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军事和退伍军人健康研究转化:研究、实践、政策。

Research translation for military and veteran health: research, practice, policy.

机构信息

U.S. Department of Veterans Affairs, Washington, DC, USA.

Veteran Consulting and Research Corp., Rochester, NY, USA.

出版信息

Transl Behav Med. 2021 Mar 16;11(2):631-641. doi: 10.1093/tbm/ibz195.

Abstract

Military service presents unique challenges and opportunities for health care and public health. In the USA, there are over 2 million military servicemembers, 20 million veterans, and millions more military and veteran family members. Military servicemembers and eligible family members, many veterans, and retirees receive health care through the two largest learning health care systems in the USA, managed and delivered through the Departments of Defense (DoD), Veterans Affairs (VA), and contracted health care organizations. Through a network of collaborative relationships, DoD, VA, and partnering health care and research organizations (university, corporate, community, and government) accelerate research translation into best practices and policy across the USA and beyond. This article outlines military and veteran health research translation as summarized from a collaborative workshop led by experts across health care research, practice, and administration in DoD, VA, the National Institutes of Health, and affiliated universities. Key themes and recommendations for research translation are outlined in areas of: (a) stakeholder engagement and collaboration; (b) implementation science methods; and (c) funding along the translation continuum. Overall, the ability to rapidly translate research into clinical practice and policy for positive health outcomes requires collaborative relationships among many stakeholders. This includes servicemembers, veterans, and their families along with researchers, health care clinicians, and administrators, as well as policymakers and the broader population.

摘要

兵役为医疗保健和公共卫生带来了独特的挑战和机遇。在美国,有超过 200 万名现役军人、2000 万名退伍军人,还有更多现役军人和退伍军人的家属。现役军人和符合条件的家属、许多退伍军人以及退休人员通过美国最大的两个学习型医疗保健系统接受医疗保健,这些系统由国防部(DoD)、退伍军人事务部(VA)和签约医疗机构管理和提供。通过合作关系网络,DoD、VA 以及合作的医疗保健和研究组织(大学、企业、社区和政府)加速了研究成果在全美乃至全球的转化,形成最佳实践和政策。本文概述了兵役和退伍军人健康研究的转化,内容来自由国防部、退伍军人事务部、美国国立卫生研究院(National Institutes of Health)和相关大学的医疗保健研究、实践和管理方面的专家共同领导的一次协作研讨会。研究转化的关键主题和建议包括以下几个方面:(a)利益相关者的参与和合作;(b)实施科学方法;以及(c)沿着转化连续体提供资金。总的来说,为了实现积极的健康结果,将研究迅速转化为临床实践和政策,需要许多利益相关者之间的合作关系。这包括现役军人、退伍军人及其家属,以及研究人员、医疗保健临床医生和管理人员,还有政策制定者和更广泛的人群。

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