Research Project: Implementation Science and Health Services Core

项目摘要/摘要--实施科学和卫生系统(IS/HS) 堆芯 实施科学与卫生系统(IS/HS)核心推进科学使命 通过向科学家提供技能和专业知识来进行研究，从而为 经过验证的有效干预措施，可在不同环境中进行扩展。现在的艾滋病毒干预科学 包括一个强大的工具包，包括主要和次要的生物医学方法 预防、有效的行为战略和干预措施，以解决社会结构性问题 预防和护理方面的障碍。不幸的是，许多有效的干预措施尚未奏效。 充分发挥其潜力，因为在满足弱势群体的复杂需求方面面临挑战 经历交叉和共生的健康和社会状况的社区，以及 在提供卫生服务的环境中，干预措施与常规做法的结合不充分 系统。IS/HS核心将在#年艾滋病预防研究中心内建设能力 应用实施框架、设计和战略，将干预措施和 将服务整合到传统和非传统设置中，以确保 最需要帮助的人群。核心反映了我们的信念，即实现最佳和公平 艾滋病毒服务的提供需要研究技能，利用实施和 传播理论，流利地在不同的卫生系统内工作，并致力于 解决交叉和共生的健康和社会状况。为此，IS/HS核心 采取生态和系统层面的视角，重点关注所服务人口的背景， 医疗保健提供环境，以及能够影响应对措施的利益相关者。我们的工作将是 以三个目标为指导：(1)激发严谨研究，优化干预 通过注重实施理论和干预实施来实施 战略、适应和改进；(2)促进综合干预措施方面的专门知识 通过努力支持项目整合，在不同的健康提供环境中， 衡量和数据整合；以及(3)建设能力，以维持在不同领域的干预措施 通过支持研究政策背景、卫生环境外的伙伴关系以及 促进团队科学。IS/HS核心将促进CAPS的目标和核心目标 通过研讨会、同行评议、协商、转介和市政厅解决关键问题 研究课题。在这一基本的产品组合中，核心将增加新的方法， 包括技能建设研讨会、多学科研讨会、会议和不断增长的 加州大学旧金山分校、卫生系统和社区的多学科协作者网络 经纪公司。

PROJECT SUMMARY/ABSTRACT - Implementation Science and Health Systems (IS/HS) Core The Implementation Science and Health Systems (IS/HS) Core advances the scientific mission of CAPS by equipping scientists with the skills and expertise to conduct research that brings proven-effective interventions to scale in diverse settings. HIV intervention science now includes a robust toolkit, including biomedical approaches for primary and secondary prevention, effective behavioral strategies, and interventions to address social-structural barriers to prevention and care. Unfortunately, many efficacious interventions have not yet attained their full potential, owing to challenges in meeting the complex needs of vulnerable communities who experience intersecting and co-occurring health and social conditions and to inadequate integration of interventions into routine practice across health delivery settings and systems. The IS/HS Core will build capacity within the Center for AIDS Prevention Studies in applying implementation frameworks, designs, and strategies to integrate interventions and services into both traditional and nontraditional settings to ensure service access for the populations most in need. The Core reflects our belief that achieving optimal and equitable delivery of HIV services requires research skills that draw on implementation and dissemination theories, fluency in working within diverse health systems, and a commitment to address intersecting and co-occurring health and social conditions. To do so, the IS/HS Core takes an ecological and systems-level lens, focusing on the context of the populations served, health care delivery settings, and stakeholders who can shape responses. Our work will be guided by three aims: (1) to stimulate rigorous research to optimize intervention implementation through a focus on implementation theory and intervention implementation strategies, adaptation, and refinement; (2) to promote expertise in integrating interventions within diverse health delivery settings through work to support program integration, measurement, and data integration; and (3) to build capacity to sustain interventions in diverse contexts via support for studying policy contexts, partnerships outside of health settings, and promoting team science. The IS/HS Core will promote CAPS' objectives and the Core aims through seminars, peer review, consultations, referrals, and town halls addressing critical research topics. To this foundational mix of offerings, the Core will add novel approaches, including skills-building workshops, multidisciplinary symposia, conferences, and growing a multidisciplinary network of collaborators across UCSF, health systems, and community agencies.