Suchergebnisse

En este informe se investiga de qu manera el pensamiento sist mico permite profundizar en los fundamentos te ricos y pr cticos de las iniciativas que tienen por objeto el fortalecimiento de los sistemas de salud. En este informe insignia de la Alianza para la Investigaci n en Pol ticas y Sistemas de Salud se exponen los argumentos en favor del pensamiento sist mico de manera f cilmente comprensible por una amplia audiencia interdisciplinaria en la que tienen cabida, entre otros, los rectores de los sistemas de salud, los ejecutores de programas, los investigadores, los evaluadores y los asociados en la financiaci n. En el informe se presenta una definici n del pensamiento sist mico y lo que significa para un sistema de salud; un ejemplo ilustrativo tomado del sistema de salud para exponer los "Diez pasos hacia el pensamiento sist mico", que es una orientaci n pr ctica sobre la aplicaci n de este m todo; las dificultades y oportunidades de aplicar el pensamiento sist mico en situaciones concretas y un programa para ampliar la aplicaci n del pensamiento sist mico al fortalecimiento de los servicios de salud.

Interest in implementation research is growing largely in recognition of the contribution it can make to maximising the beneficial impact of health interventions. As a relatively new and until recently rather neglected field within the health sector implementation research is something of an unknown quantity for many. There is therefore a need for greater clarity about what exactly implementation research is and what it can offer. This Guide is designed to provide that clarity. Intended to support those conducting implementation research those with responsibility for implementing programmes and those who have an interest in both the Guide provides an introduction to basic implementation research concepts and language briefly outlines what it involves and describes the many opportunities that it presents. The main aim of the Guide is to boost implementation research capacity as well as demand for implementation research that is aligned with need and that is of particular relevance to health systems in low- and middle-income countries (LMICs). Research on implementation requires the engagement of diverse stakeholders and multiple disciplines in order to address the complex implementation challenges they face. For this reason the Guide is intended for a variety of actors who contribute to and/or are impacted by implementation research. This includes the decision-makers responsible for designing policies and managing programmes whose decisions shape implementation and scale-up processes as well as the practitioners and front-line workers who ultimately implement these decisions along with researchers from different disciplines who bring expertise in systematically collecting and analysing information to inform implementation questions. The opening chapters (1-4) make the case for why implementation research is