SUSTAINABILITY OF EVIDENCE-BASED HEALTHCARE: THE CONCEPTUAL AND METHODOLOGICAL AG

循证医疗保健的可持续性：AG 的概念和方法

• 批准号: 8207093
• 负责人: ENOLA K PROCTOR
• 金额: $ 4.83万
• 依托单位: WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-05-01 至 2012-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8207093
• 关键词: SUSTAINABILITY; EVIDENCE; BASED; HEALTHCARE; CONCEPTUAL

DESCRIPTION (provided by applicant): This small conference grant proposal addresses one of the most significant translational research problems of our time: in spite of rapid advances in evidence-based medicine, we know very little about how well or under what conditions healthcare innovations are sustained once they are put into practice. Building on recommendations from a 2010 AHRQ-supported conference on scale up and spread, we propose a working meeting to coalesce public policy leaders, donors, practitioners, and researchers around the topic of "sustaining the gains". We will present real-world examples of sustainability successes and failures, prevailing conceptual and methodological approaches, and empirical findings regarding the sustainability of evidence-based healthcare. This small conference grant application pursues three aims: 1. To capture the state of the field by identifying key conceptual and methodological work on the sustainability of evidence-based healthcare; 2. To convene an intensive working meeting of thought leaders and stakeholders with a shared investment in the sustainability of effective healthcare practices; and 3. To produce and disseminate a detailed agenda for studying sustainability, including recommendations for research and policy and practice action plans to build the evidence-base for sustaining effective healthcare innovations. These products can be used to inform and help shape empirical study of sustainability around a variety of health care interventions. This work will also inform future policy, practice, training of health services researchers, and formation of collaborative relationships between researchers and communities. Specific conference outcomes include a clear picture of existing evidence about how often and under what conditions evidence-based healthcare is sustained in usual care, following its implementation or experimental trial; a critical assessment of prevailing research methods used to study sustainability; and a set of specific recommendations for a research agenda to help build an empirical base around four key methodological challenges in sustainability research. Conference products will be disseminated through the NIH conference on the science of dissemination and implementation, through implementation science training networks, to federal program staff of funding agencies and CMS, and through networks of key health and public health policy and practice leaders. PUBLIC HEALTH RELEVANCE: Project Narrative Billions of U.S. tax dollars are spent each year on research and hundreds of billions are spent on service delivery programs, but we know very little about how to sustain healthcare innovations once they are implemented. This conference will produce an agenda for empirical study of sustainability, which in turn will lead to a solid understanding of how to sustain high quality healthcare.

描述（由申请人提供）：这个小型会议资助提案解决了我们这个时代最重要的转化研究问题之一：尽管循证医学取得了迅速进展，但我们对医疗创新投入实践后的持续性知之甚少。根据2010年人权高专办支持的关于扩大和传播的会议的建议，我们提议召开一次工作会议，围绕“维持成果”这一主题，将公共政策领导人、捐助者、从业人员和研究人员联合起来。我们将介绍可持续发展的成功和失败的现实世界的例子，流行的概念和方法，以及关于循证医疗的可持续性的实证研究结果。这个小型会议补助金申请追求三个目标：1。通过确定关于循证医疗可持续性的关键概念和方法学工作来捕获该领域的状态; 2.召开思想领袖和利益相关者的密集工作会议，共同投资于有效医疗保健实践的可持续性; 3.制定和传播研究可持续性的详细议程，包括研究和政策建议以及实践行动计划，以建立维持有效医疗创新的证据基础。这些产品可用于为各种医疗保健干预措施的可持续性实证研究提供信息和帮助。这项工作还将为未来的政策、实践、卫生服务研究人员的培训以及研究人员与社区之间合作关系的形成提供信息。具体的会议成果包括一个清晰的现有证据的频率和在什么条件下循证医疗保健是持续在日常护理，其实施或实验性试验后;用于研究可持续性的流行研究方法的批判性评估;和一组具体的建议，为研究议程，以帮助建立一个经验基础，围绕四个关键的方法学挑战，在可持续性研究。会议产品将通过NIH关于传播和实施科学的会议，通过实施科学培训网络，向资助机构和CMS的联邦计划工作人员，并通过关键卫生和公共卫生政策和实践领导者网络进行传播。 公共卫生关系：美国每年有数十亿美元的税收用于研究，数千亿美元用于服务提供计划，但我们对医疗创新实施后如何维持医疗创新知之甚少。本次会议将产生一个议程，可持续性的实证研究，这反过来将导致如何维持高质量的医疗保健的坚实的理解。