A Conference to Advance the State of the Science and Practice on Scale-up and Spr

描述（由申请人提供）：虽然医疗保健和公共卫生经常产生强大的新创新和干预措施，以改善患者的结果和人口健康，但它们往往无法有效和系统地传播更好的实践。传播有效卫生方案的战略（例如，在国家或国际一级的出版、介绍、培训）不足以引起和维持大规模的行为改变。因此，病人和公众不能从减少痛苦和延长生命的干预措施中受益。在过去十年中，一个不断壮大的小团体日益扩大了关于医疗保健和公共卫生如何才能最好地引入和推广更好的做法的研究，但它尚未全面审查其知识，编目最有效的变革方法，确定目前的知识差距，并为未来的研究，政策和实践活动制定议程。因此，我们提议召开一次小型会议，力求：审查与扩大和推广卫生保健和公共卫生领域有效做法有关的现有知识和现行做法;确定在扩大和推广卫生保健和公共卫生领域有效做法的研究、政策和做法方面的主要挑战和差距;制定和分发一份详细的议程，概述今后五至七年有关这些专题的重要研究、政策和实践举措;开展具体活动，实施一项行动计划，将研究、政策和实践活动列为优先事项，并启动强有力的示范，在区域、国家和国际各级扩大保健和公共卫生的规模。如果会议取得成功，将为研究人员、从业人员和捐助者提供持久的指导，指导他们如何传播更好的做法和在改进传播方面取得进一步进展，包括为各个实施系统、网络和政策机构制定蓝图，以便在各州和各国更有效地传播有效的做法。最终，它应该刺激医疗保健和公共卫生创新的规模扩大到成千上万的个人和家庭-其产出将与各种条件，临床环境和社区相关。我们将于2010年6月下旬在波士顿召集100名代表美国和非美国政府机构、学术界、慈善事业和服务提供的专家，以实现我们的目标。这次会议由一个规划委员会指导，将仿照退伍军人健康管理局“最先进”（SOTA）会议的形式，设立五个小组委员会，负责回答关键问题和制定未来的全面议程。会议将需要密集的准备工作（例如，委托论文、文献综述、小组委员会、与会者前期工作），并将产生几个重要的产品（例如，同行评审的论文、会议记录、未来研究的议程和向政府机构、捐助者、卫生保健提供组织、网络社区传播的行动），这将引发有效做法的行动和有效传播。 公共卫生相关性：本次会议将产生适用于不同条件，护理环境和社区的知识和指导。其基本目标是编制一份详细的目录，介绍在不同组织和广大人口中推广有效干预措施的见解和最佳做法（应广泛应用），并制定一项研究、政策和做法议程，以促进今后更广泛、更迅速地推广和传播良好做法。

DESCRIPTION (provided by applicant): While health care and public health regularly generate powerful new innovations and interventions to improve patient outcomes and population health, they often fail to effectively and systematically spread better practice. Strategies for disseminating effective health programs (e.g., publishing, presenting, training) at the national- or international-level are insufficient to instigate and sustain behavior change at scale. As a result, patients and public do not benefit from interventions that can reduce suffering and lengthen their lives. In the last ten years, a small, growing group has increasingly expanded the study of how health care and public health can best introduce and scale-up better practices, but it has yet to comprehensively review its knowledge, catalogue the most effective approaches to change, identify current gaps in knowledge and establish an agenda for future research, policy and practice activity. As such, we propose a small conference that will seek to: review existing knowledge and current practices related to the scale-up and spread of effective practice in health care and public health; identify key challenges and gaps in research, policy and practice on scale-up and spread in health care and public health; develop and disseminate a detailed agenda outlining critical research, policy and practice initiatives on these topics for the next five to seven years; and launch specific activities to operationalize a plan of action to prioritize research, policy and practice activity and initiate powerful demonstrations of regional, national and international scale up in health care and public health. If successful, the meeting should yield durable guidance for researchers, practitioners and donors regarding strategies for spreading better practice and for furthering progress in improving spread, including blueprints for individual delivery systems, networks and policy bodies to more effectively spread effective practices across states and nations. Ultimately, it should stimulate the scale up of innovations in health care and public health to thousands of individuals and families - its output will be relevant across conditions, clinical settings and communities. We will achieve our aims by bringing together 100 experts representing US and non-US institutions in government, academia, and philanthropy and service delivery in Boston in late June 2010. This meeting, guided by a planning committee, will be modeled on the form of a Veterans Health Administration "state-of-the-art" (SOTA) conference, which will set five subcommittees to the work of answering key questions and developing a comprehensive agenda for the future. The meeting will require intensive preparation (e.g., commissioned papers, literature reviews, subcommittees, attendee pre-work) and will generate several important products (e.g., peer- reviewed papers, meeting proceedings, an agenda for future research and action for dissemination to government agencies, donors, health care delivery organizations, web-based communities) that will trigger action and effective spread of efficacious practice. PUBLIC HEALTH RELEVANCE: This meeting will generate knowledge and guidance applicable to diverse conditions, care settings and communities. Its fundamental goals are to develop a detailed catalogue insights and best practices in spreading effective interventions across diverse organizations and large populations (which should be broadly applied) and to build an agenda for research, policy and practice that will facilitate broader and more rapid scale-up and spread of sound practice in the future.