Translating research into improved outcomes in comprehensive cancer control
Translating research into improved outcomes in comprehensive cancer control
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DOI：
10.1007/s10552-005-0488-y
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发表时间：
2005-10-01
影响因子：
2.3
通讯作者：
Briss, P
中科院分区：
文献类型：
--
作者：
Kerner, JF;Guirguis-Blake, J;Briss, P
将综合癌症控制（CCC）计划付诸行动的一个关键问题是，从癌症预防和控制研究投资中获得的知识应在多大程度上影响国家、部落和地区在实施期间采取的行动？这种“应该”的基础是这样一种假设，即基于证据的方法（即经科学检验已产生改善结果的公共卫生或临床干预或政策）在现实环境中实施时，将增加改善结果的可能性。这篇文章阐明了在整个癌症控制连续体中整合科学与实践的障碍和机会。然而，鉴于CCC的范围和通过科学产生新知识的大量投资，任何一个机构都很难单独做出足够的投资，以确保新知识在国家、州或地方一级得到转化和实施。因此，如果对基于证据的干预措施的更大需求和用于采用这些干预措施的更多资源将支持本文所述的传播倡议，就必须发展新的机构间伙伴关系，以确保有足够的手段致力于将科学与服务结合起来。此外，为了增加这些合作的规模和频率，机构领导人必须清楚地表达他们对这些合作计划的支持，并明确承认那些成功的合作努力。通过这种方式，整体（在这种情况下，综合癌症控制）可以变得比其部分的总和更大。
A key question in moving comprehensive cancer control (CCC) plans into action is, to what extent should the knowledge gained from investments in cancer prevention and control research influence the actions taken by states, tribes, and territories during implementation? Underlying this 'should' is the assumption that evidence-based approaches (i.e., a public health or clinical intervention or policy that has resulted in improved outcomes when scientifically tested), when implemented in a real-world setting, will increase the likelihood of improved outcomes. This article elucidates the barriers and opportunities for integrating science with practice across the cancer control continuum. However, given the scope of CCC and the substantial investment in generating new knowledge through science, it is difficult for any one agency, on its own, to make a sufficient investment to ensure new knowledge is translated and implemented at a national, state, or local level. Thus, if greater demand for evidence-based interventions and increased resources for adopting them are going to support the dissemination initiatives described herein, new interagency partnerships must be developed to ensure that sufficient means are dedicated to integrating science with service. Furthermore, for these collaborations to increase both in size and in frequency, agency leaders must clearly articulate their support for these collaborative initiatives and explicitly recognize those collaborative efforts that are successful. In this way, the whole (in this context, comprehensive cancer control) can become greater than the sum of its parts.