An Evidence Integration Triangle for Aligning Science with Policy and Practice

作者:Glasgow Russell E*; Green Lawrence W; Taylor Martina V; Stange Kurt C
来源:American Journal of Preventive Medicine, 2012, 42(6): 646-654.
DOI:10.1016/j.amepre.2012.02.016

摘要

Over-reliance on decontextualized, standardized implementation of efficacy evidence has contributed to slow integration of evidence-based interventions into health policy and practice. This article describes an %26quot;evidence integration triangle%26quot; (EIT) to guide translation, implementation, prevention efforts, comparative effectiveness research, funding, and policy-making. The EIT emphasizes interactions among three related components needed for effective evidence implementation: (1) practical evidence-based interventions; (2) pragmatic, longitudinal measures of progress; and (3) participatory implementation processes. At the center of the EIT is active engagement of key stakeholders and scientific evidence and attention to the context in which a program is implemented. The EIT model is a straightforward framework to guide practice, research, and policy toward greater effectiveness and is designed to be applicable across multiple levels-from individual-focused and patient-provider interventions, to health systems and policy-level change initiatives.

  • 出版日期2012-6