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[实施研究的现状、分类及实施潜力:德国公共卫生领域清单]

[Status, classification, and potential of implementation research: an inventory for public health in Germany].

作者信息

Weishaar Heide, Kuehne Anna, Bozorgmehr Kayvan, Zeeb Hajo

机构信息

Robert Koch-Institut, Gerichtstr. 27, 13347, Berlin, Deutschland.

Professur Öffentliche Gesundheit, Zentrum für Evidenzbasierte Gesundheitsversorgung (ZEGV), Universitätsklinikum und Medizinische Fakultät Carl Gustav Carus der TU Dresden, Dresden, Deutschland.

出版信息

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2025 Jun 30. doi: 10.1007/s00103-025-04077-7.

Abstract

The implementation of high-quality, evidence-based practice to improve the health of populations is a prerequisite and a core element of public health. However, gaps frequently exist between research and practice, leading to the underuse of effective interventions and misuse of inappropriate interventions. Implementation science aims to bridge the gap between knowledge production and implementation by generating evidence to improve the transfer of research findings and evidence-based practices into routine action. This discussion article reflects on the state of implementation science in Germany. First, we provide a descriptive classification of implementation science, followed by a review of selected theories, models, and frameworks that are used in implementation research to systematically analyze implementation strategies, barriers, facilitators, and outcomes of interventions. Subsequently, implementation science in Germany is examined with regard to specific projects, institutional integration, teaching, and networking among experts. The article concludes with a critical reflection on the limitations and potential of implementation science for public health in Germany.An English full-text version of this article is available at SpringerLink as Supplementary Information.

摘要

实施高质量的循证实践以改善人群健康是公共卫生的前提条件和核心要素。然而,研究与实践之间常常存在差距,导致有效干预措施未得到充分利用,不适当的干预措施被滥用。实施科学旨在通过生成证据来弥合知识生产与实施之间的差距,以促进研究成果和循证实践转化为常规行动。这篇讨论文章对德国实施科学的现状进行了反思。首先,我们对实施科学进行了描述性分类,随后回顾了实施研究中用于系统分析干预措施的实施策略、障碍、促进因素和结果的选定理论、模型和框架。随后,从具体项目、机构整合、教学以及专家网络等方面对德国的实施科学进行了考察。文章最后对德国实施科学在公共卫生方面的局限性和潜力进行了批判性反思。本文的英文全文版本可在SpringerLink上作为补充信息获取。

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