评估学习健康系统实施的工具和框架:一个范围审查
Darren Rajit1, Sandra Reeder1, Alison Johnson1
1Monash Centre for Health Research and Implementation, Faculty of Medicine, Nursing, and Health Sciences, Monash University, Melbourne, VIC, Australia.
由于工具有限,评估学习健康系统 (LHS) 的实施是具有挑战性的. 这次审查确定了三个评估工具,突出了共同的构造,但不同的方法,表明需要进一步研究和达成共识.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
- 系统科学 系统科学
背景情况:
- 学习健康系统 (LHS) 正在获得引力,但评估其实施的实际指导很少.
- 现有的文献缺乏全面的工具和框架来评估LHS倡议.
研究的目的:
- 进行现有工具的范围审查,并评估LHS实施的示例.
- 识别和分析用于评估LHS实施的框架和工具.
主要方法:
- 对四个主要数据库 (Scopus,EMBASE,MEDLINE,MEDLINE in-process) 进行了系统的范围审查.
- 包括从2018年起发表的研究,重点关注LHS实施评估或工具开发.
- 排除标准包括非英语文章,摘要和基础研究.
主要成果:
- 只有四项研究符合资格标准,产生了三个不同的评估工具:网络成熟度网格 (NMG),凯撒永久华盛顿 (KPWA) LHS逻辑模型和LADDERS.
- 通常评估的构造包括利益相关者,数据,研究证据,实施和社会技术基础设施.
- 在适应和采用方面,NMG表现出最高的成熟度;两个工具将LHS概念化为连接结构的过程.
结论:
- 对LHS实施的评估是一个研究不足的领域,只有三个工具被确定.
- 对于LHS评估的关键构造存在新的共识.
- 需要进一步的实证研究来开发和验证强大的LHS实施评估工具.
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