增强医疗保健中实施策略的影响力：一项研究议程。
Enhancing the Impact of Implementation Strategies in Healthcare: A Research Agenda.
作者信息
Powell Byron J, Fernandez Maria E, Williams Nathaniel J, Aarons Gregory A, Beidas Rinad S, Lewis Cara C, McHugh Sheena M, Weiner Bryan J
机构信息
Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
出版信息
Front Public Health. 2019 Jan 22;7:3. doi: 10.3389/fpubh.2019.00003. eCollection 2019.
Abstract
The field of implementation science was developed to better understand the factors that facilitate or impede implementation and generate evidence for implementation strategies. In this article, we briefly review progress in implementation science, and suggest five priorities for enhancing the impact of implementation strategies. Specifically, we suggest the need to: (1) enhance methods for designing and tailoring implementation strategies; (2) specify and test mechanisms of change; (3) conduct more effectiveness research on discrete, multi-faceted, and tailored implementation strategies; (4) increase economic evaluations of implementation strategies; and (5) improve the tracking and reporting of implementation strategies. We believe that pursuing these priorities will advance implementation science by helping us to understand when, where, why, and how implementation strategies improve implementation effectiveness and subsequent health outcomes.
摘要
实施科学领域的发展是为了更好地理解促进或阻碍实施的因素，并为实施策略提供证据。在本文中，我们简要回顾了实施科学的进展，并提出了提高实施策略影响力的五个优先事项。具体而言，我们认为有必要：（1）改进设计和定制实施策略的方法；（2）明确并测试变革机制；（3）对离散、多方面且量身定制的实施策略开展更多有效性研究；（4）增加对实施策略的经济评估；（5）改进实施策略的跟踪与报告。我们相信，追求这些优先事项将推动实施科学的发展，帮助我们理解实施策略何时、何地、为何以及如何提高实施效果和后续健康结果。
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