St George's University of London, London, UK.
Kingston University, Kingston upon Thames, UK.
J Med Humanit. 2020 Sep;41(3):379-394. doi: 10.1007/s10912-020-09607-9.
Despite the growing profile of 'implementation science', its status as a field of study remains ambiguous. Implementation science originates in the evidence-based movement and attempts to broaden the scope of evidence-based medicine to improve 'clinical effectiveness' and close the 'implementation gap'. To achieve this agenda, implementation science draws on methodologies from the social sciences to emphasise coherence between qualitative and quantitative approaches. In so doing, we ask if this is at the expense of ignoring the dominating tendencies of the evidence-based movement and consider if some of the methodologies being drawn on should be considered irreconcilable with evidence-based methodologies.
尽管“实施科学”的地位日益凸显,但它作为一个研究领域的地位仍然模糊不清。实施科学起源于循证运动,并试图扩大循证医学的范围,以提高“临床效果”并缩小“实施差距”。为了实现这一议程,实施科学借鉴了社会科学的方法,强调定性和定量方法之间的一致性。这样做的同时,我们不禁要问,这是否是以忽视循证运动主导趋势为代价的,并且要考虑所借鉴的一些方法是否可以被认为与循证方法不可调和。