@article{23480,
  author = {Mensah George and Sampson Uchechukwu and Ezzati Majid and Engelgau Michael and Narayan K and Salicrup Luis and Belis Deshiree and Aron Laudan and Beaglehole Robert and Beaudet Alain and Briss Peter and Chambers David and Devaux Marion and Fiscella Kevin and Gottlieb Michael and Hakkinen Unto and Henderson Rain and Hennis Anselm and Hochman Judith and Koroshetz Walter and Mackenbach Johan and Marmot M and Martikainen Pekka and McClellan Mark and Meyers David and Parsons Polly and Rehnberg Clas and Sanghavi Darshak and Sidney Stephen and Siega-Riz Anna and Straus Sharon and Woolf Steven and Constant Stephanie and Creazzo Tony and de Jesus Janet and Gavini Nara and Lerner Norma and Mishoe Helena and Nelson Cheryl and Peprah Emmanuel and Punturieri Antonello and Tracy Rachael and Jan Stephen},
  title = {Implementation Research to Address the United States Health Disadvantage: Report of a National Heart, Lung, and Blood Institute Workshop.},
  abstract = {<p>Four decades ago, U.S. life expectancy was within the same range as other high-income peer countries. However, during the past decades, the United States has fared worse in many key health domains resulting in shorter life expectancy and poorer health-a health disadvantage. The National Heart, Lung, and Blood Institute convened a panel of national and international health experts and stakeholders for a Think Tank meeting to explore the U.S. health disadvantage and to seek specific recommendations for implementation research opportunities for heart, lung, blood, and sleep disorders. Recommendations for National Heart, Lung, and Blood Institute consideration were made in several areas including understanding the drivers of the disadvantage, identifying potential solutions, creating strategic partnerships with common goals, and finally enhancing and fostering a research workforce for implementation research. Key recommendations included exploring why the United States is doing better for health indicators in a few areas compared with peer countries; targeting populations across the entire socioeconomic spectrum with interventions at all levels in order to prevent missing a substantial proportion of the disadvantage; assuring partnership have high-level goals that can create systemic change through collective impact; and finally, increasing opportunities for implementation research training to meet the current needs. Connecting with the research community at large and building on ongoing research efforts will be an important strategy. Broad partnerships and collaboration across the social, political, economic, and private sectors and all civil society will be critical-not only for implementation research but also for implementing the findings to have the desired population impact. Developing the relevant knowledge to tackle the U.S. health disadvantage is the necessary first step to improve U.S. health outcomes.</p>},
  year = {2018},
  journal = {Glob Heart},
  issn = {2211-8179},
  doi = {10.1016/j.gheart.2018.03.003},
  language = {eng},
}