当部分大于整体时:理解机制如何可以推进实施研究的研究
Elvin H Geng1,2, Byron J Powell3,4, Charles W Goss5
1Department of Medicine, Division of Infectious Diseases, Washington University in St. Louis, St. Louis, USA. elvin.geng@wustl.edu.
在不同环境中对实施策略进行概括是具有挑战性的. 基于机制的方法,使用定向非循环图,有助于理解策略是如何工作的,并将其适应新环境,推进实施研究.
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
- 科学哲学的哲学科学哲学
背景情况:
- 环境对实施策略的有效性有很大影响.
- 在不同环境中对发现进行概括是实施研究的一个关键挑战.
- 需要新的概念方法来解决上下文异质性.
研究的目的:
- 概述一种基于机制的方法来概括实施策略的影响.
- 为了弥合战略效应和上下文影响之间的差距.
- 增强在不同环境中推断战略效应的能力.
主要方法:
- 借鉴现实主义的方法和珍珠的可输性框架.
- 使用定向非循环图来表示战略机制.
- 专注于总体效应的调解者,以了解上下文影响.
主要成果:
- 基于机制的方法为概括战略效应提供了一个框架.
- 了解机制可以评估背景对战略成果的影响.
- 这种方法可以确定用于跨上下文推断的必要信息.
结论:
- 机制对于同时考虑上下文和概括发现至关重要.
- 一种以机制为重点的方法提高了实施研究的价值.
- 超越障碍/促进者的机制提供了更深入的见解.
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