评估卫生组织为实施学习健康系统的准备:一个范围审查
Catherine M Giroux1,2, Aliki Thomas1,2, André Bussières1,3
1Faculty of Medicine and Health Sciences, McGill University, Montreal, Canada.
Health research policy and systems
|December 4, 2025
概括
开发一个学习健康系统 (LHS) 需要特定的准备工具. 这项研究确定了LHS实施所需的关键领域,障碍,促进者和能力,强调了目前缺乏评估工具.
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
- 实施科学 实施科学
背景情况:
- 学习健康系统 (LHS) 提供了医疗保健获取,创新,协调,连续性和质量的潜在改进.
- 评估组织的准备对于成功采用LHS至关重要,但具体的工具很少.
研究的目的:
- 综合地绘制有关学习健康系统 (LHS) 的文献.
- 确定必要的领域,项目,障碍,促进者,实施策略和能力,以开发LHS准备工具.
主要方法:
- 使用Arksey和O'Malley的框架进行了范围审查.
- 搜索了多个数据库 (Scopus,MEDLINE,Embase,CINAHL,PsychINFO,教育源,商业源完整) 从创立到2024年5月.
- 包括英语或法语出版物讨论LHS定义,框架,能力,障碍和促进者.
主要成果:
- 分析了90篇文章 (2007-2024年),通过持续学习,证据整合,基础设施和利益相关方参与来定义LHS.
- 确定了21个框架和关键领域 (例如,D2K-K2P-P2D周期,领导力,数据基础设施).
- 他们指出了共同的障碍 (资源,文化,互操作性) 和促进者 (领导力,伙伴关系,政策),以及基本能力 (研究,信息学,质量信息,道德).
结论:
- 现有的质量改善准备工具不足以实现LHS.
- 未来的LHS准备性评估工具必须结合识别的障碍,促进者和集体行为改变策略.
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