Public health in the emergency department: overcoming barriers to implementation and dissemination.
Public health in the emergency department: overcoming barriers to implementation and dissemination.
复制标题
急诊科的公共卫生：克服实施和传播的障碍。
DOI：
10.1111/j.1553-2712.2009.00547.x
复制
发表时间：
2009-11
期刊：
影响因子：
--
通讯作者：
Rhodes K
中科院分区：
文献类型：
--
作者：
McKay MP;Vaca FE;Field C;Rhodes K
本文是 2009 年急诊医学学术共识会议“急诊科的公共卫生：监测、筛查和干预”召开的题为“克服实施和传播障碍”的共识建设研讨会的成果。参与者被要求探讨克服在急诊科 (ED) 传播和实施循证实践以改善公共卫生的障碍的潜在方法。小组讨论了三个广泛的兴趣领域，包括传播循证实践的方法、实施过程中遇到的障碍以及参与教育部以外活动（包括参与政策制定和改进）的重要性。会议对四项建议进行了详细讨论并达成共识。这些建议包括：1）当基于急诊科的公共卫生干预措施有足够的证据支持纳入紧急护理的常规实践时，研究人员和倡导者应通过同行评审出版物之外的多个论坛传播研究结果； 2) 在实施之前，应从多个角度认识并充分理解当地实施公共卫生干预措施的障碍； 3）创新必须根据当地的制度背景和文化障碍进行落实和调整，克服这些障碍的最佳方法因机构而异； 4) 在教育部之外使用立法、法规和激励措施应支持和加强基于教育部的干预措施。对于每个感兴趣的领域，讨论了研究维度，以扩展目前对在急诊室有效和高效实施循证公共卫生干预措施的理解，并达成共识。
This article is the outcome of a consensus building workshop entitled, “Overcoming Barriers to Implementation and Dissemination” convened at the 2009 Academic Emergency Medicine Consensus Conference, “Public Health in the ED: Surveillance, Screening, and Intervention.” The participants were asked to address potential methods for overcoming barriers to the dissemination and implementation in the emergency department (ED) of evidenced-based practices to improve public health. The panel discussed three broad areas of interest including methods for disseminating evidence-based practices, barriers encountered during the process of implementation, and the importance of involvement in activities outside the ED including engagement in policy development and improvement. Four recommendations were discussed in detail and consensus was reached. The recommendations included 1) researchers and advocates should disseminate findings through multiple forums beyond peer-reviewed publications when an ED-based public health intervention has enough evidence to support integration into the routine practice of emergency care; 2) local barriers to implementation of public health interventions should be recognized and well understood from multiple perspectives prior to implementation; 3) innovation must be put into place and adapted based on local institutional context and culture as barriers and the best methods for overcoming them will vary across institutions; and 4) use of legislation, regulation, and incentives outside of the ED should support and strengthen ED-based interventions. For each area of interest, research dimensions to extend the current understanding of methods for effectively and efficiently implementing evidence-based public health interventions in the ED were discussed and consensus was achieved.
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DOI：
10.1503/cmaj.081316
发表时间：
2009-05-26
期刊：
CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
影响因子：
--
作者：
Glazier, Richard H;Klein-Geltink, Julie;Sibley, Lyn M
通讯作者：
Sibley, Lyn M
影响因子：
3.9
作者：
Simpson, DD
通讯作者：
Simpson, DD
影响因子：
158.5
作者：
BRACKEN, MB;SHEPARD, MJ;WINN, HR
通讯作者：
WINN, HR
影响因子：
2.5
作者：
Denis, JL;Hébert, Y;Trottier, LH
通讯作者：
Trottier, LH
影响因子：
4.9
作者：
Larson, Elaine L.;Quiros, Dave;Lin, Susan X.
通讯作者：
Lin, Susan X.