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[从证据到实践：初级保健中的传播与实施科学]

[From evidence to practice: The Disemination and Implementation Science in primary care].

作者信息

Martínez Cristina, Camarelles Guillem Francisco, González-Viana Angelina, Sánchez Álvaro, Tigova Olena, Fernández Esteve

机构信息

Unidad de Control del Tabaco, Programa de Prevención y Control del Cáncer, Institut Català d'Oncologia, L'Hospitalet de Llobregat, Barcelona, España; Grupo de Prevención y Control del Cáncer, Institut d'Investigació Biomèdica de Bellvitge-IDIBELL, L'Hospitalet de Llobregat, Barcelona, España; CIBER en Enfermedades Respiratorias (CIBERES), Madrid, España; Departamento de Salut Pública, Materno Infantil y Salud Mental, Facultad de Enfermería, Universitat de Barcelona, L'Hospitalet de Llobregat, Barcelona, España; Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, CA, EE. UU..

Centro de Salud Infanta Mercedes, Programa Actividades Preventivas y Promoción de la Salud PAPPS de semFYC, Madrid, España; Departamento de Medicina, Facultad de Medicina, Universidad Autónoma de Madrid, Madrid, España.

出版信息

Aten Primaria. 2025 Jan;57(1):103077. doi: 10.1016/j.aprim.2024.103077. Epub 2024 Sep 11.

DOI:10.1016/j.aprim.2024.103077
PMID:39265319
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11415847/
Abstract

Dissemination and Implementation Science focuses on bridging the gap between scientific research and its practical application in the real world. By identifying and promoting effective strategies, the Science of Dissemination and Implementation disseminates and implements evidence-based interventions in healthcare settings, taking into account the needs, barriers, context, resources, and end users. This special article introduces and debates the most recent advances in this field, highlighting key approaches, theoretical frameworks, as well as specific challenges and opportunities applied to primary and community care. Additionally, concrete examples tailored to the Spanish context are presented. Given the nascent state of the use of the Dissemination and Implementation Science in Spain, the authors recommend strategically adopting this approach and its principles in primary and community care to expedite the adoption of effective interventions that promote health.

摘要

传播与实施科学专注于弥合科学研究与其在现实世界中的实际应用之间的差距。通过识别和推广有效策略，传播与实施科学在医疗环境中传播和实施基于证据的干预措施，同时考虑到需求、障碍、背景、资源和最终用户。这篇专题文章介绍并探讨了该领域的最新进展，重点介绍了关键方法、理论框架以及应用于初级和社区护理的具体挑战与机遇。此外，还给出了针对西班牙背景的具体实例。鉴于传播与实施科学在西班牙的应用尚处于起步阶段，作者建议在初级和社区护理中战略性地采用这种方法及其原则，以加速采用促进健康的有效干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1a4/11415847/43b991261905/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1a4/11415847/ddae55140feb/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1a4/11415847/30f58891ec40/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1a4/11415847/43b991261905/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1a4/11415847/ddae55140feb/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1a4/11415847/30f58891ec40/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1a4/11415847/43b991261905/gr3.jpg

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本文引用的文献

1
A scoping review of implementation science theories, models, and frameworks - an appraisal of purpose, characteristics, usability, applicability, and testability.实施科学理论、模型和框架的范围综述——目的、特征、可用性、适用性和可测试性的评价。
Implement Sci. 2023 Sep 19;18(1):43. doi: 10.1186/s13012-023-01296-x.
2
Validity and reliability of the transculturally adapted Spanish version of the Implementation Leadership Scale (ILS).《实施领导力量表》（ILS）跨文化适应西班牙语版本的效度与信度
Implement Sci Commun. 2023 Sep 12;4(1):112. doi: 10.1186/s43058-023-00495-3.
3
Embedding implementation science in the research pipeline.
将实施科学嵌入研究管道中。
Transl Behav Med. 2024 Feb 7;14(2):73-79. doi: 10.1093/tbm/ibad050.
4
Connecting the science and practice of implementation - applying the lens of context to inform study design in implementation research.连接实施的科学与实践——运用情境视角为实施研究中的研究设计提供信息。
Front Health Serv. 2023 Jul 7;3:1162762. doi: 10.3389/frhs.2023.1162762. eCollection 2023.
5
[Why is it increasingly difficult to "do the right thing" and to "stop doing the wrong thing"? Strategies for reversing low-value practices].[为何“做正确的事”以及“停止做错事”越来越难？扭转低价值医疗行为的策略]
Aten Primaria. 2023 Jul;55(7):102630. doi: 10.1016/j.aprim.2023.102630. Epub 2023 Apr 27.
6
[Putting prevention into practice].将预防措施付诸实践
Aten Primaria. 2022 Oct;54 Suppl 1(Suppl 1):102415. doi: 10.1016/j.aprim.2022.102415.
7
Strategies for the implementation of clinical practice guidelines in public health: an overview of systematic reviews.公共卫生中临床实践指南实施策略的系统评价概述。
Health Res Policy Syst. 2022 Jan 24;20(1):13. doi: 10.1186/s12961-022-00815-4.
8
Multiple health behaviour change primary care intervention for smoking cessation, physical activity and healthy diet in adults 45 to 75 years old (EIRA study): a hybrid effectiveness-implementation cluster randomised trial.多健康行为改变初级保健干预措施在 45 至 75 岁成年人中的戒烟、身体活动和健康饮食（EIRA 研究）：一项混合有效性-实施的群组随机试验。
BMC Public Health. 2021 Dec 4;21(1):2208. doi: 10.1186/s12889-021-11982-4.
9
Implementation science: an introduction for primary care.实施科学：初级保健入门
Fam Pract. 2022 Jan 19;39(1):219-221. doi: 10.1093/fampra/cmab125.
10
Effectiveness of two procedures for deploying a facilitated collaborative modeling implementation strategy-the PVS-PREDIAPS strategy-to optimize type 2 diabetes prevention in primary care: the PREDIAPS cluster randomized hybrid type II implementation trial.两种促进合作建模实施策略（PVS-PREDIAPS 策略）在基层医疗中优化 2 型糖尿病预防效果的比较：PREDIAPS 集群随机对照混合 II 型实施试验。
Implement Sci. 2021 May 27;16(1):58. doi: 10.1186/s13012-021-01127-x.