Kernels vs. Ears, and Other Questions for a Science of Treatment Dissemination.
Kernels vs. Ears, and Other Questions for a Science of Treatment Dissemination.
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内核与耳朵,以及治疗传播科学的其他问题。
DOI:
10.1111/j.1468-2850.2010.01233.x
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发表时间:
2011
期刊:
影响因子:
--
通讯作者:
Rutt,Christopher
中科院分区:
文献类型:
--
作者:
Weisz,JohnR;Ugueto,AnaM;Herren,Jenny;Afienko,SaraR;Rutt,Christopher
Combining intervention diffusion with change in clinical practice and public policy is an ambitious agenda. The impressive effort in Hawaii can be instructive, highlighting questions for a science of treatment dissemination. Among these questions, some of the most important are the following:(a) Who should be targeted for change?(eg,“downstream” clinicians in practice,“upstream” clinicians in training, consumers,“brokers,” policy makers, or payers?);(b) What should be disseminated?(eg, full evidence-based protocols, specific treatment elements or “kernels”?); and (c) Which procedures maximize change?(eg, what combination and duration of teaching, supervision, consultation, and other support?). Ultimately, change efforts need to assess what aspects of practice were actually altered, what measurable impact the changes had on clinical outcomes, and what changes in practices and outcomes can be sustained over time.
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2008-05-01
影响因子:
13.3
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渡辺伸、田島宏康、深沢泰司、(17名)、中澤知洋、牧島一夫、内山秀樹;ほか;谷口 正信(編集委員長)
通讯作者:
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发表时间:
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--
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