在公共资助系统中扩大创新规模:英国从证据到采用的道路
Matthew Whitty1, David Walliker2
1Director of Commercial Partnerships, MDClone, Former Chief Executive of the Accelerated Access Collaborative, National Health Service England, London, UK.
HealthcarePapers
|January 28, 2026
概括
加拿大在实施新的医疗保健创新方面面临挑战,原因是系统碎片化. 一个连接的英国模型,使用证据翻译和采用框架的原则,显示出健康技术在全国范围内快速实施的希望.
科学领域:
- 医疗服务研究 医疗服务研究
- 医疗保健创新 医疗保健创新
- 卫生技术评估 卫生技术评估
背景情况:
- 加拿大医疗保健系统努力将基于证据的创新纳入日常实践.
- 证据,资金,采购和交付的分散功能阻碍了加拿大的创新采用.
- 英国由税收资助的医疗保健系统提供了一个部分连接的模型来管理这些功能.
研究的目的:
- 在医疗保健中绘制证据翻译和实施的架构.
- 解释如何使用非采用,放弃,扩大,传播和可持续性 (NASSS) 框架将证据转化为实践.
- 确定改善加拿大医疗保健创新采用的实际影响.
主要方法:
- 医疗保健创新生态系统的概念映射.
- 证据翻译途径的分析.
- 纳斯斯框架原则的应用.
- 对胎盘生长因子测试和中风成像的案例研究分析英国的人工智能采用.
主要成果:
- 连接研究,评估,监管,采购和数据的连接架构对于证据实施至关重要.
- 国家评估,采用支持和采购促进了英国快速大规模采用创新.
- 纳斯斯框架提供了原则,以应对不采用,放弃,扩大,传播和可持续性的挑战.
结论:
- 加拿大可以从一个单一的,可重复的证据到实践翻译途径中受益.
- 实施国家框架,有条件通过与证据生成,以及对实施能力的投资是关键.
- 安全的数据环境对于现实世界的评估和医疗保健创新的持续采用至关重要.
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