Implementation Science to Improve Quality of Neurological Care.

Neurological disorders are the leading cause of disability and the second leading cause of death globally. To challenge this enormous disease burden, scientists are pursuing innovative solutions to maintain and improve the quality of neurological care. Despite the availability of many effective evid...

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Publicado en:Pediatric Neurology Vol. 121; pp. 67 - 75
Autores principales: Samanta, Debopam, Landes, Sara J.
Formato: research Journal Article
Publicado: Elsevier B.V. Aug2021
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Elsevier B.V.
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        10.1016/j.pediatrneurol.2021.05.009
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        atl: Implementation Science to Improve Quality of Neurological Care.
      aug:
        au:
          Samanta, Debopam
          Landes, Sara J.
        affil: Neurology Division, Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas
      sug:
        subj:
          Nervous System Diseases Diagnosis
          Quality Improvement Standards
          Nervous System Diseases Therapy
          Research, Medical Standards
          Human
          Scales
          Ferrans and Powers Quality of Life Index
      ab: Neurological disorders are the leading cause of disability and the second leading cause of death globally. To challenge this enormous disease burden, scientists are pursuing innovative solutions to maintain and improve the quality of neurological care. Despite the availability of many effective evidence-based practices, many patients with neurological disorders cannot access these (or receive them inefficiently after a long delay) and may be exposed to unnecessary, expensive, and potentially harmful treatments. To promote the systematic uptake of evidence-based practices into the real world, a new scientific study of methods has been developed: implementation science. In implementation science research, transdisciplinary research teams systematically (using theory, model, and framework) assess local barriers to facilitate the adoption of evidence-based practices and examine potential solutions using implementation strategies (interventions that help adoption of intended practices) targeting multiple levels in the health care system, including patient, provider, clinic, facility, organization, or broader community and policy environment. The success of these strategies (implementation outcomes) is measured by the extent and quality of the implementation. Implementation studies can be either observational or interventional but are distinct from traditional efficacy or effectiveness studies. Traditional neuroscience research and clinical trials, conducted in controlled settings, focus on discovering new insights with little consideration of translating those insights into the everyday practice of a resource-constrained and dynamic health care system. Thus, neurologists should become familiar with implementation science to reduce the knowledge-practice gap, maximize health care value, and improve management of brain disorders affecting public health.
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        research
        Journal Article
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    language: English
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