Barry Simon, Davies Chris
School of Medicine, Cardiff University, Cardiff, UK.
Institute for Future Studies, Stockholm, Sweden.
Future Healthc J. 2025 Jul 23;12(3):100452. doi: 10.1016/j.fhj.2025.100452. eCollection 2025 Sep.
Delivering meaningful change in healthcare is less about new discoveries and more about ensuring adoption at scale of what is already known to work. Implementation science (IS) studies the methods that support systematic uptake of evidence-based practices into routine care. Yet traditional strategies - like policy mandates, staff training alone, or the passive spread of information - often fail to deliver sustained change. This paper introduces the foundational principles of IS, critiques conventional approaches, and shares lessons learned from national-scale digital implementation efforts in Wales. Key IS enablers, including leadership, stakeholder alignment, readiness and feedback systems, are described in practical terms. We aim to make IS accessible for healthcare leaders and clinicians seeking to reduce variation and embed innovation at scale.
在医疗保健领域实现有意义的变革，与其说是关于新发现，不如说是关于确保大规模采用已知有效的方法。实施科学（IS）研究支持将循证实践系统纳入常规护理的方法。然而，传统策略，如政策指令、单纯的员工培训或信息的被动传播，往往无法带来持续的变革。本文介绍了实施科学的基本原则，对传统方法进行了批判，并分享了在威尔士全国范围内数字实施工作中吸取的经验教训。从实际角度描述了关键的实施科学推动因素，包括领导力、利益相关者协调、准备情况和反馈系统。我们的目标是让寻求减少差异并大规模嵌入创新的医疗保健领导者和临床医生能够理解实施科学。
