Mobilising knowledge in complex health systems: a call to action

被引：119

作者：

Holmes, Bev J. ^{[1
]}

Best, Allan ^{[2
]}

Davies, Huw ^{[3
]}

Hunter, David ^{[4
]}

Kelly, Michael P. ^{[5
]}

Marshall, Martin ^{[6
]}

Rycroft-Malone, Joanne ^{[7
]}

机构：

[1] Michael Smith Fdn Hlth Res, Vancouver, BC, Canada

[2] InSource Res Grp, Coquitlam, BC, Canada

[3] Univ St Andrews, St Andrews, Fife, Scotland

[4] Univ Durham, Durham, England

[5] Univ Cambridge, Cambridge, England

[6] UCL, London, England

[7] Bangor Univ, Bangor, Gwynedd, Wales

来源：

EVIDENCE & POLICY | 2017年 / 13卷 / 03期

基金：

英国医学研究理事会;

关键词：

knowledge-to-action; complexity; health systems; knowledge mobilisation; PUBLIC-HEALTH; ORGANIZATIONAL CULTURE; POLICY; CARE; IMPROVEMENT; SCIENCE; RECOMMENDATIONS; IMPLEMENTATION; EXCHANGE; THINKING;

D O I：

10.1332/174426416X14712553750311

中图分类号：

C [社会科学总论];

学科分类号：

03 ; 0303 ;

摘要：

Worldwide, policymakers, health system managers, practitioners and researchers struggle to use evidence to improve policy and practice. There is growing recognition that this challenge relates to the complex systems in which we work. The corresponding increase in complexity-related discourse remains primarily at a theoretical level. This paper moves the discussion to a practical level, proposing actions that can be taken to implement evidence successfully in complex systems. Key to success is working with, rather than trying to simplify or control, complexity. The integrated actions relate to co-producing knowledge, establishing shared goals and measures, enabling leadership, ensuring adequate resourcing, contributing to the science of knowledge-to-action, and communicating strategically.

引用

页码：539 / 560

页数：22

共 69 条

[21]

Graham ID, 2009, J CAN ACAD CHILD ADO, V18, P46

[22] Diffusion of innovations in service organizations: Systematic review and recommendations [J].