Tran Nhan, Langlois Etienne V, Reveiz Ludovic, Varallyay Ilona, Elias Vanessa, Mancuso Arielle, Becerra-Posada Francisco, Ghaffar Abdul
Alliance for Health Policy and Systems Research, World Health Organization, Geneva, Switzerland.
Office of Knowledge Management, Bioethics and Research, Pan American Health Organization, Washington, D.C., United States of America.
Rev Panam Salud Publica. 2017 Jun 8;41:e75. doi: 10.26633/RPSP.2017.75.
In the last 10 years, implementation research has come to play a critical role in improving the implementation of already-proven health interventions by promoting the systematic uptake of research findings and other evidence-based strategies into routine practice. The Alliance for Health Policy and Systems Research and the Pan American Health Organization implemented a program of embedded implementation research to support health programs in Latin America and the Caribbean (LAC) in 2014-2015. A total of 234 applications were received from 28 countries in the Americas. The Improving Program Implementation through Embedded Research (iPIER) scheme supported 12 implementation research projects led by health program implementers from nine LAC countries: Argentina, Bolivia, Brazil, Chile, Colombia, Mexico, Panama, Peru, and Saint Lucia. Through this experience, we learned that the "insider" perspective, which implementers bring to the research proposal, is particularly important in identifying research questions that focus on the systems failures that often manifest in barriers to implementation. This paper documents the experience of and highlights key conclusions about the conduct of embedded implementation research. The iPIER experience has shown great promise for embedded research models that place implementers at the helm of implementation research initiatives.
在过去十年中，实施研究通过推动将研究结果和其他循证策略系统地应用于常规实践，在改善已证实的卫生干预措施的实施方面发挥了关键作用。卫生政策与系统研究联盟和泛美卫生组织于2014 - 2015年实施了一项嵌入式实施研究计划，以支持拉丁美洲和加勒比地区（LAC）的卫生项目。共收到来自美洲28个国家的234份申请。通过嵌入式研究改善项目实施（iPIER）计划支持了12个实施研究项目，这些项目由来自9个拉丁美洲和加勒比地区国家（阿根廷、玻利维亚、巴西、智利、哥伦比亚、墨西哥、巴拿马、秘鲁和圣卢西亚）的卫生项目实施者牵头。通过这次经历，我们了解到实施者在研究提案中所带来的“内部人”视角，对于确定聚焦于实施障碍中经常出现的系统故障的研究问题尤为重要。本文记录了嵌入式实施研究的经验，并突出了关于其开展的关键结论。iPIER的经验表明，将实施者置于实施研究倡议主导地位的嵌入式研究模式具有巨大潜力。
