University of Michigan Medical School, 1301 Catherine St. Ann Arbor, Ann Arbor, MI, 48109, USA.
Department of Surgery, University of Michigan, 1500 E Medical Center Dr. Ann Arbor, Ann Arbor, MI, 48109, USA.
Implement Sci. 2024 May 29;19(1):38. doi: 10.1186/s13012-024-01367-7.
Humanitarian assistance is hindered by a lack of strategies to optimize care delivery through research and organized networks. Distinct from global health, humanitarian assistance struggles to address its multifaceted challenges, including duplicative resources, uncoordinated communication, unregulated staff expertise and safety, financial waste, and poor-quality metrics and care delivery. Implementation science provides an exciting and underutilized approach that can be applied to address these challenges, by studying how to effectively design, implement, optimize, and scale evidence-based interventions. Though successful in well-resourced and global health systems, implementation science approaches are rare in humanitarian assistance. Adopting implementation science approaches including identifying determinants, creating accessible evidence-based intervention bundles, adapting study methodologies for the humanitarian context, and partnering with implementation experts could make these promising approaches more accessible for thousands of humanitarian actors delivering healthcare for millions of vulnerable patients worldwide.
人道主义援助受到缺乏策略的阻碍，这些策略旨在通过研究和有组织的网络来优化医疗服务。与全球卫生不同，人道主义援助在解决其多方面的挑战方面存在困难，包括资源重复、沟通不协调、工作人员专业知识和安全缺乏监管、财务浪费以及质量差的指标和医疗服务。实施科学提供了一种令人兴奋但未被充分利用的方法，可以通过研究如何有效地设计、实施、优化和扩大基于证据的干预措施来应对这些挑战。尽管在资源充足和全球卫生系统中取得了成功，但实施科学方法在人道主义援助中很少见。采用实施科学方法，包括确定决定因素、创建易于获取的基于证据的干预措施包、针对人道主义环境调整研究方法以及与实施专家合作，可以使这些有前途的方法更容易被为数以千计的人道主义行为者所采用，这些行为者为数百万世界各地的弱势患者提供医疗保健。
