Centre for Behaviour Change, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK.
Aberdeen Health Psychology Group, University of Aberdeen, Aberdeen, UK.
Implement Sci. 2017 Nov 14;12(1):131. doi: 10.1186/s13012-017-0660-2.
Implementing research findings into healthcare practice and policy is a complex process occurring in diverse contexts; it invariably depends on changing human behaviour in many parts of an intricate implementation system. Questions asked with the aim of improving implementation are multifarious variants of 'What works, compared with what, how well, with what exposure, with what behaviours (for how long), for whom, in what setting and why?'. Relevant evidence is being published at a high rate, but its quantity, complexity and lack of shared terminologies present challenges. The achievement of efficient, effective and timely synthesis of evidence is facilitated by using 'ontologies' to systematically structure and organise the evidence about constructs and their relationships, using a controlled, well-defined vocabulary.
将研究结果应用于医疗保健实践和政策是一个复杂的过程,发生在各种不同的环境中;它不可避免地取决于复杂实施系统中许多部分的人类行为的变化。为了改善实施而提出的问题是“与什么相比,效果如何,效果如何,暴露程度如何,行为如何(持续多长时间),针对谁,在什么环境中以及为什么?”的各种变体。相关证据的发表速度很快,但数量、复杂性和缺乏共享术语带来了挑战。通过使用“本体”系统地构建和组织有关构念及其关系的证据,并使用受控的、明确定义的词汇,实现高效、有效和及时的证据综合。