Rose Adam J, Spitzer Sivan, Ellen Moriah E
Hebrew University School of Public Health, Jerusalem, Israel.
Braun School of Public Health, Hebrew University, Ein Kerem Campus, Jerusalem, Israel.
Isr J Health Policy Res. 2025 Apr 2;14(1):4. doi: 10.1186/s13584-025-00669-5.
Implementation Science (IS) is a scientific discipline that has been in existence for approximately thirty years. The goal of this discipline is to develop and refine rigorous approaches to producing change in the health system, and thereby to shrink the quality gap between best practice and current practice more quickly and more completely than could occur through naturalistic change alone.
In this perspective, we review two prominent examples of health systems that invested in building capacity for IS- the Veterans Affairs Health System and Intermountain Healthcare in the United States- and how this investment has catalyzed system-level improvements over time. We make the case that Israel should similarly invest in building IS capacity.
Investing in building IS capacity does not produce quick results, and is not easy. Nevertheless, a plan to build IS capacity should be an important ingredient in our plan to improve Israel's health system over time.
实施科学（IS）是一门已经存在了大约三十年的学科。该学科的目标是开发和完善严谨的方法，以在卫生系统中产生变革，从而比仅通过自然发生的变革更快、更全面地缩小最佳实践与当前实践之间的质量差距。
从这个角度出发，我们回顾了两个投资建设实施科学能力的卫生系统的突出例子——美国的退伍军人事务卫生系统和山间医疗保健系统——以及随着时间的推移，这项投资是如何催化系统层面的改进的。我们认为，以色列也应该同样投资建设实施科学能力。
投资建设实施科学能力不会立即产生结果，也并非易事。然而，建设实施科学能力的计划应该是我们随着时间推移改善以色列卫生系统计划的一个重要组成部分。
