研究人员和运营创新者之间的合作结构:在退伍军人管理卫生保健系统中传播新实践
Sudha R Raman1, Jennifer M Gierisch1,2,3, Miriam A Kirshner2
1Department of Population Health Sciences Duke University School of Medicine Durham North Carolina USA.
Learning health systems
|January 21, 2026
概括
我们制定了一个框架,以改善医疗保健运营和研究部门之间的合作,以更快地实施创新. 这个过程有助于对有希望的医疗保健进步进行分类和计划下一步.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗保健创新实施 医疗保健创新实施
- 学习健康系统 学习健康系统
背景情况:
- 有效地实施医疗保健创新对于学习健康系统至关重要.
- 在医疗保健系统中,运营和研究部门之间的合作可能具有挑战性.
- 现有的研究行动合作框架往往缺乏全面的标准.
研究的目的:
- 为VHA运营和研究部门开发流程和工具,以便在实施医疗保健创新方面进行合作.
- 创建一个系统的框架,根据研究和运营因素对创新进行分类.
- 调整参与式方法,以便在研究行动伙伴关系中有效收集信息.
主要方法:
- 在运营和研究领导层之间举行了基础伙伴关系会议.
- 审查现有的研究行动协作框架,以确定共同点和差距.
- 制定了一个框架,包括五个途径和标准 (有效性,风险,公平性,可行性,可持续性) 来审查创新.
- 适应参与式方法来收集关于创新的反.
主要成果:
- 开发的框架和标准应用于创新,完善过程.
- 调查表明,该过程可用于分类创新和指导下一步.
- 不同的合作伙伴 (临床医生,管理人员,研究人员) 成功使用了标准和途径.
- 该过程促进了对创新价值和权衡的评估.
结论:
- 这种代的,理论上有基础的过程可以加速医疗保健创新实施.
- 经营和研究部门之间的有意和参与的参与加快了创新交付的速度.
- 这一蓝图支持将有前途的创新纳入患者护理.
- 该框架通过将研究和实践联系起来,增强学习健康系统.
相关概念视频
01:26Methods Of Healthcare Delivery System
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
01:18Healthcare Agencies I
Healthcare agencies provide healthcare services to people. In the United States, voluntary agencies are often non-profit centers sponsored by donations, grants, or fundraisers. One such organization is Meals on Wheels, which provides meals to the elderly and homebound. The American Heart Association and the American Lung Association are other non-profit community organizations. Doctors and nurses are frequently active members of these organizations, which offer health checks and educational...
01:21Interdisciplinary Care: The Health Care Team-I
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution itself.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution itself.
01:18Interdisciplinary Care: The Health Care Team-II
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
01:29Issues And Trends In Healthcare Delivery System
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
01:25Types of Reports I: Hand-off Report
A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
Following are the key components and categories of hand-off reports:
Purpose and Process: