Khalil Hanan, Chambers Helen, Munn Zachary, Porritt Kylie
Pharmacist Academic, Monash University, School of Rural Health, Moe, Vic., Australia.
Director, Centre for Chronic Diseases Management, Editor-in-Chief, International Journal of Evidence Based Health Care , Moe, Vic, Australia.
Worldviews Evid Based Nurs. 2015 Jun;12(3):139-44. doi: 10.1111/wvn.12087. Epub 2015 Mar 28.
There is a large gap between evidence and practice within health care, particularly within the field of chronic disease. To reduce this gap and improve the management of chronic disease, a collaborative partnership between two schools within a large university and two industry partners (a large regional rural hospital and a rural community health center) in rural Victoria, Australia, was developed. The aim of the collaboration was to promote the development of translation science and the implementation of evidence-based health care in chronic disease with a specific focus on developing evidence-based resources that are easily accessed by clinicians.
A working group consisting of members of the collaborating organizations and an internationally renowned expert reference group was formed. The group acted as a steering committee and was tasked with developing a taxonomy of the resources. In addition, a peer review process of all resources was established. A corresponding reference group consisting of researchers and clinicians who are clinical experts in various fields was involved in the review process. The resources developed by the group include evidence summaries and recommended practices made available on a web-based database, which can be accessed via subscription by clinicians and researchers worldwide.
As of mid-2014, there were 109 new evidence summaries and 25 recommended practices detailing the best available evidence on topics related to chronic disease management including asthma, diabetes, heart failure, dementia, and others. Training sessions and a newsletter were developed for clinicians within the node to enable them to use the content effectively.
This paper describes the processes involved in the successful development of the collaborative partnership and its evolution into producing a valuable resource for the translation of evidence into practice in the areas of chronic disease management. The resource developed is being used by clinicians to inform practice and support their clinical decision making.
医疗保健领域，尤其是慢性病领域，证据与实践之间存在巨大差距。为缩小这一差距并改善慢性病管理，澳大利亚维多利亚州农村地区的一所大型大学内的两所学院与两个行业合作伙伴（一家大型地区农村医院和一个农村社区卫生中心）建立了合作关系。合作的目的是促进转化科学的发展以及慢性病循证医疗的实施，特别侧重于开发临床医生易于获取的循证资源。
成立了一个由合作组织成员和一个国际知名专家咨询小组组成的工作组。该小组充当指导委员会，负责制定资源分类法。此外，还建立了对所有资源的同行评审流程。一个由各领域临床专家组成的相应咨询小组，包括研究人员和临床医生，参与了评审过程。该小组开发的资源包括在基于网络的数据库上提供的证据摘要和推荐实践，全球的临床医生和研究人员可通过订阅访问该数据库。
截至2014年年中，有109篇新的证据摘要和25项推荐实践，详细阐述了与慢性病管理相关主题（包括哮喘、糖尿病、心力衰竭、痴呆等）的最佳现有证据。为该节点内的临床医生开展了培训课程并发行了时事通讯，以使他们能够有效利用这些内容。
本文描述了成功建立合作关系并将其发展成为慢性病管理领域将证据转化为实践的宝贵资源的过程。临床医生正在使用所开发的资源来指导实践并支持他们的临床决策。
