Implementation Science


Authors: P. Winkler 1;  A. Weissová 1;  E. Ehler 2,3
Authors‘ workplace: Národní ústav duševního zdraví, Klecany 1;  Fakulta zdravotnických studií, Univerzita Pardubice 2;  Neurologická klinika FZS Univerzity Pardubice a Pardubická krajská nemocnice, a. s. 3
Published in: Cesk Slov Neurol N 2015; 78/111(5): 511-516
Category: Review Article

Overview

The conflict between scientific evidence and health care practice is associated with decrease in population health and currently represents one of the most urgent public health challenges. This challenge is being addressed by a relatively new scientific branch of Implementation Science, not yet known in the Czech Republic and Slovakia. The aim of this paper is to introduce the foundations of the Implementation Science to the Czech and Slovak audiences. The paper is based on a review of fundamental articles published mostly in the Implementation Science journal. The paper provides definitions of the Implementation Science, namely description of an implementation process including its actors, context and barriers as well as models applicable to implementation practice. The paper is complemented with practical examples related to the Czech and Slovak practice in neurology and psychiatry. The Implementation Science produces knowledge and methods to reduce the gap between scientific evidence and health care practice.

Key words:
implementation science – knowledge gap – population health – neurology – psychiatry

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.


Sources

1. McGlynn EA, Asch SM, Adams J, Keesey J, Hicks J, DeCristofaro A et al. The quality of health care delivered to adults in the United States. N Engl J Med 2003; 348(26): 2635– 2645.

2. Schuster MA, McGlynn EA, Brook RH. How good is the quality of health care in the United States? Milbank Q 2005; 83(4): 843– 895.

3. Berwick DM. Disseminating innovations in health care. JAMA 2003; 289(15): 1969– 1975.

4. Proctor EK, Landsverk J, Aarons G, Chambers D, Glisson C,Mittman B. Implementation research in mental health services: an emerging science with conceptual, methodological, and training challenges. Adm Policy Ment Health 2009; 36(1): 24– 34. doi: 10.1007/ s10488‑ 008‑ 0197‑ 4.

5. Grimshaw JM, Eccles MP, Lavis JN, Hill SJ, Squires JE. Knowledge translation of research findings. Implement Sci 2012; 7: 50. doi: 10.1186/ 1748‑ 5908‑ 7‑ 50.

6. Straus SE, Tetroe JM, Graham ID. Knowledge translation is the use of knowledge in health care decision mak­ing. J Clin Epidemiol 2011; 64(1): 6– 10. doi: 10.1016/ j.jclin­epi.2009.08.016.

7. Eccles MP, Mittman BS. Welcome to Implemen­tation Science. Implement Sci 2006; 1: 1. doi: 10.1186/ 1748‑ 5908‑ 1‑ 1

8. Department of Health and Human Services. Program announcement number PAR‑ 10- 038. In: Services DoHaH, editor 2009.

9. Feldman AM. CTS: a new discipline to catalyze the transfer of information. Clin Transl Sci 2008; 1(1): 1– 2. doi: 10.1111/ j.1752‑ 8062.2008.00023.x.

10. Drake RE, Goldman HH, Leff HS, Lehman AF, Dixon L, Mueser KT et al. Implementing evidence‑based practices in routine mental health service settings. Psychiatr Serv 2001; 52(2): 179– 182.

11. Sung NS, Crowley WF, Genel M, Salber P, Sandy L, Sherwood LM et al. Central challenges facing the national clinical research enterprise. JAMA 2003; 289(10): 1278– 1287.

12. Aarons GA, Hurlburt M, Horwitz SM. Advancing a conceptual model of evidence‑based practice implementation in public service sectors. Adm Policy Ment Health 2011; 38(1): 4– 23. doi: 10.1007/ s10488‑ 010‑ 0327‑ 7.

13. Glasgow RE, Vinson C, Chambers D, Khoury MJ, Kaplan RM, Hunter C. National Institutes of Health approach­es to dissemination and implementation science: current and future directions. Am J Public Health 2012; 102(7): 1274– 1281. doi: 10.2105/ AJPH.2012.300755.

14. Rogers EM. Diffusion of innovations. 3. ed. New York: Free press 1983.

15. Shonkoff JP. Science, policy and practice: Three cultures in search of a shared mission. Child Dev 2000; 71(1): 181– 187.

16. Lavis JN, Robertson D, Woodside JM, McLeod CB, Abelson J. How can research organizations more effectively transfer research knowledge to decision makers? Milbank Q 2003; 81(2): 221– 248.

17. The Health Foundation. Need to speed up and spread quality improvement? Understand context. London: The Health Foundation 2014.

18. Kajermo KN, Boström AM, Thompson DS, Hutchinson AM, Estabrooks CA, Wallin L. The BARRIERS scale –  the barriers to research utilization scale: a systematic review. Implement Sci 2010; 5: 32. doi: 10.1186/ 1748‑ 5908‑ 5‑ 32.

19. Brennan SE, Bosch M, Buchan H, Green SE. Measur­ing organizational and individual factors thought to influence the success of quality improvement in primary care: a systematic review of instruments. Implement Sci 2012; 7(1): 121. doi: 10.1186/ 1748‑ 5908‑ 7‑ 121.

20. Belling R, Whittock M, McLaren S, Burns T, Catty J, Jones IR et al. Achieving continuity of care: facilitators and barriers in community mental health teams. Implement Sci 2011; 6: 23. doi: 10.1186/ 1748‑ 5908‑ 6‑ 23.

21. Stirman SW, Kimberly J, Cook N, Calloway A, Castro F, Charns M. The sustainability of new programs and innovations: a review of the empirical literature and recom­mendations for future research. Implement Sci 2012; 7: 17. doi: 10.1186/ 1748‑ 5908‑ 7‑ 17.

22. Kitson A, Harvey G, McCormack B. Enabling the implementation of evidence‑based practice: a conceptual framework. Qual Health Care 1998; 7(3): 149– 158.

23. Seers K, Cox K, Crichton NJ, Edwards RT, Eldh AC, Estabrooks CA et al. FIRE (Facilitating Implementation of Research Evidence): a study protocol. Implement Sci 2012; 7: 25. doi: 10.1186/ 1748‑ 5908‑ 7‑ 25.

24. Helfrich CD, Damschroder LJ, Hagedorn HJ, Daggett GS,Sahay A, Ritchie M et al. A critical synthesis of literature on the promoting action on research implementation in health services (PARIHS) framework. Implement Sci 2010; 5: 82. doi: 10.1186/ 1748‑ 5908‑ 5‑ 82.

25. Farmer AP, Legare F, Turcot L, Grimshaw J, Harvey E, McGowan JL et al. Printed educational materials: effects on professional practice and health care outcomes. Cochrane Database Syst Rev 2008; 3: CD004398. doi: 10.1002/ 14651858.CD004398.pub2.

26. Sorensen PS. New management algorithms in multiple sclerosis. Curr Opin Neurol 2014; 27(3): 246– 259. doi: 10.1097/ WCO.0000000000000096.

27. Piťha J. Současné možnosti a zásady farmakoterapie relabující‑ remitující roztroušené sklerózy. Remedia 2014; 24(5): 375– 378.

28. Suchopár J, Prokeš M, Suchopár O. Přehled lékových interakcí specifických léků používaných u roztroušené sklerózy. Remedia 2015; 25(2): 159– 169.

Labels
Paediatric neurology Neurosurgery Neurology

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Czech and Slovak Neurology and Neurosurgery

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