在快速学习的卫生系统中加快速度和应对紧张局势
Robert J Reid1,2, Sarah M Greene3
1Institute for Better Health, Trillium Health Partners Mississauga Ontario Canada.
Learning health systems
|July 14, 2023
概括
学习健康系统 (LHS) 的愿景旨在快速生成和使用证据以获得更好的健康结果. 解决研究人员,卫生系统和资助者之间的核心紧张关系对于加速LHS采用和改善医疗保健至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 翻译科学 翻译科学
- 医疗保健管理的管理
背景情况:
- 15年前建立的学习健康系统 (LHS) 概念旨在将证据生成和利用纳入常规医疗保健.
- 尽管存在现有框架,但在各种医疗保健机构的证据传播和应用方面仍然存在重大延迟和不一致.
研究的目的:
- 检查阻碍学习卫生系统广泛采用和有效性的八个核心紧张局面.
- 为利益相关者提出可行的战略,以克服这些紧张局势并加速LHS的实施.
主要方法:
- 本评论分析了关键利益相关者的协作所产生的内在紧张关系:研究人员,卫生系统和资助者.
- 它确定了减轻这些紧张局势的实际行动,并促进LHS原则的快速采用.
主要成果:
- 在LHS的开发和实施中,有八个基本的紧张局势被确定为可预测的挑战.
- 评论概述了实际的,利益相关者具体的行动,以解决这些紧张局势.
结论:
- 通过故意管理运营和文化挑战,可以实现各利益相关者之间的及时性,严谨性和优先级.
- 解决这些紧张局势对于加速改善卫生系统和充分发挥学习卫生系统的潜力至关重要.
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