Hirschhorn Lisa R, Ramaswamy Rohit, Devnani Mahesh, Wandersman Abraham, Simpson Lisa A, Garcia-Elorrio Ezequiel
Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina, 4107 McGavran-Greenberg Hall, CB #7469, Chapel Hill, NC 27599, USA.
Int J Qual Health Care. 2018 Apr 20;30(suppl_1):24-28. doi: 10.1093/intqhc/mzy018.
The gap between implementers and researchers of quality improvement (QI) has hampered the degree and speed of change needed to reduce avoidable suffering and harm in health care. Underlying causes of this gap include differences in goals and incentives, preferred methodologies, level and types of evidence prioritized and targeted audiences. The Salzburg Global Seminar on 'Better Health Care: How do we learn about improvement?' brought together researchers, policy makers, funders, implementers, evaluators from low-, middle- and high-income countries to explore how to increase the impact of QI. In this paper, we describe some of the reasons for this gap and offer suggestions to better bridge the chasm between researchers and implementers. Effectively bridging this gap can increase the generalizability of QI interventions, accelerate the spread of effective approaches while also strengthening the local work of implementers. Increasing the effectiveness of research and work in the field will support the knowledge translation needed to achieve quality Universal Health Coverage and the Sustainable Development Goals.
质量改进（QI）的实施者与研究者之间的差距，阻碍了减少医疗保健中可避免的痛苦和伤害所需的变革程度和速度。造成这一差距的根本原因包括目标和激励措施、首选方法、优先考虑的证据水平和类型以及目标受众等方面的差异。关于“更好的医疗保健：我们如何了解改进？”的萨尔茨堡全球研讨会汇聚了来自低收入、中等收入和高收入国家的研究者、政策制定者、资助者、实施者、评估者，以探讨如何提高质量改进的影响力。在本文中，我们阐述了造成这一差距的一些原因，并提出建议以更好地弥合研究者与实施者之间的鸿沟。有效弥合这一差距可提高质量改进干预措施的普遍性，加速有效方法的传播，同时也加强实施者的本地工作。提高该领域研究和工作的有效性，将有助于实现优质全民健康覆盖和可持续发展目标所需的知识转化。
