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??? ????? ????? ?? ??? ??? ?? ????? ?? ?? ??????? ?????? ??? ???. ... Lomas J? Enkin M? Anderson GM? Hannah WJ? Vayda E? Singer J. Opinion leaders vs ... – PowerPoint PPT presentation

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1
???? ?????
  • ????? ?????
  • ?? ???? ? ??? ????
  • ??? ????? ????? ?? ??? ??? ?? ????? ?? ?? ???????
    ?????? ??? ???. ??? ??? ???????? ???? ??? ??? ??
    ????? ?? ????? ???? ?????? ?? ????? ????? ????
    ????. ????? ???????? ?? ????? ??? ?? ??? ???? ??
    ?????. ?? ???? ???? ???? ?? ???? ?? ???????? ??
    ??????. ?? ????? ?? ??? ????? ????? ?? ??? ????
    ????? ? ?? ??? ?? ??????? ??? ????? ?? ???? ??
    ??? ?????? ?? ???? ????? ?????? ??????? ????.
  • ??? ??????? ????? ???????? ????? ??????? ??? ??
    ??? ???????? ?? ??? ??????? ???????. ?? ????? ??
    ???? ?? ???? ??? ????????? ??? ??? ???? ?????
    ????.
  • ?? ?????? ? ????

???? ???? ?????? ????? ?????? ???? ??? ?????? ??
???? ????? ???? ?? ?????? ??? ????.
2
???? ?????? ?? ????? ????? ??
3
Background
  • Research is consistently producing new findings
    that may contribute to effective and efficient
    care,
  • The findings of such research will not change
    outcomes unless health services and health care
    professionals adopt them in practice(1).
  • .1 -Grimshaw, Ward, Eccles. (2006) Oxford
    Handbook of Public Health. 480-7.

4
  • ????? ???? ? ?? ??????? ?? ?? ???? ??? ? ?????
    ???? ?? ??? ?? ???????? ?????? ?????? ???? ????.
    ??????? ????? ????? ?????? ???? ? ???? ???? ????
    ?????? ?? ????? ??????? ?? ?????? ???? ??? (2).
  • ??? ????? ???? ? ??????? ?? ?? ?? ???? ??? ?????
    ????? ?????? ???? ???? ? ???? ?????? ????????
    ???? ????? (????? ???????) ????? ??????? ?? ??
    ????? ????. (3).
  • -Santesso N?2- Tugwell P. Knowledge Translation
    in Developing Countries. J Continuing Education
    Health Professions 2006 26(1)87-96.
  •  
  • 3-Lomas J? Enkin M? Anderson GM? Hannah WJ? Vayda
    E? Singer J. Opinion leaders vs audit and
    feedback to implement practice guidelines.
    Delivery after previous cesarean section. Journal
    of the American Medical Association 1991
    265(17)2202-2207.

5
??? ???? ???? ???? ?????? ?? ????? ????? ??????
?????
  • ????? ???? ???? ???? ?? ?????? ?? ?? ??????? ??
    ????? ????? ?? ??? ????? ???? ??? ???.
  • ???? ??? ????? ???? ????? ?????? ?? ????? ????
    ????? ????? ????? ?? ???? ?????? ?? ??? ????? ???
    ??? ???? ?????. ????? ??? ????? ???? ????? ??
    ?????? ??????? ?? ????? ? ?? ???? ????(4).
  • 4- Organisation, W. H. (2004). World Report on
    Knowledge for Better Health - Strengthening
    Health Systems. Geneva, World Health Organisation.

6
(No Transcript)
7
  • ??????
  • ???? ??? ???????? ?????
  • ???? ?? ??????? ???
  • ??????? ???? ??? ???? ???
  • ???? ??????? ???? ???
  • ?????? ???? Knowledge transfer
  • ??????? ?? ????? ??? ?? ?? ?? ????? ???? ?????
    ????? ???? ? ??? ????? ????? ?? ??? ? ?? ???
    ????? ?? ?? ?????? ??????? ???? ?? ???? (?????
    ?????? ?? ?? ?? ????? ?????? ???? ????? ??? ????
    ?????? ???? ????? ? ??????? ???? ???? ???? ??? ??
    ???? ??????? ??? ?????? ??? ???? ????? ?? ?????
    ????? ? ???????? ????? ????? ??? ???? ?????
    ?????).
  • ?????? ???? Knowledge translation
  • ????? ???? ?? ????? ?????? ???? ? ?????? ?????
    ??? ????? ?? ????? ????? ?????? ?? ?? ????????
    ??? ?????? ? ??????? ??????? ?? ???? ???.
  • ?? ???? ???? ????? ???? ????? ????? ???? ????
    ???.

