使用参与式方法来确定优先事项,以在学术医疗中心推进LHS实施
Reid M Eagleson1, Madeline Gibson1, Carletta Dobbins2
1Center for Outcomes and Effectiveness Research and Education University of Alabama at Birmingham Birmingham Alabama USA.
阿拉巴马大学伯明翰分校 (UAB) 正在实施学习健康系统 (LHS) 原则,通过吸引利益相关者确定重点优先事项. 这种协作方法旨在改善整个学术医疗中心的数据访问和性能.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 学术医学 学术医学
- 改善医疗保健 改善医疗保健
背景情况:
- 学术医疗中心在采用学习健康系统 (LHS) 原则方面面临挑战,原因是临床,行政和研究领域的重点不同.
- 实施LHS需要一种系统的方法来评估护理提供,结果和改进举措,使用信息技术和方法专业知识.
研究的目的:
- 在阿拉巴马大学伯明翰分校 (UAB) 推进学习健康系统 (LHS) 原则的实施.
- 在一个大型学术医疗中心内确定和优先考虑与LHS发展相关的关键主题和问题.
主要方法:
- 使用了精确问题解决方法的组成部分.
- 与来自UAB卫生系统和学术院校的62名利益相关者进行了焦点小组.
- 从131个利益相关者识别的关注点中,确定和优先考虑了8个主要主题.
主要成果:
- "为协调和知情的优先级制定创建结构"和"正确的数据,正确的时间,提高绩效"成为最重要的优先事项.
- 成立了一个工作组来解决这些优先事项,并为数据访问原型和嵌入式研究人员试点项目提供初始资金.
结论:
- 一个深思熟虑的过程,在卫生系统和学术组成部分广泛参与,对于推进LHS原则至关重要.
- 该UAB的经验为其他旨在实施LHS的学术健康中心提供了见解.
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