scholarly journals Implementation Science: Ensuring the Return on Our Research Investment

2018 ◽  
Vol 32 (9) ◽  
pp. 762-764
Author(s):  
Elaine H. Morrato
Keyword(s):  
Health Care ◽  
Stroke Rehabilitation ◽  
Practice Patterns ◽  
Health Interventions ◽  
Care Practice ◽  
Research Translation ◽  
Evidence Based ◽  
Improve Population Health ◽  
Health Care Practice ◽  
Research Investment

Implementation is the use of strategies to adopt and integrate evidence-based health interventions and to change practice patterns. In their article, “Implementation—the missing link in the research translation pipeline,” Lynch et al1 report that only a small fraction of published stroke rehabilitation research in leading clinical journals evaluates the implementation of evidence-based interventions into health care practice. Their findings are a wake-up call. If we are to achieve the end goals of our research investment and improve population health, then we need to also ensure that the evidence we generate is translated into real-world use.

scholarly journals Implementation—The Missing Link in the Research Translation Pipeline: Is It Any Wonder No One Ever Implements Evidence-Based Practice?

2018 ◽  
Vol 32 (9) ◽  
pp. 751-761 ◽  
Author(s):  
Elizabeth A. Lynch ◽  
Brigit M. Chesworth ◽  
Louise A. Connell
Keyword(s):  
Clinical Practice ◽  
Stroke Rehabilitation ◽  
Evaluation Research ◽  
Well Being ◽  
Professional Associations ◽  
Evidence Base ◽  
Care Practice ◽  
Research Translation ◽  
Evidence Based ◽  
Rehabilitation Research

Despite the exponential growth in the evidence base for stroke rehabilitation, there is still a paucity of knowledge about how to consistently and sustainably deliver evidence-based stroke rehabilitation therapies in clinical practice. This means that people with stroke will not consistently benefit from research breakthroughs, simply because clinicians do not always have the skills, authority, knowledge or resources to be able to translate the findings from a research trial and apply these in clinical practice. This “point of view” article by an interdisciplinary, international team illustrates the lack of available evidence to guide the translation of evidence to practice in rehabilitation, by presenting a comprehensive and systematic content analysis of articles that were published in 2016 in leading clinical stroke rehabilitation journals commonly read by clinicians. Our review confirms that only a small fraction (2.5%) of published stroke rehabilitation research in these journals evaluate the implementation of evidence-based interventions into health care practice. We argue that in order for stroke rehabilitation research to contribute to enhanced health and well-being of people with stroke, journals, funders, policy makers, researchers, clinicians, and professional associations alike need to actively support and promote (through funding, conducting, or disseminating) implementation and evaluation research.

Health care practice patterns for balance disorders in the elderly

2013 ◽  
pp. n/a-n/a ◽  
Author(s):  
Daniel S. Roberts ◽  
Harrison W. Lin ◽  
Neil Bhattacharyya
Keyword(s):  
Health Care ◽  
Practice Patterns ◽  
The Elderly ◽  
Care Practice ◽  
Health Care Practice ◽  
Balance Disorders

A Measure of Family Functioning for Health Care Practice and Research in Israel

1984 ◽  
Vol 15 (2) ◽  
pp. 211-230 ◽  
Author(s):  
S. Linder-Pelz ◽  
S. Levy ◽  
A. Tamir ◽  
T. Spenser ◽  
L. M. Epstein
Keyword(s):  
Health Care ◽  
Family Functioning ◽  
Care Practice ◽  
Health Care Practice

Ethical Visions for the Development of Patient Care in the Health Care Practice

2019 ◽  
Vol 2 (1) ◽  
pp. 27-34
Author(s):  
Richard Moreno ◽  
◽  
Cristinel Ștefănescu ◽  
Beatrice Gabriela Ioan ◽  
Mariana Cuceu ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Care Practice ◽  
Health Care Practice

scholarly journals Internal barriers to efficiency: why disinvestments are so difficult. Identifying and addressing internal barriers to disinvestment of health technologies

2021 ◽  
pp. 1-16
Author(s):  
Bjørn Hofmann
Keyword(s):  
Health Care ◽  
Health Economics ◽  
Cognitive Biases ◽  
Care Practice ◽  
Core Concept ◽  
Health Care Practice ◽  
Health Technologies ◽  
Sound Foundation ◽  
Internal Barriers ◽  
Efficient Care

Abstract Although efficiency is a core concept in health economics, its impact on health care practice still is modest. Despite an increased pressure on resource allocation, a widespread use of low-value care is identified. Nonetheless, disinvestments are rare. Why is this so? This is the key question of this paper: why are disinvestments not more prevalent and improving the efficiency of the health care system, given their sound foundation in health economics, their morally important rationale, the significant evidence for a long list of low-value care and available alternatives? Although several external barriers to disinvestments have been identified, this paper looks inside us for mental mechanisms that hamper rational assessment, implementation, use and disinvestment of health technologies. Critically identifying and assessing internal inclinations, such as cognitive biases, affective biases and imperatives, is the first step toward a more rational handling of health technologies. In order to provide accountable and efficient care we must engage in the quest against the figments of our minds; to disinvest in low-value care in order to provide high-value health care.

scholarly journals Ongoing processes of managing consent: the empirical ethics of using video-recording in clinical practice and research

2011 ◽  
Vol 6 (4) ◽  
pp. 179-185 ◽  
Author(s):  
Michelle O'Reilly ◽  
Nicola Parker ◽  
Ian Hutchby
Keyword(s):  
Health Care ◽  
Video Recording ◽  
Empirical Ethics ◽  
Video Data ◽  
Care Practice ◽  
Reflecting Team ◽  
Recording Equipment ◽  
Health Care Practice ◽  
Ethical Concerns ◽  
Sensitive Topics

Using video to facilitate data collection has become increasingly common in health research. Using video in research, however, does raise additional ethical concerns. In this paper we utilize family therapy data to provide empirical evidence of how recording equipment is treated. We show that families made a distinction between what was observed through the video by the reflecting team and what was being recorded onto videotape. We show that all parties actively negotiated what should and should not go ‘on the record’, with particular attention to sensitive topics and the responsibility of the therapist. Our findings have important implications for both clinical professionals and researchers using video data. We maintain that informed consent should be an ongoing process and with this in mind we present some arguments pertaining to the current debates in this field of health-care practice.

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