Dopp Alex R, Wright Blanche, Kim Jin, Hindmarch Grace, Hunter Sarah B
Rand Health Q. 2025 Jun 17;12(3):2. eCollection 2025 Jun.
Federal spending on evidence-based practices (EBPs) provides significant returns by offsetting billions of dollars in societal impacts each year. Practices are deemed evidence-based because they have demonstrated their effectiveness in addressing various social and health-related challenges. Federal agencies often invest in EBP delivery through discretionary grants, but there is limited guidance on how to optimize these grants to support large-scale EBP implementation. To address this gap, the authors held focus groups with federal and state agency officials (using the findings from ongoing RAND research to frame their discussions) to gather and synthesize their recommendations on how to optimize federal grantmaking for EBP implementation. With the focus group participants, the authors identified seven policy recommendations for federal officials to consider when designing, awarding, and executing grants for EBP implementation, including capacity-building in service delivery organizations to sustain EBPs after grant funding ends. The authors also present real-world case examples to illustrate how funding agencies have put each recommendation into practice.
联邦政府在循证实践（EBPs）上的支出每年通过抵消数十亿美元的社会影响带来了显著回报。这些实践被视为循证实践，因为它们已证明在应对各种社会和健康相关挑战方面的有效性。联邦机构通常通过酌情拨款投资于循证实践的实施，但在如何优化这些拨款以支持大规模循证实践实施方面的指导有限。为了填补这一空白，作者与联邦和州机构官员举行了焦点小组会议（利用兰德公司正在进行的研究结果来构建讨论框架），以收集和综合他们关于如何优化联邦拨款以实施循证实践的建议。与焦点小组参与者一起，作者确定了七项政策建议，供联邦官员在设计、授予和执行循证实践实施拨款时考虑，包括在服务提供组织中进行能力建设，以便在拨款资金结束后维持循证实践。作者还展示了实际案例，以说明资助机构如何将每项建议付诸实践。
