A compilation of strategies for implementing clinical innovations in health and mental health.

A compilation of strategies for implementing clinical innovations in health and mental health.
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DOI:
10.1177/1077558711430690
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发表时间:
2012-04
期刊:
Medical care research and review : MCRR
影响因子:
--
通讯作者:
York JL
York JL
中科院分区:
其他
文献类型:
--
作者:
Powell BJ;McMillen JC;Proctor EK;Carpenter CR;Griffey RT;Bunger AC;Glass JE;York JL

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已优先努力确定、开发、完善和测试传播和实施循证治疗的战略,以提高卫生保健和精神卫生保健的提供质量。然而,这项任务因实施科学文献而变得复杂,这些文献的特点是语言使用不一致,对实施战略的描述不充分。本文在对1995至2011年间出版的205个资料来源进行审查的基础上,对不同的执行战略进行了综合汇编,从而使执行研究和实践更加深入和清晰。由此产生的汇编包括68项执行战略和定义,这些战略和定义按六个主要执行进程进行分组:规划、教育、筹资、结构调整、管理质量和关注政策背景。这一综合汇编可作为希望在健康和精神卫生保健领域实施临床创新的利益攸关方的参考,并可促进根据当地情况制定多方面、多层次的实施计划。
Efforts to identify, develop, refine, and test strategies to disseminate and implement evidence-based treatments have been prioritized in order to improve the quality of health and mental healthcare delivery. However, this task is complicated by an implementation science literature characterized by inconsistent language use and inadequate descriptions of implementation strategies. This article brings more depth and clarity to implementation research and practice by presenting a consolidated compilation of discrete implementation strategies, based upon a review of 205 sources published between 1995 and 2011. The resulting compilation includes 68 implementation strategies and definitions, which are grouped according to six key implementation processes: planning, educating, financing, restructuring, managing quality, and attending to the policy context. This consolidated compilation can serve as a reference to stakeholders who wish to implement clinical innovations in health and mental healthcare and can facilitate the development of multifaceted, multilevel implementation plans that are tailored to local contexts.
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