eprintid: 26419
rev_number: 14
eprint_status: archive
userid: 1589
dir: disk0/00/02/64/19
datestamp: 2019-08-01 14:32:58
lastmod: 2019-08-22 09:39:02
status_changed: 2019-08-01 14:32:58
type: article
metadata_visibility: show
creators_name: Wensing, Michel
creators_name: Grol, Richard
title: Knowledge translation in health: how implementation science could contribute more
subjects: ddc-610
divisions: i-620100
keywords: Knowledge transfer, Implementation science, Quality improvement, Research policy
abstract: Background: Despite increasing interest in research on how to translate knowledge into practice and improve healthcare, the accumulation of scientific knowledge in this field is slow. Few substantial new insights have become available in the last decade.   

Main body: Various problems hinder development in this field. There is a frequent misfit between problems and approaches to implementation, resulting in the use of implementation strategies that do not match with the targeted problems. The proliferation of concepts, theories and frameworks for knowledge transfer – many of which are untested – has not advanced the field. Stakeholder involvement is regarded as crucial for successful knowledge implementation, but many approaches are poorly specified and unvalidated. Despite the apparent decreased appreciation of rigorous designs for effect evaluation, such as randomized trials, these should remain within the portfolio of implementation research. Outcome measures for knowledge implementation tend to be crude, but it is important to integrate patient preferences and the increased precision of knowledge.

Conclusions: We suggest that the research enterprise be redesigned in several ways to address these problems and enhance scientific progress in the interests of patients and populations. It is crucially important to establish substantial programmes of research on implementation and improvement in healthcare, and better recognize the societal and practical benefits of research.
date: 2019
publisher: BioMed Central
id_scheme: DOI
ppn_swb: 1671849051
own_urn: urn:nbn:de:bsz:16-heidok-264199
language: eng
bibsort: WENSINGMICKNOWLEDGET2019
full_text_status: public
publication: BMC Medicine
volume: 17
number: 88
place_of_pub: London
pagerange: 1-6
issn: 1741-7015
citation:   Wensing, Michel ; Grol, Richard  (2019) Knowledge translation in health: how implementation science could contribute more.  BMC Medicine, 17 (88).  pp. 1-6.  ISSN 1741-7015     
document_url: https://archiv.ub.uni-heidelberg.de/volltextserver/26419/1/12916_2019_Article_1322.pdf