Frantsve-Hawley Julie, Rindal D Brad
Department of Guidelines & Publishing, American College of Chest Physicians, 2595 Patriot Boulevard, Glenview, IL 60026, USA.
HealthPartners Institute, 3311 East Old Shakopee Road, Bloomington, MN 55425, USA.
Dent Clin North Am. 2019 Jan;63(1):129-144. doi: 10.1016/j.cden.2018.08.008. Epub 2018 Oct 29.
Significant variation exists in health care practice patterns that creates concerns regarding the quality of care delivered. Clinical practice based on high-quality evidence provides a rationale for clinical decision making. Resources, such as evidence-based guidelines, provide that evidence to clinicians and improve patient outcomes by decreasing unwanted variation in clinical practice. Because knowledge dissemination alone is ineffective to translate scientific evidence into clinical practice, the field of implementation science has emerged to facilitate this translation of research into routine clinical practice. This article provides an introduction to implementation science, and its application in dentistry to promote adoption of evidence-based guidelines.
医疗保健实践模式存在显著差异,这引发了对所提供护理质量的担忧。基于高质量证据的临床实践为临床决策提供了依据。诸如循证指南等资源为临床医生提供了这些证据,并通过减少临床实践中不必要的差异来改善患者预后。由于仅靠知识传播不足以将科学证据转化为临床实践,实施科学领域应运而生,以促进将研究转化为常规临床实践。本文介绍了实施科学及其在牙科中的应用,以促进循证指南的采用。