Hicks Ramona, Johnson Stephen, Porter Amy C, Zatzick Douglas
One Mind, Seattle, Washington.
Porter Consulting, Tucson, Arizona.
J Neurotrauma. 2017 Oct 1;34(19):2833-2839. doi: 10.1089/neu.2016.4821. Epub 2017 May 17.
Advances in science frequently precede changes in clinical care by several years or even decades. To better understand the path to translation, we invited experts to share their perspectives at the 5th Annual One Mind Summit: "Science Informing Brain Health Policies and Practice," which was held on May 24-25, 2016, in Crystal City, VA. While the translation of brain research throughout the pipeline-from basic science research to patient care-was discussed, the focus was on the implementation of "best evidence" into patient care. The Summit identified key steps, including the need for professional endorsement and clinical guidelines or policies, acceptance by regulators and payers, dissemination and training for clinicians, patient advocacy, and learning healthcare models. The path to implementation was discussed broadly, as well as in the context of a specific project to implement concussion screening in emergency and urgent care centers throughout the United States.
科学上的进展常常比临床护理方面的变革领先数年甚至数十年。为了更好地理解转化之路,我们邀请专家在2016年5月24日至25日于弗吉尼亚州水晶城举行的第五届年度“一心峰会:为脑健康政策与实践提供信息的科学”上分享他们的观点。虽然讨论了从基础科学研究到患者护理整个流程中脑研究的转化,但重点是将“最佳证据”应用于患者护理。峰会确定了关键步骤,包括需要专业认可和临床指南或政策、监管机构和支付方的接受、向临床医生的传播与培训、患者宣传以及学习型医疗模式。广泛讨论了实施路径,还结合了在美国各地急诊和紧急护理中心实施脑震荡筛查的一个具体项目进行了讨论。