8
  • ?????? ???? ??????? ??? ?? ???? ????????? ?? ????
    ??? ???? ???? ????? ?? ????? ????? ?? ?? ??
    ?? ???? ?? ??? ?? ???? ?? ????? ????? ???? ???.

9
How should it be transferred?
5- Lomas L Diffusion, dissemination, and
implementation who should do what? Ann N Y Acad
Sci 1993, 703226-235.
???? ???? ?????? ????? ????? ?? ?????? ??? ??????
??????? ???? ???? ???. ??? ????? ?? ????? ?? ????
??? ?????? ?? ?????? ?? ???? ????? ?? ?? ??? ????
??? ??????? ?????? (?????? ???? ?? ??? ?????? ??
?? ?????? ??? ????).
10
????? ???? ?????? ?? ?????
5- Lomas (1993)
11
?????? ?????? ????
  • ??????? ?? ?? ????? ???? ?????? ???? ?? ????
    ??????? ????? ? ?? ???? ?????? ????? ?????? ?????
    ??? ??????? ??? ?? ?? ?? ?? ??? ????? ????? ??
    ???? ?????? ???? ????? ?? ???(6?7)
  • What ? ?? ??????
  • To whom ?? ?? ????
  • By whom ???? ?? ????
  • How ??????
  • Evaluation ?? ?? ???????
  • 6-World Health Organisation. 2004. World Report
    on Knowledge for Better Health Strengthening
    Health Systems.
  • 7-Lavis, J et al. (2003). The Milbank Quarterly,
    81 (2) 221-248.

12
???? (WHAT)
  • ?? ????? ? ?? ????? ??? ???? ???? ?? ????? ??
    ????? ????? ??? ?? ?? ???? ???.
  • ???? ???? ?? ????? ?? ?????? ???? ?? ????? ??
    ????? ?? ???? ?? ????? ??? ???? ??? ???.
  • ???? ???? ?????? ??? ?? ?? ?????? ?? ?? ?????
    ?? ???? ???? ?? ???? ?? ?? ????? ????? ?????? ??
    ????? ?? ??????? ?? ????? ???? ????? ????????? ?
    ????? ???? ???? ???? ???? ???? ???? ?? ?? ??????
    ??? ?????? ?? ?????
  • ??????? ????? ?? ???? ???? ?? ????? ????? ?? ????
    ??? ????? ???? ??????.

13
????? (To whom)
  • ???? ????? ??????? ??????? ?????? ?? ?????
    ????? ??? ?????. ???? ???? ?? ???? ?????? ????
    ???? ?? ???? ????? ??? ?? ?????.
  • ?? ??? ?? ????? ?? ?????? ?? ?????? ??????? ??
    ????? ????? ????? ??? ????? ?????? ?? ?????
    ??????? ??? ??????? ??? ???? ???? (8).
  • ?? ?????? ???? ???? ??? ????? ? ??? ????? ??
    ????? ???? ?? ?? ????? ?? ??? ?? ??? ????? ?????
  • ???? ?? ??? ????? ?? ???? ??????? ??? ?? ???????
    ??????.
  • 8- (Mike Jones Getting the message across
    Dissemination Seminar - Bridging the Gap)

14
  • ?? ???? ???? ??
  • ?? ??? ?? ????? ?? ???? ????? ????? ????
  • ?? ????? ?? ?????? ?? ??? ????? ????? ????????
  • ?? ???? ???? ????? ?? ???????? ???? ?? ??????
    ?????? ?????

15
???? ???? ?? ??? ???? (By whom)
  • ?????? ? ????? ???? ? ??????? ????? ???? ?????
    ????.
  • ?? ????? ?? ?? ????? ????? ??? ????? ???? ???????
    ??????? ?????? ? ???? ??????? ?? ??? ?? ????
    ?????? ?? ??? ?? ????? ???? ???? ???? ?????? ???
    ????.

16
?????? ?????? ????? ?????(How)
  • ???? ?? ???????
  • ???? ????????? ?? ??? ?????? ?? ?????????? ???
    ???? ????? ?????? ?????? ? ?????????? ?? ?????
    ????? ??? ????? ????? ?????? ?????? ???? ?????.

17
????? ??? ???? ?????? ????
  • ?????? ????? ?? ???????? ?????
  • ?????? ????? ?? ???????? ??? ??????
  • ????? ?? ??????? ??? ???????? ? ????????? ?????
  • ????? ?? ??????? ??? ???????? ? ????????? ???
    ??????
  • ????? ????? ???? ?? ??? ?????? ???? ??????? ?????
    ??
  • ????? ???????? ?? ????? ??? ???? ??????? ????? ??
  • ???? ???? ????? ?? ?? ????
  • ??? ???? ?? ??? ?????????? ??????? ???????? ? ??
    ????????? ????? ???? ??????? ??????? ?? ???????
    ????
  • ?????? ????? ????? ?? ?????? ??????? (????
    ??????? ?? ??????????? ???? ????? ????)

