团队能力和社区参与对于将新发现转化为实践至关重要。

研究局限/启示:由于该方法主要基于主观意见,一些人认为结果可能存在偏差。然而,计算了一致性比率并将其用作主观性的指导。或者,可以纳入更大的样本以减少偏差。

实际意义

综合QFD-AHP框架提供的证据有助于达成共识、制定指南、合理分配资源、确定基准并加强类似项目之间的合作。

原创性/价值:当前转化研究中的概念模型几乎没有提供评估复杂性的线索。所提出的方法旨在填补这一空白。此外,文献综述涵盖了转化研究中尚未探讨的各种特征。

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