Dean’s Note on Implementation

Since 2000, a number of studies have estimated the average time between research and implementation of action based on this research to be a period of about 17 years. On top of this nearly two-decade delay, the process of implementation is further complicated by the observation that many innovations never reach the point of continuous, widespread use at all. For example, in the area of infectious disease, the sometimes inconsistent performance of the directly observed treatment, short course (DOTS) strategy in fighting tuberculosis in Africa represents a case where an approach proves resistant to widespread implementation.

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