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弥合儿科设备开发的差距:行动的力量 - 一个协作学习网络的力量
Deepa Mokshagundam1, David N Rosenthal2, Lauren Smyth3
1St Louis Children's Hospital, Washington University School of Medicine, St Louis, Missouri.
概括
由于ACTION学习网络,儿童心室辅助器件 (VAD) 的创新正在推进. 它的注册表设计克服了财务和监管障碍,使用现实世界的证据来改善心力衰竭儿童的护理.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 医疗设备创新 医疗设备创新
- 健康 结果 研究 研究 结果
背景情况:
- 儿科室内辅助器件 (VADs) 显著改善了末期心力衰竭儿童的治疗结果.
- 儿科VAD的创新面临着挑战,因为患者人群较小,异质,导致金融和监管障碍.
- 先进的心脏疗法改善结果网络 (ACTION) 于2017年创建,以应对这些挑战.
研究的目的:
- 描述ACTION注册表的故意设计.
- 解释这种设计如何减轻儿科VAD创新的监管和财务障碍.
- 突出在学习网络中使用现实世界的证据,以推进儿科VAD技术.
主要方法:
- 2017年建立ACTION学习网络.
- 开发具有故意设计特征的注册表.
- 从儿科VAD患者那里收集和利用现实世界的证据.
主要成果:
- ACTION注册表的设计成功地解决了监管和财务限制.
- 通过网络收集的现实世界证据促进了儿科VAD创新.
- 通过VADs支持的儿科患者的改善结果正在实现.
结论:
- ACTION注册表模型有效地克服了儿科VAD创新的障碍.
- 现实世界的证据和协作学习网络是推动儿科心脏治疗的关键.
- 这种方法支持为儿童开发和实施改进的VAD.
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