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通过实施科学推进临床研究向实践和人群健康影响的转化。

Advancing Translation of Clinical Research Into Practice and Population Health Impact Through Implementation Science.

机构信息

Department of Quantitative Health Sciences, Mayo Clinic, Rochester, MN.

Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN.

出版信息

Mayo Clin Proc. 2024 Apr;99(4):665-676. doi: 10.1016/j.mayocp.2023.02.005.

Abstract

Translational and implementation sciences aim to prioritize and guide efforts to create greater efficiency and speed of scientific innovation across the translational science continuum to improve patient and population health. Key principles and practices rooted in translational and implementation science may be incorporated into clinical trials research, particularly pragmatic trials, to improve the relevance and impact of scientific innovation. This thematic review intends to raise awareness on the value of translational and implementation science in clinical research and to encourage its use in designing and implementing clinical trials across the translational research continuum. Herein, we describe the gap in translating research findings into clinical practice, introduce translational and implementation science, and describe the principles and practices from implementation science that can be used in clinical trial research across the translational continuum to inform clinical practice, to improve population health impact, and to address health care inequities.

摘要

转化和实施科学旨在优先考虑和指导努力,以在整个转化科学连续体中创造更高的科学创新效率和速度,从而改善患者和人群的健康。基于转化和实施科学的关键原则和实践可以纳入临床试验研究,特别是实用试验,以提高科学创新的相关性和影响力。本主题评论旨在提高人们对转化和实施科学在临床研究中的价值的认识,并鼓励在整个转化研究连续体中设计和实施临床试验时使用它。在此,我们描述了将研究结果转化为临床实践的差距,介绍了转化和实施科学,并描述了实施科学中的原则和实践,这些原则和实践可以用于转化连续体中的临床试验研究,以告知临床实践,提高人口健康影响,并解决医疗保健不平等问题。

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