实施科学:医疗保健创新生态系统中一个关键但被低估的部分

Sze Ling Chan, Elaine Lum, Marcus E. H. Ong, Nicholas Graves
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引用次数: 0

摘要

卫生保健系统面临着许多相互竞争的需求和资源不足。提高效率的服务创新对于应对这一挑战至关重要。创新可以包括新的药物、替代的护理模式、新设备和其他技术的使用。次优实现可能意味着失去好处。这篇综述文章旨在强调实施科学的作用,总结设置如何利用这种方法来促进创新转化为实践,并描述我们自己在新加坡学术医疗中心嵌入实施科学的经验。实施科学提供了一系列方法来促进系统地吸收有关创新的研究成果,并作为卫生服务研究人员的一门重要学科在世界范围内得到认可。世界各地的卫生系统都试图通过建立(1)专门的中心/项目,(2)提供资金,以及(3)在工作人员中建立知识和能力来促进实施研究。实施科学是“从证据到创新”这一转化途径的关键部分。我们所描述的三项努力应该得到加强,以将实施科学融入全球的创新生态系统。
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Implementation science: A critical but undervalued part of the healthcare innovation ecosystem

Healthcare systems face many competing demands and insufficient resources. Service innovations to improve efficiency are important to address this challenge. Innovations can range from new pharmaceuticals, alternate models of care, novel devices, and the use other technologies. Suboptimal implementation can mean lost benefits. This review article aims to highlight the role of implementation science, summarize how settings have leveraged this methodology to promote translation of innovation into practice, and describe our own experience of embedding implementation science into an academic medical center in Singapore. Implementation science offers a range of methods to promote systematic uptake of research findings about innovations and is gaining recognition worldwide as an important discipline for health services researchers. Health systems around the world have tried to promote implementation research in their settings by establishing (1) dedicated centers/programs, (2) offering funding, and (3) building knowledge and capacity among staff. Implementation science is a critical piece in the translational pathway of “evidence to innovation.” The three efforts we describe should be strengthened to integrate implementation science into the innovation ecosystem around the world.

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