University of Global Health Equity, Kigali, Rwanda.
Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Int J Health Policy Manag. 2020 May 1;9(5):182-184. doi: 10.15171/ijhpm.2019.125.
Success in the implementation of evidence-based interventions (EBIs) in different settings has had variable success. Implementation research offers the approach needed to understand the variability of health outcomes from implementation strategies in different settings and why interventions were successful in some countries and failed in others. When mastered and embedded into a policy and implementation framework, the application of implementation research by countries can provide policy-makers and implementers with the knowledge necessary to work towards universal health coverage (UHC) with the effectiveness, efficiency, sustainability, and fidelity needed to achieve sustainable positive health outcomes for all. To achieve this goal however, work is needed by the communities of research producers and consumers to create more clarity on implementation research methodologies and to build capacity to apply them as a critical tool for countries on their path to achieving UHC.
在不同环境中实施基于证据的干预措施（EBIs）的成功情况各不相同。实施研究提供了一种方法，可以了解不同环境中实施策略对健康结果的可变性，以及干预措施为何在某些国家取得成功而在其他国家失败的原因。当实施研究被各国掌握并嵌入到政策和实施框架中时，它可以为政策制定者和实施者提供必要的知识，以努力实现全民健康覆盖（UHC），并具有实现全民可持续积极健康结果所需的有效性、效率、可持续性和忠实性。然而，要实现这一目标，研究生产者和消费者社区需要努力更清楚地阐明实施研究方法，并建立应用这些方法的能力，将其作为各国实现全民健康覆盖的重要工具。
