We've Only Just Begun - Insights from a 25-Year Journey to Accelerate Health Care Transformation Through Delivery System Research.

Sarah M Greene, Paul Wallace, Andrew F Nelson
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引用次数: 4

Abstract

Even though it is well known that quality, safety, and patient-centeredness of health care can be improved, leveraging the organizational apparatus of a care delivery environment to render improvement in a consistent and comprehensive manner has proven difficult. The Health Care Systems Research Network (HCSRN), which began as the HMO Research Network, emerged from a desire to improve health and study problems in health care in a systematic and collaborative way, spurring the delivery of true evidence-informed medicine. The HCSRN has honed network-wide data resources, a collaborative culture, and shared infrastructure, enabling multicenter health care research that is often more difficult for researchers working in less integrated settings and across organizational boundaries. The HCSRN's 25-year track record confers both an opportunity and obligation to share what we have learned through our research. Considering the quarter-century since the HCSRN was established, we describe three evolving areas-health data, new health care models, and diversified research teams that must be thoughtfully harnessed to realize a transformed health care ecosystem that generates and learns with research.

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我们才刚刚开始——通过交付系统研究加速医疗保健转型的25年历程的见解。
尽管众所周知,医疗保健的质量、安全性和以患者为中心可以得到改善,但利用医疗服务环境的组织机构以一致和全面的方式进行改善已被证明是困难的。卫生保健系统研究网络(HCSRN)最初是HMO研究网络,其产生是出于以系统和协作的方式改善健康和研究卫生保健问题的愿望,从而促进提供真正的循证医学。HCSRN拥有网络范围内的数据资源、协作文化和共享基础设施,使多中心医疗保健研究成为可能,这对于在集成程度较低的环境和跨组织边界工作的研究人员来说往往更加困难。HCSRN 25年的记录为我们提供了分享研究成果的机会和义务。考虑到自HCSRN建立以来的四分之一个世纪,我们描述了三个不断发展的领域-健康数据,新的医疗保健模式和多样化的研究团队,必须深思熟虑地利用这些领域来实现转型的医疗保健生态系统,从而在研究中产生和学习。
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