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:第三部分 - - 翻译科学和行动理论的问题
Osman Nuri Yogurtcu1, Laura E Gressler2, Jens Eldrup-Jorgensen3
1Office of Biostatistics and Pharmacovigilance, Center for Biologics Evaluation and Research (CBER), U.S. Food and Drug Administration, Silver Spring, MD, USA.
概括
系统,协调,组织间网络 (SCIONs) 理论可以指导协调注册网 (CRNs) 的发展,以提高医疗保健的效率和公平性. 此外,CRN的经验也完善了SCION的理论,提高了它在复杂的医疗保健挑战中的实际应用.
科学领域:
- 医疗保健管理的管理
- 组织理论组织理论.
- 公共卫生政策 公共卫生政策
背景情况:
- 介绍系统,协调,组织间网络 (SCIONs) 理论和协调注册表网络 (CRNs).
- 探讨SCIONs理论对CRN的应用,强调其在促进医疗保健复杂问题解决的信任和合作方面的作用.
- 本文探讨了SCION理论与CRN实践之间的互惠益处.
研究的目的:
- 分析SCIONs理论与CRN实践之间的相互关系.
- 提出SCION理论在指导CRN开发中的未来应用.
- 探索CRN经验如何改进SCION理论并识别局限性.
主要方法:
- 分析SCION理论与CRN实践之间的相互关系.
- 检查SCIONs理论如何使CRN受益.
- 探索CRN经验如何能为SCION理论提供信息和改进.
主要成果:
- SCION理论可以指导CRN在领导领域的发展:人力资本,组织适应性,机构能力,政治参与和合作.
- 根据SCION理论指导的CRN可以带来更高效,更公平,更以学习为导向的医疗保健系统.
- CRN 方法可能有助于在 SCION 理论中扩展评估组件.
结论:
- CRN项目经理应专注于增强人力资本,组织适应能力和机构能力的战略.
- 政府机构应该考虑投资于现实世界证据 (RWE) 基础设施的CRN,以提高医疗保健的质量和效率.
- 公共话语可以从理解合作在解决政府和市场能力之外的社会问题的作用中受益.
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