框架,指导方针和工具,以开发一个学习健康系统的土著健康:环境扫描加拿大
Emma Rice1, Angela Mashford-Pringle1, Jinfan Qiang2
1Waakebiness-Bryce Institute for Indigenous Health, Dalla Lana School of Public Health University of Toronto Toronto Ontario Canada.
Learning health systems
|January 22, 2024
概括
学习健康系统 (LHS) 可以解决安大略省的第一民族,因纽特人和梅蒂斯人 (FNIM) 的健康差异. 原住民社区的合作伙伴关系对于成功的LHS开发和在医疗保健中的实施至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗信息学 医疗信息学
- 土著健康土著健康
背景情况:
- 在安大略省,第一民族,因纽特人和梅蒂斯人 (FNIM) 面临着系统性的健康差异.
- 学习健康系统 (LHS) 为医疗保健创新提供了一个框架,但缺乏既定的理论和特定背景信息,特别是在安大略省.
- 关于LHS的现有文献是新生的,有新兴的理论和原则.
研究的目的:
- 对现有的框架,指导方针和设计,开发,实施和评估LHS的工具进行环境扫描.
- 根据关键支柱绘制LHS当前文献的地图:数据驱动,以患者为中心,系统支持和文化能力.
- 确定知识差距,并为安大略省医疗保健环境中的LHS实施提供建议.
主要方法:
- 在2021年1月至4月和2022年6月期间进行了环境扫描.
- 确定和分析了37个相关来源.
- 基于五个关键支柱来绘制文献:数据和证据驱动,以患者为中心,系统支持,文化能力启用和学习健康系统.
主要成果:
- 文献审查确定了LHS的现有框架,准则和工具.
- 在LHS的五个关键支柱中发现了知识差距.
- 目前的文献为解决健康差异提供了基础,但需要进一步发展.
结论:
- 关于LHS的文献为解决FNIM人群所经历的健康差异提供了一个起点.
- 原住民社区的伙伴关系对于LHS的成功发展和运营至关重要.
- 提供了LHS实施的建议,强调了对文化能力和协作方法的需求.
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