医療機関が学習医療システムを導入する準備を評価する:デルフィー手法によるアンケート検証のプロトコル
Catherine M Giroux1, Hervé Tchala Vignon Zomahoun2, Sophie Boies3
1McGill University, Montreal, Quebec, Canada.
BMJ open
|August 25, 2025
まとめ
この研究は,医療機関が学習医療システム (LHS) への準備を測るツールを開発し,臨床実務における研究採用を加速させることを目的としています. このLHSの準備策の検証は,医療の革新とパフォーマンスの改善に不可欠です.
科学分野:
- 医療サービス研究
- 医療管理
- 知識の翻訳
背景:
- 研究成果を臨床実用化するのは遅い.研究成果の14%が採用されるまでには17年かかる.
- 学習医療システム (LHS) のアプローチは,データを実用的な知識に変換し,パフォーマンスを向上させることができます.
- 医療機関がLHSのイノベーションを採用する意欲と能力はよく理解されていません.
研究 の 目的:
- 医療機関が学習医療システム (LHS) のアプローチを実装する準備を評価する測定値の有効性に関する証拠を生成する.
- LHSの実施に対する組織的な準備を評価するための強力なツールを提供すること.
- 医療におけるLHS採用の障壁を克服するための戦略を策定する.
主な方法:
- LHSの準備に関するアンケートに関する専門家のコンセンサスを達成するために,3ラウンドのデルフィー手法が採用されます.
- 質問書のドメイン,サブドメイン,項目は,包括的な文献レビューから開発されました.
- 国際的なLHS専門家を募集し,記述的および内容分析を使用してデータを分析します.
主要な成果:
- LHS準備に関するアンケート項目の関連性,明確性,包括性についてコンセンサスを確立する.
- 準備対策の心理学的性質を裏付けるために,有効性の証拠が生成されます.
- この研究は,LHSに対する組織的な準備を評価するための検証されたツールとなるでしょう.
結論:
- 開発され検証された対策は,LHSの実施に対する医療機関の能力を評価するための貴重なツールとなるでしょう.
- この発見は,医療従事者の LHS の採用に向けた準備に役立つでしょう.
- この研究は,LHSによる医療実践への証拠の統合を加速させるのに寄与する.
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