十年的实施成果研究:一个范围审查
Enola K Proctor1, Alicia C Bunger2, Rebecca Lengnick-Hall3
1The Brown School, Shanti Khinduka Distinguished Professor Emerita, Washington University in St. Louis, St. Louis, USA. ekp@wustl.edu.
Implementation science : IS
|July 25, 2023
概括
本综述绘制了自2011年以来实施成果研究的进展情况. 虽然可接受性和忠实性是常见的,但缺乏关于可持续性和战略影响的研究,这阻碍了实施成功.
科学领域:
- 实施科学 实施科学
- 医疗保健服务研究 医疗服务研究
- 组织行为 组织行为
背景情况:
- 2011年的一篇论文提出了八个实施成果和一个研究议程.
- 本研究评估了过去十年实施成果研究的进展情况.
- 它检查了研究结果的方法,包括设计,方法和背景.
研究的目的:
- 为了绘制实施成果研究的进展情况.
- 确定如何研究八个拟议实施结果中的每一个.
- 描述研究设计,方法,背景,以及研究结果与策略相关的作用.
主要方法:
- 一个由Arksey和O'Malley的框架指导的范围审查.
- 2011年"科学网络"杂志上的一篇论文的前引文追踪.
- 包括400份经验性评估至少一个实施结果的手稿.
主要成果:
- 接受度 (52.1%),忠实度 (39.3%) 和可行性 (38.6%) 是最常被研究的.
- 透率 (16.0%) 和可持续性 (15.8%) 的研究较少.
- 关于实施策略与结果,或结果与更广泛的健康影响之间的关系的证据有限.
结论:
- 该领域在研究一些实施结果方面取得了进展,但仍存在差距.
- 需要对实施策略及其影响进行更严格的研究.
- 未来的研究应该专注于实现实施成果,以改善卫生和服务系统.
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