实施,扩展和维持的学习健康系统:系统性审查,以巩固改进指导
Cassandra Lane1,2,3,4, Sam McCrabb5,6,7,8, Heidi Turon1,2,3,4
1School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW, Australia.
Implementation science : IS
|January 10, 2026
概括
本系统性审查确定了学习健康系统 (LHS) 的六个支柱和十个步骤,以改善医疗保健的实施. 这些发现为有效扩大和维持健康干预提供了实际指导.
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 (LHSs) 整合了研究和实践,以实现持续改进.
- 现有的LHS框架缺乏加强实施的实际指导.
- 需要有结构的方法来扩大和维持健康干预措施.
研究的目的:
- 系统地审查和整合关于LHS基础设施 (支柱) 和流程 (步骤) 的指导.
- 确定可采取行动的组件,以改善LHS内的卫生干预措施的实施,扩展和维持.
主要方法:
- 系统审查12151个记录和25个网站,包括灰色文献.
- 两个独立的审稿人对标题,摘要和全文进行了选.
- 用于识别和分析LHS支柱和步骤的框架和主题综合.
主要成果:
- 确定了LHS运营的六个基本支柱:利益相关者参与,劳动力能力,证据综合,数据管理,治理和基础设施.
- 整合了三个阶段的10步改进过程:知识到实践,实践到数据和数据到知识.
- 在不同背景下的支柱和步骤中发现了概念的一致性,并指出了扩展和维持的变化.
结论:
- 本综述为有效实施,扩大和维持健康干预提供了LHS支柱和步骤的综合框架.
- 提供了一种结构化,适应性的方法,用于在LHS中运行学习周期.
- 通知世卫组织的指导和促进系统的,基于证据的决策在卫生系统.
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