18
????? ???? ?????? ????
  • ???? ? ????? ???? ?? ???? ?????? ??????? ????????
    (???? ????????? ???? ???? ???????? ???? ??? ????
    ??????? ????? ???? ???? ??????? ?????? ?
    ??????????? ????? 25-3-1 (?? ?????? ????? ?????
    ??? ???) ???? ?????? ? ????? ????? ?? ????? ???
    ???? ??????????)
  • ??? ???? ?? ??? ?????????? ??????? ???????? ? ??
    ????????? ????? ???? ???????? ???? ??????? ????
  • ????? ?? ????????? ??????? ????? ? ???????? ????
    ?????? ?? ???????? ?? ???? ?? ?????? ??
  • ????? ???? ?? ??????? ???? ????? ????? ?????

19
  • ?????? ??? ?????? ???? ???? ?? ????? ???? ???
    ????
  • ????? ???????
  • ???? ????? ?? ??? ???? ?????? ???? ???? ?????
    ?????
  • ???? ????? ????? ?? ?????? ??????

20
(Evaluation)
  • ??????? ????? ??? ?? ?????? ???? ???? ?? ?????
    ??? ?? ?? ????
  • ????? ?? ???? ????? ?????? ????? ?? ????? ?????
    ?? ????? ??????? ?? ??? ???? ??? ????.
  • ??? ??? ?? ????
  • ?? ???? ????? ????? ??? ????? ????? ????? ????
  • ?????? ??? ?????? ???? ????? ???? ?? ????? ?????
    ???? ??? (?? ???? ???? ?????? ?? ????? ?????
    ??????? ??? ???? ????? ????? ??? ????? ????)?
  • ???? ????? ???? ?? ??? ?????? ???? ?????
  • ?????? ?? ?????? ??? ?? ????? ???? ????? ??????
    ?????? ???? ?? ??????.

World Health Organisation. 2004. World Report on
Knowledge for Better Health Strengthening Health
Systems.
21
????? 25-3-1
  • ????? ????? ?? ???? ?? ?? ????? ???? ? ?? ????
  • ? ????? ?? ????? ???? ????? ???? ?????? ???.
  • 1 ???? ???? ???? 3 ???? ????? ?????? 25????
    ?????
  • ???? 12 ? ????? 2.5 ????????? ????? ?? ???

22
1 ???? ???? ???? (??? ?????)
  • ?? ??? ??? ??? ????? ?? ?? ??????
  • ???? ??? ?? ????? ?? ?? ???? ??? ????? ??????
  • ?? ??? ?? ????? ??? ??? ?????? ?? ?? ????
  • ????? ?? ????? ???? ?? ?? ???? ??? ?? ???? ?????
    ???
  • ???? ???? ???? ??? ???? ????? ??? ???? ????? ???
    ??? ???? ????? ???? ???? ???? ???? ????? ?? ??
    ???? ?? ?? ??? ?? ?? ???? ??? ?? ???? ???? ????
    ??????.

23
3 ???? ????? ??????
  • ????? ?? ????? ???? ????? ? ???? ??? ???? ????
  • ????? ??? ??? ?? ???? ?????
  • ????? ?? ???? ???? ? ???? ??? ?????????? ?? ????
    ?? ?? ??? ?????? ?? ????? ?? ?? ????? ??? ?????
  • ???? ????? ????? ????? ?? ?????? ??? ????? ??
    ????? ?? ?? ?????
  • ??? ???? ? ?????? ?????? ?? ?? 2-1 ???
  • ????? ?????? ?? ????? ????? ??????? ????! ??
    ????? ?? ??? ?? ?? ???? ?? ??? ??? ???? ?? ?? ??
    ?? ????? ???????.

24
25 ???? ?????
  • ????? ???? ??? ??????? ?? ???? ???.
  • ????? ? ????? Context
  • ?????? Implications
  • ?????? Approach
  • ????? Results
  • ????? ????? Additional Resources
  • ????? ??? ????? Further Research
  • ????? ? ????????? References and Bibliography

25
  • ???? ???? ?? ?????? ?????? ??????? ???? ?????
    ????? ?? ????? ?? 1) ??? ??? ?? ????? ?? ?? ?????
    ?????? ??? ????? 2) ???? ????? ????? ????? ???
    ??? ?? ?????? ????? ? 3) ????? ????? ????? ?????
    ??? ??? ????? ?? ? ????? ?? ?? ??? ???? ?? ??????
    ?????? ???? ??? ????? ????? ????.
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