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关于儿科外科专业中可用的学习健康网络的全面审查
Michael E Chua1, Jan Michael Silangcruz2, Jin Kyu Kim3
1Global Surgery, Department of Surgery, University of Toronto, Toronto, ON, Canada; Division of Urology, Department of Surgery, The Hospital for Sick Children, Toronto, ON, Canada; Institute of Urology, St. Luke's Medical Center, Quezon City, NCR, Philippines.
Journal of pediatric surgery
|August 6, 2023
概括
学习健康网络 (LHNs) 正在儿童手术中出现,通过数据共享和质量改进来改善护理. 虽然有许多网络存在,但很少有人报告了改善的结果,突出了进一步发展和证据生成的需要.
科学领域:
- 医疗保健系统科学 医疗保健系统科学
- 儿科手术 儿科手术
- 医疗保健服务研究 医疗服务研究
背景情况:
- 学习健康网络 (LHNs) 是旨在通过整合研究,质量改进和利益相关方参与来改善临床护理的合作.
- 儿科外科专业可以从LHNs中显著受益,通过建立的学习健康系统 (LHS) 方法来提高外科结果和患者护理.
- 卫生系统领导者需要认识到LHNs在推进儿科外科护理和改善患者治疗结果方面的重要性.
研究的目的:
- 在儿科外科专业内绘制和描述现有的学习健康网络 (LHNs).
- 为提供LHNs在儿科外科手术当前景观的概述.
- 确定LHNs在这个领域的形成和重点趋势.
主要方法:
- 通过对主要数据库 (Medline,EMBASE,Scopus) 进行系统的文献搜索,进行了全面的范围审查,直至2023年5月.
- 通过谷歌学者,ProQuest和专家调查确定了灰色文献,以确保进行彻底的审查.
- 该审查遵循PRISMA范围审查扩展报告准则.
主要成果:
- 从56个出版物中确定了儿童外科专业的19个学习健康网络 (LHNs).
- 大多数已确定的LHN (18个中的19个) 位于北美,专注于儿科整形外科和移植的网络最常见.
- 大多数LHN (19个中16个) 建立于2001年以后,但只有8个报告了患者结局的比较改善.
结论:
- 在过去的十年里,儿科外科专业越来越多地采用了学习健康系统 (LHS) 的原则.
- 由LHNs促进的机构间合作,利用技术进行大数据分析,质量改进和采用基于证据的实践.
- 积极的患者和利益相关者参与是成功实施儿科手术中LHNs的一个关键组成部分.
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