South Eastern Norway Regional Center for Knowledge Translation in Rehabilitation, Oslo, Norway; Institute for Knowledge Translation, Carmel, Indiana, United States.
Ottawa Hospital Research Institute, Ottawa, Ontario, Canada; University of Ottawa, Ottawa, Ontario, Canada.
Arch Phys Med Rehabil. 2022 Jul;103(7S):S252-S255. doi: 10.1016/j.apmr.2021.03.045. Epub 2021 Dec 26.
Over the past 3 decades, a substantial number of studies were published with the purpose of improving the effectiveness and efficiency of rehabilitation clinical practice. Clinicians and researchers face considerable challenges in successfully implementing these research findings into routine clinical practice. Knowledge translation includes the synthesis, dissemination, exchange, and ethically sound application of knowledge to improve health, provide more effective health services and products, and strengthen the health care system. An aim of knowledge translation research is to identify strategies to accelerate implementation of evidence into practice. A recent citation analysis on a commonly used knowledge translation framework, the Knowledge-to-Action Framework, identified implementation activities performed in physical medicine and rehabilitation. Although this citation analysis describes activities performed and outcomes assessed while conducting knowledge translation projects, successful knowledge translation also requires a robust social and physical infrastructure. In this commentary, we offer several observations that appear related to the increased likelihood of implementation success. Funders, higher education institutions, health care payers, and health care organizations contribute to successful implementation and must embrace their roles in implementation. Administrators, clinicians, and consumers of physical medicine and rehabilitation also have essential roles in knowledge translation.
在过去的 30 年中，发表了大量旨在提高康复临床实践效果和效率的研究。临床医生和研究人员在成功地将这些研究结果应用于常规临床实践方面面临着巨大的挑战。知识转化包括综合、传播、交流和合理应用知识以改善健康、提供更有效的卫生服务和产品以及加强卫生保健系统。知识转化研究的目的之一是确定加速证据向实践转化的策略。最近对一个常用的知识转化框架（知识转化框架）进行了引文分析，该框架确定了在物理医学和康复中进行的实施活动。虽然这个引文分析描述了在进行知识转化项目时所进行的活动和评估的结果，但成功的知识转化还需要一个强大的社会和物质基础设施。在这篇评论中，我们提出了一些似乎与提高实施成功率有关的观察结果。资助者、高等教育机构、医疗保健支付者和医疗保健组织为成功实施做出了贡献，必须在实施中发挥自己的作用。物理医学和康复的管理者、临床医生和消费者也在知识转化中发挥着重要作用。
