Research versus practice in quality improvement? Understanding how we can bridge the gap

Lisa R. Hirschhorn*, Rohit Ramaswamy, Mahesh Devnani, Abraham Wandersman, Lisa A. Simpson, Ezequiel Garcia-Elorrio

*Corresponding author for this work

Research output: Contribution to journalComment/debatepeer-review

8 Scopus citations

Abstract

The gap between implementers and researchers of quality improvement (QI) has hampered the degree and speed of change needed to reduce avoidable suffering and harm in health care. Underlying causes of this gap include differences in goals and incentives, preferred methodologies, level and types of evidence prioritized and targeted audiences. The Salzburg Global Seminar on 'Better Health Care: How do we learn about improvement?' brought together researchers, policy makers, funders, implementers, evaluators from low-, middle- and high-income countries to explore how to increase the impact of QI. In this paper, we describe some of the reasons for this gap and offer suggestions to better bridge the chasm between researchers and implementers. Effectively bridging this gap can increase the generalizability of QI interventions, accelerate the spread of effective approaches while also strengthening the local work of implementers. Increasing the effectiveness of research and work in the field will support the knowledge translation needed to achieve quality Universal Health Coverage and the Sustainable Development Goals.

Original languageEnglish (US)
Pages (from-to)24-28
Number of pages5
JournalInternational Journal for Quality in Health Care
Volume30
DOIs
StatePublished - Apr 20 2018

Keywords

  • Complex adaptive systems
  • Implementation
  • Improvement
  • Improvement science
  • Learning

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health

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