Bazemore Andrew, Neale Anne Victoria, Lupo Phillip, Seehusen Dean
J Am Board Fam Med. 2018 May-Jun;31(3):307-311. doi: 10.3122/jabfm.2018.03.180091.
Implementation Science is commonly described as the study of methods and approaches that promote the uptake and use of evidence-based interventions into routine practice and policymaking. In this issue of , investigators share a wealth of new insights from the frontlines of Implementation Science in primary care: what it is, how we are doing it, and how it is advancing the evidence base of primary care. The breadth of implementation science in primary care is affirmed by the range of topics covered, from thought leader recommendations on future directions for the field, to reports on how best practices in policy and practice are shaping primary care implementation in the United States and Canada. There are also important updates on agents of primary care implementation themselves, such as practice facilitators, geriatric care teams, and family physicians interested in providing obstetric care. Other articles report on novel practice transformation efforts that advance health promotion and disease prevention, and innovative approaches to identifying and addressing social determinants of health in primary care practices and the communities they serve. The articles seem to generate as many new questions as they answer, and highlight the need for continued emphasis on advancing the science of implementation in primary health care.
实施科学通常被描述为对促进将循证干预措施纳入常规实践和政策制定的方法和途径的研究。在本期杂志中,研究人员分享了来自基层医疗实施科学前沿的大量新见解:它是什么、我们如何开展以及它如何推进基层医疗的证据基础。基层医疗实施科学的广度通过所涵盖主题的范围得到了肯定,从该领域未来方向的思想领袖建议,到关于政策和实践中的最佳做法如何塑造美国和加拿大基层医疗实施的报告。还有关于基层医疗实施主体本身的重要更新,例如实践促进者、老年护理团队以及有兴趣提供产科护理的家庭医生。其他文章报道了推进健康促进和疾病预防的新型实践转变努力,以及在基层医疗实践及其服务的社区中识别和解决健康社会决定因素的创新方法。这些文章似乎产生了与它们所回答的问题一样多的新问题,并强调了继续重视推进初级卫生保健实施科学的必要性。