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No one needs a reminder of the cost to taxpayers and consumers for health care each year, both here in the United States and abroad. Legislators and taxpayers are also concerned about the return on investment in health care research, and whether this investment is furthering or even hindering the effort to achieve 3 objectives that are frequently in conflict with each other: improving quality, access, and cost-effectiveness.
Much evidence has accumulated over the last couple of decades that the time between accumulation of evidence that an intervention or therapy does or does not work and its incorporation or removal from practice is measured in years if not decades. Simply implementing what we know works and desisting from what we know does not would have an enormous impact on health and health care. Investigators, clinicians, administrators, and government agencies have learned that the translation of evidence to policy and practice is far from simple and never assured. A new field of inquiry, implementation science, has developed that recognizes and addresses the multitude of gaps that impede evidence-based interventions from producing optimal health outcomes. These knowledge and practice gaps include:
Rivara FP. Call for Papers on Implementation Science in Pediatric Health Care. JAMA Pediatr. 2014;168(8):705. doi:10.1001/jamapediatrics.2014.976
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