Implementation: The Missing Link between Research and Practice. Implementation Brief. Number 1.

Implementation: The Missing Link between Research and Practice. Implementation Brief. Number 1.
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实施:研究与实践之间缺失的环节。

DOI:
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发表时间:
2007
期刊:
影响因子:
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通讯作者:
Karen A. Blase
Karen A. Blase
中科院分区:
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文献类型:
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作者:
D. Fixsen;Karen A. Blase

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实施情况:研究与实践之间缺失的环节关于振兴国家基础设施的必要性,有很多讨论。新建道路、桥梁、学校和公共建筑需要使用最新的绿色技术。目前的基础设施需要维修和改造。这份简报表明,我们的人类服务基础设施的有效实施需要类似的投资,以便有效的方案和做法可以被广泛采用,并用于产生社会重大成果。在美国,联邦政府每年花费超过950亿美元资助研究,以帮助创造新的干预措施,每年花费超过1.6万亿美元支持向公民提供服务(Clancy,2006)。然而,研究成果没有得到足够的数量和质量来影响人类服务,也没有为消费者和社区带来预期的好处。例如,医学研究所(2001年)发现,人类服务通常是不一致的,往往是无效的,有时对消费者有害。这些结论得到了卫生局局长(美国卫生与公众服务部,1999年; 2001年)和总统精神卫生新自由委员会(2003年)的回应。未能利用研究在很大程度上是由于执行基础设施有缺陷或根本不存在。当前的实施尝试没有利用与实践、服务和系统更改相关的最佳实施科学。有太多薄弱的桥梁无处可去,太多充满希望,但有缺陷,思考科学将如何服务。
Implementation: The Missing Link Between Research and Practice There is a great deal of discussion about the need to revitalize the nation’s infrastructure. New roads, bridges, schools, and public buildings need to be built using the latest in green technology. Current infrastructure needs to be repaired and retrofitted. This brief makes the case that our human services infrastructure for effective implementation requires a similar investment so that effective programs and practices can be widely adopted and used to produce socially significant outcomes. In the United States, the federal government spends over $95 billion a year to fund research to help create new interventions and over $1.6 trillion a year to support services to citizens (Clancy, 2006). However, research results are not being used with sufficient quantity and quality to impact human services and have not provided the intended benefits to consumers and communities. For example, the Institute of Medicine (2001) found that human services typically are inconsistent, often ineffective, and sometimes harmful to consumers. These conclusions were echoed in reviews by the Surgeon General (U.S. Department of Health and Human Services, 1999; 2001) and the President’s New Freedom Commission on Mental Health (2003). The failure to utilize research rests in large part on a faulty or non-existent implementation infrastructure. Current implementation attempts are not making use of the best implementation science related to practice, service, and system change. There are too many weak bridges to nowhere and too much hopeful, but faulty, thinking about how science will move to service.
自信的外展模式的变化。
DOI: 10.1002/yd.23319915207
发表时间: 1991
期刊: New directions for mental health services
影响因子: --
作者:
Bond,GR
通讯作者: Bond,GR