Director, VA Quality Enhancement Research Institute (QUERI)
There is increased demand from consumers, providers, health systems, communities, and policymakers for effective health care innovations that make a substantial public health impact and can be readily adopted in real-world settings. However, even in the 21st Century, it can still take decades for a fraction of effective clinical innovations to be successfully adopted in routine health care settings. Moreover, many of these innovations are tested in small, select populations using clinical trial methods that have not adapted to the changing needs of patients and the providers and communities who care for them. The National Academy of Medicine, in their groundbreaking report on the Future of Health Services Research strongly suggests the need for more timely and pragmatic research that addresses the practical issues facing health systems and communities. This presentation provides a novel strategy for applying pragmatic research methods in health services research in order to enhance the real-world impact of health care innovations and health equity, incorporating lessons learned from the Learning Health System and QUERI implementation frameworks. We also outline the use of pragmatic research methods across the different research lifecycle stages (e.g., prioritization, discovery, validation, scale-up) that can be used to accelerate the substantial real-world impact of research at multiple levels (e.g., consumer, provider, practice, system, policy) and provide examples of how implementation science employs pragmatic research methods to accelerate the adoption of effective innovations ad reduce health disparities in real-world settings.
"Translating research evidence into practice to improve health equity: Lessons from a faith-based physical activity intervention"
Associate Research Professor, Methodology Center Pennsylvania State University