构建现实世界的证据基础设施以改善美国的健康和医疗保健:第二部分-协调注册表网络如何像系统协调组织间网络一样运行
Osman Nuri Yogurtcu1, Laura E Gressler2, Jens Eldrup-Jorgensen3
1Office of Biostatistics and Pharmacovigilance, Center for Biologics Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, MD, USA.
概括
协调注册网 (CRN) 与系统协调组织间网络 (SCION) 一样运作,推动医疗保健质量和效率方面的创新. 这种模式,以血管质量倡议 (VQI) 为例,改善了患者的治疗结果,并且可以在各个医学专业领域应用.
科学领域:
- 医疗保健管理的管理
- 医疗信息学 医疗信息学
- 系统科学 系统科学
背景情况:
- 协调注册网 (CRN) 对于基于证据的医疗保健改进至关重要.
- 系统协调组织间网络 (SCIONs) 理论为组织合作提供了一个框架.
- 本研究通过SCION理论的透视来分析CRN,以了解它们的创新潜力.
研究的目的:
- 分析协调注册表网络 (CRN) 如何作为系统协调组织间网络 (SCION) 运作.
- 了解如何优化CRN以促进医疗保健质量,效率和结果方面的创新.
- 将SCION理论应用于血管外科协会 (SVS) 血管质量倡议 (VQI) 的案例研究.
主要方法:
- 应用SCION理论来描述CRNs的结构和功能.
- 使用SVS血管质量倡议 (VQI) 的扩展案例研究作为CRN.
- 在VQI中评估SCION的特点,协调模式和性能.
主要成果:
- 像VQI一样,CRN可以推动质量改善,研究和医疗产品开发的根本创新.
- 在VQI中的创新导致了患者停留时间的减少,改善了获得护理的机会,以及更好的质量指标.
- 关键的成功因素包括区域子网络,利益相关方的合作,以及一个专门的协调组织.
结论:
- 该VQI作为CRN的概括模型,展示了转变的医疗保健服务和改善患者的结果.
- 基于SCION理论的CRN模型被提议在美国医疗和外科专业和初级保健领域广泛实施.
- 这一框架促进了大规模数据收集和分析,以获得医疗保健的重大进展.
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