在学术健康中心内实施学习健康系统范式
Douglas Easterling1,2, Anna Perry2, David Miller2,3
1Department of Social Sciences and Health Policy Wake Forest University School of Medicine Winston-Salem North Carolina USA.
学术卫生中心 (AHC) 正在采用学习健康系统 (LHS) 范式,以提高医疗保健质量. 尽管有最初的阻力,但AHC正在将LHS纳入研究,需要在促进标准中进行更广泛的实施.
科学领域:
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
- 翻译科学 翻译科学
背景情况:
- 学习健康系统 (LHS) 范式整合了组织学习,数据分析和研究翻译,以提高医疗保健质量.
- 虽然医疗保健组织广泛采用LHS,但尽管拥有必要的资源,但学术健康中心 (AHC) 实施LHS的速度较慢.
研究的目的:
- 确定抑制AHC中LHS采用的因素.
- 区分与AHC任务一致和不一致的LHS工作.
- 提供建议,以便在AHC中更广泛地采用和实施LHS.
主要方法:
- 对AHC中LHS实施的出版物的审查.
- 对作者在Atrium Health Wake Forest Baptist (AHWFB) 促进LHS的直接经验进行分析.
主要成果:
- 在LHS范式扩展了传统的科学范式,通过重视质量改进和组织学习与严格的研究一起.
- AHC正在越来越多地整合LHS研究,通常与生物医学研究并行,通过提供资金或建立专门的研究所.
- 对于追求LHS的学术研究人员而言,存在阻碍,但正在出现整合策略.
结论:
- 对于AHCs来说,LHS范式是一个颠覆性的创新,但越来越受欢迎.
- 完全实施LHS需要将LHS与传统科学保持一致,并调整推广/任期标准以支持以LHS为重点的研究.
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