Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Implementation research design: integrating participatory action research into randomized controlled trials | Implementation Science BioMed Central Open Access Debate Implementation research design integrating participatory action research into randomized controlled trials Luci K Leykum 1 2 Jacqueline A Pugh1 2 Holly J Lanham4 Joel Harmon3 and Reuben R McDaniel Jr4 Address 1VERDICT a VA HSR D REAP at the South Texas Veterans Health Care System San Antonio Texas USA 2Department of Medicine School of Medicine University of Texas Health Science Center at San Antonio San Antonio Texas USA 3School of Business Fairleigh Dickinson University Madison New Jersey USA and 4Department of Information Risk and Operations Management McCombs School of Business The University of Texas at Austin Austin Texas USA Email Luci K Leykum - Leykum@ Jacqueline A Pugh - Holly J Lanham - Joel Harmon - harmon@ Reuben R McDaniel - Corresponding author Published 23 October 2009 Received 10 July 2007 Implementation Science 2009 4 69 doi 1748-5908-4-69 Accepted 23 October 2009 This article is available from http content 4 1 69 2009 Leykum et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background A gap continues to exist between what is known to be effective and what is actually delivered in the usual course of medical care. The goal of implementation research is to reduce this gap. However a tension exists between the need to obtain generalizeable knowledge through implementation trials and the inherent differences between healthcare organizations that make standard interventional approaches less likely to succeed. The purpose of this paper is to explore the integration of participatory action research