探索评估对学习和健康创新可持续性的影响:为现实的综合方案的协议
Marissa Bird1,2, Élizabeth Côté-Boileau3, Walter P Wodchis4,5
1Institute for Better Health, 100 Queensway West-Clinical, Administrative Building, 6Th Floor, Mississauga, ON, L5B 1B8, Canada. marissa.bird@thp.ca.
Systematic reviews
|October 6, 2023
概括
这篇现实主义综合研究了为什么一些评估有助于卫生系统的学习和创新可持续性,而另一些则阻碍了这一点. 了解上下文因素和机制是改善持续健康创新的评估实践的关键.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 评估科学 评估科学
- 创新管理 创新管理
背景情况:
- 学习健康系统 (LHS) 依赖于学习程序中的评估,以实现持续改进和创新的可持续性.
- 评估对于问题识别,数据收集和将数据转化为LHS中的可操作信息至关重要.
- 关于影响评估在支持医疗保健学习和可持续性方面的有效性因素缺乏共识.
研究的目的:
- 了解环境因素和机制,使评估能够支持卫生系统的学习.
- 为了确定为什么某些评估阻碍,而其他催化剂,健康创新可持续性.
- 为优化评估制定建议,以促进医疗保健领域的学习和可持续创新.
主要方法:
- 一种现实主义的综合方法,遵循Pawson及其同事 (2005年) 和Emmel及其同事 (2018年) 的指导方针.
- 一个五步审查过程:范围,理论构建,证据识别,选择/评估和数据提取/合成.
- 在评估,创新,可持续性和现实主义方法方面,专家委员会提供的指导;根据RAMESES指南报告的调查结果.
主要成果:
- 现实主义审查允许探索影响评估有效性的上下文因素和机制.
- 确定具体的驱动因素和障碍,以确定评估是否支持或阻碍学习和可持续性.
- 将研究结果综合合成可行的建议,以改善卫生系统的评估实践.
结论:
- 评估是学习健康系统的关键组成部分,但它对学习和可持续性的影响取决于背景.
- 了解评估成功或失败的"如何"和"为什么"对于优化其在医疗保健改进中的作用至关重要.
- 本综合报告旨在提供基于证据的指导,用于设计和实施有效支持卫生系统学习和可持续创新的评估.
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