Culyba Alison Journey, Patton William Wesley
Craig-Dalsimer Division of Adolescent Medicine, The Children's Hospital of Philadelphia; Department of Biostatistics and Epidemiology, Perelman School of Medicine at the University of Pennsylvania.
Professor Emeritus, Whittier Law School; Assistant Clinical Vol Professor, UCLA David Geffen School of Medicine, Department of Psychiatry.
William Mary Policy Rev. 2016;8(1). Epub 2017 Apr 25.
One reason that scientific research takes so long to reach patients is that medical researchers and practitioners often lack training in public policy implementation theory and strategy. General medical and specific psychiatric ethical precepts in the United States and in international ethics codes invest public policy duties in psychiatric researchers and individual clinicians. This essay discusses those medical ethical rules and suggests means for training psychiatrists to meet their public health policy duties in legal fora. The discussion presents a case study of the evolution of polyvictimization research, its initial lack of implementation in clinical practice and public policy debates, and a detailed demonstration of the incorporation of polyvictimization research in informing legislative action. Through systematic efforts to expand training and involvement of psychiatrists, we can expedite the implementation of psychiatric research by marshalling individual psychiatrists to affect decisions in legislative, executive, and judicial proceedings. These individual efforts can occur synergistically with ongoing psychiatric and psychological organizations' efforts to better effect timely incorporation of evidence-based policies to improve mental health at the local, state, national, and international levels.
科学研究需要很长时间才能惠及患者的一个原因是，医学研究人员和从业者往往缺乏公共政策实施理论与策略方面的培训。美国以及国际伦理准则中的一般医学和特定精神科伦理规范赋予了精神科研究人员和个体临床医生公共政策职责。本文讨论了这些医学伦理规则，并提出了培训精神科医生在法律论坛履行其公共卫生政策职责的方法。讨论呈现了一个多重受害研究演变的案例分析，其最初在临床实践和公共政策辩论中缺乏应用，以及对多重受害研究如何为立法行动提供信息的详细阐述。通过系统地努力扩大精神科医生的培训和参与度，我们可以通过动员个体精神科医生影响立法、行政和司法程序中的决策，从而加快精神科研究的实施。这些个体努力可以与现有的精神科和心理组织为更好地及时纳入循证政策以改善地方、州、国家和国际层面的心理健康所做的努力协同进行。
