PDF(Pubmed)
Abstract：
Humanitarian assistance is hindered by a lack of strategies to optimize care delivery through research and organized networks. Distinct from global health, humanitarian assistance struggles to address its multifaceted challenges, including duplicative resources, uncoordinated communication, unregulated staff expertise and safety, financial waste, and poor-quality metrics and care delivery. Implementation science provides an exciting and underutilized approach that can be applied to address these challenges, by studying how to effectively design, implement, optimize, and scale evidence-based interventions. Though successful in well-resourced and global health systems, implementation science approaches are rare in humanitarian assistance. Adopting implementation science approaches including identifying determinants, creating accessible evidence-based intervention bundles, adapting study methodologies for the humanitarian context, and partnering with implementation experts could make these promising approaches more accessible for thousands of humanitarian actors delivering healthcare for millions of vulnerable patients worldwide.
摘要：
缺乏通过研究和有组织的网络优化护理服务的战略，阻碍了人道主义援助。与全球健康不同，人道主义援助努力应对其多方面的挑战，包括重复的资源，不协调的沟通,不受监管的员工专业知识和安全，财务浪费,以及质量差的指标和护理服务。实施科学提供了一种令人兴奋且未充分利用的方法，可以应用于应对这些挑战，通过研究如何有效地设计，工具，优化，并扩大基于证据的干预措施。尽管在资源充足的全球卫生系统中取得了成功，实施科学方法在人道主义援助中很少见。采用实施科学方法，包括确定决定因素，创建可访问的基于证据的干预包，适应人道主义背景的研究方法，与实施专家合作可以使这些有希望的方法更容易为成千上万的人道主义行为者提供医疗服务，为全球数百万脆弱的患者提供医疗服务。
