一个曼哈顿项目为加拿大医疗保健?
1Neil Seeman, is a senior fellow and an associate professor at the Institute of Healthcare Policy, Management and Evaluation and a senior fellow at Massey College at the University of Toronto in Toronto, ON. He is a Fields Institute fellow, publisher at Sutherland House Experts and senior academic advisor to the Investigative Journalism Bureau and the Health Informatics, Visualization and Equity Lab at the Dalla Lana School of Public Health at the University of Toronto.
加拿大的医疗保健系统需要快速创新,以应对痴呆症和家庭护理短缺等危机. 一个类似于国防先进研究项目署 (DARPA) 的模型,促进并行实验,被提出为集中式方法.
科学领域:
- 医疗保健政策 医疗保健政策
- 医疗服务研究 医疗服务研究
- 医疗保健领域的创新
背景情况:
- 加拿大的医疗保健系统正面临重大挑战,包括痴呆症护理和家庭护理短缺.
- 目前的响应往往由于广泛的利益相关者商而被推迟.
- 一个"曼哈顿计划"的方法已经被建议,但不适合加拿大的联邦结构.
研究的目的:
- 提出加拿大快速医疗保健创新的替代模式.
- 为了确定一个更适合的模板来解决系统性医疗保健危机.
- 概述实施新的创新框架所必需的条件.
主要方法:
- 创新模式的比较分析 (曼哈顿项目与DARPA).
- 评估国防先进研究项目署 (DARPA) 模型对加拿大医疗保健的适用性.
- 确定在加拿大联邦系统内实施一个类似DARPA的机构的关键要求.
主要成果:
- 曼哈顿项目的集中,战争时期的模型与加拿大的联邦医疗保健系统不兼容.
- 国防高级研究项目局 (DARPA) 模型为分布式管辖区的快速并行实验提供了一个模板.
- 实施加拿大医疗保健DARPA需要领导力致力于放弃共识,防止失败,并压缩时间表.
结论:
- 一个类似于国防先进研究项目署 (DARPA) 的模型是加拿大加速医疗保健创新的更合适的框架.
- 这种方法需要领导者愿意接受快速代,并不再强调共识建设.
- 重新分配现有资源,而不是创建新的官僚机构,对于建立这样一个机构至关重要.
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