AcademyHealth 25th Annual Research Meeting Chair Address: From a Science of Recommendation to a Science of Implementation
AcademyHealth 25th Annual Research Meeting Chair Address: From a Science of Recommendation to a Science of Implementation
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DOI：
10.1111/j.1475-6773.2008.00936.x
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发表时间：
2009-02-01
影响因子：
3.4
通讯作者：
Alegria, Margarita
中科院分区：
文献类型：
--
作者：
Alegria, Margarita
The founders of AcademyHealth played a decisive role in advancing the health services field. Some, like Dr. Barbara McNeil, accomplished it through education and training of generations of health services researchers. Others, like Dr. Ron Andersen, achieved it through the development of theoretical models that resulted in a paradigm shift in how we conceptualize health services utilization. Still others, like Dr. Sam Shapiro, transformed the substantive nature of what we call health services research by linking structure and process to outcomes and asking questions such as,‘‘What effect does being in a high performing organization have on the outcomes of care?’’As we join to celebrate 25 years of AcademyHealth, I want to look forward toward the critical role our field will play in the next 25 years. My message is simple: We now need to move health services research from a science of recommendation to a science of implementation. We cannot wait any longer for others to implement our recommendations. Fifteen years ago, I reviewed the central problems in the field of mental health services research and identified unmet need for behavioral health services, lack of adherence to pharmacological therapies, inadequate retention in behavioral health care, and poor resource allocation of mental health providers as persistent problems requiring solutions. I found that, although there was a considerable knowledge base available to solve these problems and a substantial body of recommendations, we had no Randy Moss (an American football wide-receiver for the New England Patriots) at the other end to grab the recommendations and run with them. So, I asked myself, why? Why is there such an enormous gap between the recommendations about how to solve enduring problems and the imple-r Health Research and Educational Trust DOI: 10.1111/j. 1475-6773.2008. 00936. x
