Enhancing the Impact of Implementation Strategies in Healthcare: A Research Agenda
Enhancing the Impact of Implementation Strategies in Healthcare: A Research Agenda
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DOI：
10.3389/fpubh.2019.00003
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发表时间：
2019-01-22
影响因子：
5.2
通讯作者：
Weiner, Bryan J.
中科院分区：
文献类型：
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作者：
Powell, Byron J.;Fernandez, Maria E.;Weiner, Bryan J.
发展执行科学领域是为了更好地了解促进或阻碍执行的因素，并为执行战略提供证据。在这篇文章中，我们简要回顾了实施科学的进展，并提出了五个优先事项，以提高实施战略的影响。具体而言，我们建议有必要：（1）加强设计和定制实施战略的方法;（2）明确和测试变革机制;（3）对离散的、多方面的和定制的实施战略进行更多的有效性研究;（4）增加对实施战略的经济评估;（5）改进对实施战略的跟踪和报告。我们相信，追求这些优先事项将通过帮助我们了解何时、何地、为什么以及如何实施战略来提高实施效率和随后的健康结果，从而推进实施科学。
The field of implementation science was developed to better understand the factors that facilitate or impede implementation and generate evidence for implementation strategies. In this article, we briefly review progress in implementation science, and suggest five priorities for enhancing the impact of implementation strategies. Specifically, we suggest the need to: (1) enhance methods for designing and tailoring implementation strategies; (2) specify and test mechanisms of change; (3) conduct more effectiveness research on discrete, multi-faceted, and tailored implementation strategies; (4) increase economic evaluations of implementation strategies; and (5) improve the tracking and reporting of implementation strategies. We believe that pursuing these priorities will advance implementation science by helping us to understand when, where, why, and how implementation strategies improve implementation effectiveness and subsequent health outcomes.