Evidence to Impact: Accelerating Implementation of Aging Research

摘要 老年人的数量预计会增加，一般来说，他们的健康需求更复杂， 卫生保健系统和服务的挑战和机遇，以优化健康和福祉。而 对初级保健的需求和卫生服务的连续性随着年龄的变化而变化， 满足老年人需要的干预措施变得更加明显。然而， 即使有强有力的证据支持，将证据转化为实践既不是自动的，也不是容易的。是 据估计，只有14%的人口接受干预，即使17年后，疗效确定。 整合研究人员、临床医生、医疗保健管理人员和利益相关者的有针对性的活动包括 需要加快证据的采纳即使在采用证据的领域， 继续进行老龄化研究，以增加对大规模实施的关注（NIH阶段模型的第五阶段）。 利用NIA各中心之间的伙伴关系以及杜克和维克森林之间的密切合作 大学，我们提出了一个会议系列，以确定，解决问题和解决现实世界的障碍， 研究翻译在NIA中心之间创造协作和参与机会， 研究人员可以促进卫生系统采用新证据或已建立的干预措施， 干预规模有限。还需要强调执行或不执行 干预措施、政策和做法存在很大差异，使用不足或过度。我们的目标是（1）参与 研究人员确定并帮助传播针对医疗机构中老年人的干预措施， 维持或恢复尚未通过的独立性，或达到公平实施的规模; (2)探索创新和务实的策略，以优化新合作团队的实施;以及（3） 提供一个年度老龄化研究和医疗保健会议，交叉应用科学 实施、改进和学习卫生系统科学与卫生保健服务的方法 交付、付款和政策。我们对公平和多样性的承诺将有助于整合来自 不同的观点，带来新的能量和创造力，以克服知识，治疗 惰性和变化的过程。为了使会议更容易参加，这一系列会议将作为会前会议举行， 克劳德·D的会议。胡椒老年美国人独立中心（OAIC）协调中心 年度会议，并提供虚拟或电话远程参与的选项。我们的目标是 促进新的研究-临床-管理伙伴关系，加速证据的影响和进步 医疗保健公平-与NIA的几个战略方向一致，因为我们专注于实施（并 实施）干预措施，以改善老年人的健康、福祉和独立性， 健康差距。

ABSTRACT Expected increases in the number of older adults, in general with more complex health needs, creates both challenges and opportunities for health care systems and services to optimize health and well-being. While the demand on primary care and the continuum of health services changes with age, the need for evidence-based interventions that respond to the needs of older adults becomes even more apparent. However, the process of translating evidence to practice is neither automatic nor easy, even when supported by strong evidence. It is estimated that only 14% of a population receives an intervention even 17 years after efficacy is established. Targeted activities that integrate researchers, clinicians, healthcare administrators and stakeholders are needed to accelerate evidence adoption. Even among areas with evidence adoption, significant opportunities remain in aging research to increase attention to implementation at scale (Stage V of the NIH Stage Model). Leveraging a partnership across NIA centers and a strong collaboration between Duke and Wake Forest Universities, we are proposing a conference series to identify, problem solve and address real-world barriers to research translation. Generating collaboration and engagement opportunities across NIA centers and investigators could facilitate health system adoption of interventions with new evidence or established interventions with limited scale. Emphasis is also needed on implementation or de-implementation of interventions, policies and practices with wide disparities and under- or overuse. Our aims are to (1) engage researchers to identify and help disseminate interventions for older adults in health care settings with evidence to maintain or restore independence that have yet to be adopted or reach equitable implementation to scale; (2) explore innovative and pragmatic strategies to optimize implementation in new collaborative teams; and (3) provide an annual aging research and health care conference that intersects the application of scientific methodologies of implementation, improvement and learning health system sciences with health care service delivery, payment and policy. Our commitment to equity and diversity will help integrate individuals from different perspectives to bring renewed energy and creativity to overcome gaps in knowledge, therapeutic inertia, and processes for change. To improve accessibility of the meeting, this series will be held as a pre- conference to the Claude D. Pepper Older Americans Independence Centers (OAIC) Coordinating Center annual meeting and be facilitated with options for virtual or telephonic remote participation. Our goal—to stimulate new research-clinical-administrative partnerships that accelerate evidence to impact and advance healthcare equity—aligns with several of NIA’s strategic directions as we focus on implementation (and de- implementation) of interventions to improve older adults’ health, well-being and independence and reduce health disparities.