Brandt E N
Public Health Rep. 1983 Jan-Feb;98(1):3-6.
Two important issues in achieving change are how biomedical and behavioral research advances are viewed and used and the problem of "translation"--that is, how the results are put into practice. Momentum in federally funded research has been continued because we are betting that today's knowledge is limited relative to what remains to be learned about the prevention of disease. Those who administer programs, give primary care, and educate health professionals would benefit if they became fully sensitized to the world of research, and the planning of research would be invigorated by the perceptions of administrators and practitioners. The process of translation depends on the information function, and this function is as important as research and delivery. The schools and the media have created a public interested in science and medicine, but persuading people to change lifestyles is relatively unexplored territory. More knowledge in this area would help to decrease, for example, the number of smokers in the population and the number of accidents on the highways and in the workplace.
实现变革的两个重要问题是生物医学和行为研究进展如何被看待和应用,以及“转化”问题——即研究结果如何付诸实践。联邦政府资助的研究动力得以持续,因为我们坚信,相对于预防疾病方面有待了解的知识而言,当今的知识是有限的。如果负责项目管理、提供初级护理以及培训卫生专业人员的人员能充分了解研究领域,他们将从中受益;而管理人员和从业者的认知也会为研究规划注入活力。转化过程依赖于信息功能,这一功能与研究和服务同等重要。学校和媒体培养了公众对科学和医学的兴趣,但说服人们改变生活方式相对而言仍是未被充分探索的领域。在这一领域获取更多知识将有助于减少例如人群中的吸烟人数以及公路和工作场所的事故数量。