Recommendations for strengthening the role of embedded researchers to accelerate implementation in health systems: Findings from a state-of-the-art (SOTA) conference workgroup.
Recommendations for strengthening the role of embedded researchers to accelerate implementation in health systems: Findings from a state-of-the-art (SOTA) conference workgroup.
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加强嵌入式研究人员的作用以加速在卫生系统中实施的建议：来自最新技术(SOTA)会议工作组的发现。
DOI：
10.1016/j.hjdsi.2020.100455
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发表时间：
2021-06
期刊：
影响因子：
--
通讯作者：
Helfrichfcr CD
中科院分区：
文献类型：
--
作者：
Damschroder LJ;Knighton AJ;Griese E;Greene SM;Lozano P;Kilbourne AM;Buist DSM;Crotty K;Elwy AR;Fleisher LA;Gonzales R;Huebschmann AG;Limper HM;Ramalingam NS;Wilemon K;Ho PM;Helfrichfcr CD
传统的研究方法不能促进循证创新（ebi）的及时实施，从而使患者受益。将研究纳入卫生系统可以通过将严谨的方法与现实环境中的实际考虑相结合，加速EBI的实施。2019年2月召开了一次最先进的（SOTA）会议，有五个工作组讨论了嵌入式研究的五个方面及其对医疗保健的影响。本文报告了工作组的结果，重点关注如何将嵌入式研究项目实施到卫生系统中以产生最大影响。根据会前调查，表示对加速实施感兴趣的参与者被邀请参加SOTA工作组。工作组参与者（N = 26）采用建立共识的方法提出建议。想法按主题分组，并通过投票确定最佳建议。向SOTA全体成员提交了一份摘要。会议结束后，工作组协调员（LJD， CDH， NR）总结了工作组的发现，与工作组成员进行了成员检查，并用于制定建议。工作组提出了12项建议，以优化嵌入式研究人员在卫生系统内的影响。该小组强调了“ROI与R01”目标之间的紧张关系——卫生系统专注于实现投资回报（ROI），而嵌入式研究人员专注于获得研究资金（RO1）。建议针对三个关键利益相关者群体：研究人员、资助者和卫生系统。对于支持最优嵌入式研究的理想基础的共识是：(1)最大化学习；(2)协调所有三个利益相关者的目标；(3)持续、及时地实施ebi。通过展示关键的嵌入式研究价值，使与学术分支机构的合作能够产生可操作的知识，并有意义地加速ebi的实施，从而使患者受益，四个案例说明了嵌入式研究可以在系统内构建和实施的各种方式。含义：嵌入式研究方法具有改变卫生系统和影响患者健康的潜力。加速嵌入式研究应该是资助机构的重点优先事项，以最大限度地提高集体投资回报。
Traditional research approaches do not promote timely implementation of evidence-based innovations (EBIs) to benefit patients. Embedding research within health systems can accelerate EBI implementation by blending rigorous methods with practical considerations in real-world settings. A state-of-the-art (SOTA) conference was convened in February 2019 with five workgroups that addressed five facets of embedded research and its potential to impact healthcare. This article reports on results from the workgroup focused on how embedded research programs can be implemented into heath systems for greatest impact. Based on a pre-conference survey, participants indicating interest in accelerating implementation were invited to participate in the SOTA workgroup. Workgroup participants (N = 26) developed recommendations using consensus-building methods. Ideas were grouped by thematic clusters and voted on to identify top recommendations. A summary was presented to the full SOTA membership. Following the conference, the workgroup facilitators (LJD, CDH, NR) summarized workgroup findings, member-checked with workgroup members, and were used to develop recommendations. The workgroup developed 12 recommendations to optimize impact of embedded researchers within health systems. The group highlighted the tension between “ROI vs. R01” goals—where health systems focus on achieving return on their investments (ROI) while embedded researchers focus on obtaining research funding (RO1). Recommendations are targeted to three key stakeholder groups: researchers, funders, and health systems. Consensus for an ideal foundation to support optimal embedded research is one that (1) maximizes learning; (2) aligns goals across all 3 stakeholders; and (3) implements EBIs in a consistent and timely fashion. Four cases illustrate a variety of ways that embedded research can be structured and conducted within systems, by demonstrating key embedded research values to enable collaborations with academic affiliates to generate actionable knowledge and meaningfully accelerate implementation of EBIs to benefit patients. Implications: Embedded research approaches have potential for transforming health systems and impacting patient health. Accelerating embedded research should be a focused priority for funding agencies to maximize a collective return on investment.
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影响因子：
1.4
作者：
Baron, Andrea N.;Hemler, Jennifer R.;Cohen, Deborah J.
通讯作者：
Cohen, Deborah J.
影响因子：
2.5
作者：
Chukmaitov AS;Harless DW;Bazzoli GJ;Deng Y
通讯作者：
Deng Y
影响因子：
13.8
作者：
Doll, Jacob A.;Plomondon, Mary E.;Waldo, Stephen W.
通讯作者：
Waldo, Stephen W.
影响因子：
3
作者：
Kim, Dennie;Funk, Russell J.;Hollingsworth, John M.
通讯作者：
Hollingsworth, John M.
DOI：
10.1186/1748-5908-8-117
发表时间：
2013-10-02
期刊：
Implementation science : IS
影响因子：
--
作者：
Chambers DA;Glasgow RE;Stange KC
通讯作者：
Stange KC