Basque Implementation Research
Implementation Research and Practice
The biggest problem that undermines the quality of our health services is not the lack of research, but rather the lack of real implementation of the knowledge that research generates. The real translation into clinical health practice of effective interventions for health promotion and prevention of chronic diseases remains an unresolved challenge in health systems worldwide. Additionally, a considerable proportion of the interventions provided to patients in the healthcare context lack solid evidence of the effectiveness. The elimination or reduction of this low-value care can lead to improvements in the quality of care and its results in terms of population health while reducing costs.
Implementation Science seeks to address and reduce this translational gap by studying and understanding:
a) The political, social, behavioral, economic and organizational factors that impede the effective dissemination and implementation of clinical, public health and organizational findings based on evidence.
b) The identification, development and evaluation of specific strategies that allow the integration into routine clinical practice, interventions and therapies of proven efficacy that are not being applied in a generalized, sustainable and continuous way (Implementation) or promote the abandonment or substitution of ineffective or cost-ineffective practices or interventions (De-implementation).