Towards a general theory of implementation.

Towards a general theory of implementation.
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DOI:
10.1186/1748-5908-8-18
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发表时间:
2013-02-13
期刊:
Implementation science : IS
影响因子:
--
通讯作者:
May C
May C
中科院分区:
其他
文献类型:
--
作者:
May C

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了解和评估复杂干预措施在实践中的实施情况,对于医疗保健管理人员和政策制定者以及必须在正规临床环境之外实施干预措施的患者和其他人来说是一个重要问题。有人认为,这项工作应该建立在为理解、设计、预测和评估动态实施过程提供基础的理论基础上。这篇文章阐述了实施的一般理论的核心组成部分,建立在正常化过程理论的基础上,并将其与社会学和心理学最近工作中的关键概念联系起来。这些是由关于代理及其在社会制度和领域内的表达、社会和认知机制以及集体行动的想法提供信息的。这一方法统一了一些有争议的观点,使之能够更全面地解释实施和嵌入新的思维方式、颁布和组织实践的情况。
Understanding and evaluating the implementation of complex interventions in practice is an important problem for healthcare managers and policy makers, and for patients and others who must operationalize them beyond formal clinical settings. It has been argued that this work should be founded on theory that provides a foundation for understanding, designing, predicting, and evaluating dynamic implementation processes. This paper sets out core constituents of a general theory of implementation, building on Normalization Process Theory and linking it to key constructs from recent work in sociology and psychology. These are informed by ideas about agency and its expression within social systems and fields, social and cognitive mechanisms, and collective action. This approach unites a number of contending perspectives in a way that makes possible a more comprehensive explanation of the implementation and embedding of new ways of thinking, enacting and organizing practice.
DOI: 10.1016/0749-5978(91)90020-t
发表时间: 1991-12-01
影响因子: 4.6
作者:
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通讯作者: AJZEN, I
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发表时间: 2009-08-07
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影响因子: --
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