The role of economic evaluation in dissemination and implementation research
The role of economic evaluation in dissemination and implementation research
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经济评价在传播和实施研究中的作用
DOI：
--
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发表时间：
2012
期刊：
影响因子：
--
通讯作者：
R. Raghavan
中科院分区：
文献类型：
--
作者：
R. Raghavan
在过去的几十年里，由于对干预研究的大量投资，在卫生和公共卫生环境中开发了许多新的和非常有效的干预措施。不幸的是，干预措施发展方面的这些进步并没有伴随着它们传播到现实世界的社区环境。在一些与健康有关的学科中，干预科学所支持的理想与社区环境中的临床实践所体现的实际之间存在相当大的差距。这种滞后导致了一个州，医学研究所估计，只有10至2796人接受符合科学原则的护理，据报道，将临床研究的进展纳入日常实践需要17年。弥合科学与实践之间的差距是传播与实施（D&I）研究的主要目标，前者关注的是增加目标人群对循证干预措施的广泛使用，后者关注的是将循证干预措施纳入特定服务环境，如学校或工作场所（请参阅术语表了解这些术语的更正式定义）。D&I研究的重点是干预措施可以传播到目标受众或被目标受众采用的过程或战略。在实施科学领域，对这些过程的研究更加发达，有几种不同的实施策略，旨在系统化提供者环境中的干预措施。D &I研究的目标受众面临的挑战，无论是临床医生还是提供者组织，都是许多这些过程和策略非常复杂，因此部署起来可能非常昂贵。社区中的大多数保健和公共保健机构无法获得研究资金，目前的偿还机制不包括传播和实施干预措施的费用。由于这些原因，需要对D&I过程和战略进行经济分析，系统地研究一个战略或一组竞争战略实现的结果，以及实现这些结果的成本。例如，一旦提供者组织知道实施干预需要花费多少钱，以及花费这些钱的回报可能是什么，它就可以做出明智的决定，决定是否参与这种“经济评估在传播和实施研究中的作用”。
Over the past several decades, many new and highly efficacious interventions have been developed in health and public health settings thanks to considerable invest ments in intervention research. Unfortunately, these advances in the development of interventions have not been accompanied by their spread to real-world, community settings. In several health-related disciplines, there is a considerable lag between the ideal, espoused by the science of interventions, and the actual, exemplified by clinical practice in community settings. This lag has led to a state where the Institute of Medicine estimates that only between 10 and 2796 of individuals are receiving care consistent with scientific principles, l and where it reportedly takes 17 years to incorporate advances in clinical research into everyday practice. Bridging this gap between science and practice is a principal goal of dissemina tion and implementation (D&I) research, the former being concerned with increas ing the use of evidence-based interventions widely by a target population, and the latter being concerned with the integration of evidence-based interventions within particular service settings such as schools or worksites (please see the Glossary for more formal definitions of these terms). D&I research focuses on processes or strategies by which interventions can be spread to, or adopted by, target audiences. In the field of implementation science, where the study of these processes is more developed, there are several distinct implementation strategies, which are designed to systematize the uptake ofan intervention in a provider setting. The challenge fqr the target audience ofD&I research, whether a population of clinicians or a provider organization, is that many of these processes and strategies are highly complex endeavors and, consequently, are likely to be very expensive to deploy. Most health and public health settings in the community do not have access to research funds, and current reimbursement mechanisms do not cover the costs of disseminating and implementing interventions. For these reasons, an economic analysis of D&I processes and strategies is required, one that systematically examines what outcomes a strategy-or a set of competing strategiesachieves, and the costs ofachieving those outcomes. Once a provider organization knows how much it will cost them to implement an interven tion, for example, and what the returns are likely to be of spending those dollars, it can then take an informed decision regarding whether or not to participate in such 'The Role of Economic Evaluation in Dissemination and Implementation Research _ 9S
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评估学校心理健康服务的成本。
DOI：
10.1111/j.1746-1561.2001.tb07317.x
发表时间：
2001
期刊：
The Journal of school health
影响因子：
--
作者：
Nabors,LA;Leff,SS;Mettrick,JE
通讯作者：
Mettrick,JE
按年龄组划分的精神分裂症的治疗费用和社区心理健康服务的使用情况。
DOI：
10.1176/ajp.153.7.870
发表时间：
1996
期刊：
The American journal of psychiatry.
影响因子：
--
作者：
Cuffel,BJ;Jeste,DV;Halpain,M;Pratt,C;Tarke,H;Patterson,TL
通讯作者：
Patterson,TL
抑郁症、医疗服务的使用和成本抵消效应。
影响因子：
4.7
作者：
Simon,GE;Katzelnick,DJ
通讯作者：
Katzelnick,DJ
在儿童福利绩效衡量中使用风险调整方法：来自健康和心理健康环境的应用和见解。
影响因子：
3.3
作者：
Raghavan,Ramesh
通讯作者：
Raghavan,Ramesh