Angelo Cura
As research defines new treatments to improve patient survival and health, an increasing challenge is determining how to translate these discoveries into routine clinical practise to benefit patients and society. Implementing change and improvement in healthcare is multifaceted, but many healthcare stakeholders must change their behaviour. Healthcare providers, leaders, and administrators, as well as payers, patients, and other professionals, all play important roles and take action when it comes to translating evidence into care. The purpose of this paper is to explain how theories of human behaviour change play an important role in the science of implementation and quality improvement. We begin with a brief review of the intellectual roots of implementation science and quality improvement, followed by a discussion of how behaviour change theories and principles can inform both the goals and challenges of applying behaviour change theories. We use the terms "implementation science" to refer to the underlying science of studying changes in healthcare delivery, and "implementation practise and research" to refer to the work being done more broadly. There is a growing awareness of the importance of health activities, both in scientific research and medical practice. Health activities refer to behaviors and interventions that promote physical, mental, and social well-being, such as exercise, healthy eating, stress reduction, and social support.
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