实用临床试验为将循证实践传播、实施并持续应用于临床护理提供了独特契机：研讨会会议记录
Pragmatic clinical trials offer unique opportunities for disseminating, implementing, and sustaining evidence-based practices into clinical care: Proceedings of a workshop.
作者信息
Tuzzio Leah, Larson Eric B, Chambers David A, Coronado Gloria D, Curtis Lesley H, Weber Wendy J, Zatzick Douglas F, Meyers Catherine M
出版信息
Healthc (Amst). 2019 Mar;7(1):51-57. doi: 10.1016/j.hjdsi.2018.12.003. Epub 2018 Dec 26.
Abstract
The National Institutes of Health (NIH) Health Care Systems (HCS) Research Collaboratory hosted a workshop to explore challenges and strategies for the dissemination, implementation, and sustainability of findings from pragmatic clinical trials (PCTs) embedded in HCS. PCTs are designed to assess the impact of interventions delivered in usual or real-world conditions and leverage existing infrastructure to answer important clinical questions. The goal of the workshop was to discuss strategies for conducting impactful future PCTs that bridge the gap between evidence, practice, and policy. This paper summarizes presentations about how to design and conduct PCTs embedded in HCS and use dissemination and implementation strategies during the planning and conduct of projects, emphasizing the ever-changing world of care delivery and the need for pragmatic trial operations to adapt at various levels of operation.
摘要
美国国立卫生研究院（NIH）医疗保健系统（HCS）研究协作实验室举办了一次研讨会，以探讨嵌入HCS的实用临床试验（PCT）结果的传播、实施和可持续性方面的挑战与策略。PCT旨在评估在常规或现实世界条件下实施的干预措施的影响，并利用现有基础设施来回答重要的临床问题。该研讨会的目标是讨论开展有影响力的未来PCT的策略，以弥合证据、实践和政策之间的差距。本文总结了关于如何设计和开展嵌入HCS的PCT，以及在项目规划和实施过程中如何使用传播和实施策略的报告，强调了不断变化的护理提供环境以及实用试验操作在各级运营层面进行调整的必要性。
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