Towfighi Amytis, Orechwa Allison Zumberge, Aragón Tomás J, Atkins Marc, Brown Arleen F, Brown Jen, Carrasquillo Olveen, Carson Savanna, Fleisher Paula, Gustafson Erika, Herman Deborah K, Inkelas Moira, Liu Wylie, Meeker Daniella, Mehta Tara, Miller Doriane C, Paul-Brutus Rachelle, Potter Michael B, Ritner Sarah S, Rodriguez Brendaly, Rusch Dana, Skinner Anne, Yee Hal F
Southern California Clinical and Translational Sciences Institute, University of Southern California, Los Angeles, CA, USA.
Los Angeles County Department of Health Services, Los Angeles, CA, USA.
J Clin Transl Sci. 2020 Mar 10;4(3):201-208. doi: 10.1017/cts.2020.23.
A primary barrier to translation of clinical research discoveries into care delivery and population health is the lack of sustainable infrastructure bringing researchers, policymakers, practitioners, and communities together to reduce silos in knowledge and action. As National Institutes of Health's (NIH) mechanism to advance translational research, Clinical and Translational Science Award (CTSA) awardees are uniquely positioned to bridge this gap. Delivering on this promise requires sustained collaboration and alignment between research institutions and public health and healthcare programs and services. We describe the collaboration of seven CTSA hubs with city, county, and state healthcare and public health organizations striving to realize this vision together. Partnership representatives convened monthly to identify key components, common and unique themes, and barriers in academic-public collaborations. All partnerships aligned the activities of the CTSA programs with the needs of the city/county/state partners, by sharing resources, responding to real-time policy questions and training needs, promoting best practices, and advancing community-engaged research, and dissemination and implementation science to narrow the knowledge-to-practice gap. Barriers included competing priorities, differing timelines, bureaucratic hurdles, and unstable funding. Academic-public health/health system partnerships represent a unique and underutilized model with potential to enhance community and population health.
将临床研究成果转化为医疗服务和人群健康的一个主要障碍是缺乏可持续的基础设施，无法将研究人员、政策制定者、从业者和社区聚集在一起，以减少知识和行动上的壁垒。作为美国国立卫生研究院（NIH）推进转化研究的机制，临床和转化科学奖（CTSA）获得者处于弥合这一差距的独特位置。要实现这一承诺，需要研究机构与公共卫生及医疗保健项目和服务之间持续的合作与协调。我们描述了七个CTSA中心与城市、县和州的医疗保健及公共卫生组织的合作，它们共同努力实现这一愿景。合作伙伴代表每月召开会议，以确定学术 - 公共合作中的关键组成部分、共同和独特主题以及障碍。所有合作伙伴通过共享资源、回应实时政策问题和培训需求、推广最佳实践以及推进社区参与研究、传播和实施科学，使CTSA项目的活动与城市/县/州合作伙伴的需求保持一致，以缩小知识与实践之间的差距。障碍包括相互竞争的优先事项、不同的时间安排、官僚主义障碍和不稳定的资金。学术 - 公共卫生/卫生系统合作伙伴关系代表了一种独特且未充分利用的模式，具有增强社区和人群健康的潜力。
