如何在临床实践中改进初级保健研究?意大利案例研究。

IF 4.7 4区 医学 0 MEDICINE, GENERAL & INTERNAL Minerva medica Pub Date : 2024-04-01 DOI:10.23736/S0026-4806.24.09044-X
A. Roveta, G. Pacileo, Mauro Cappelletti, Donatella Alesso, Alberto Bonissone, Lorenzo Fossati, Maria C Giaccari, Fabio Maccapani, Camillo Milano, Nicolò Parodi, Federico Torregiani, Francesca Ugo, Costanza Massarino, Luigi M Castello, A. Maconi
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引用次数: 0

摘要

背景:初级保健被认为是卫生系统可持续发展的关键。基于实践的研究网络(PBRN)在将初级保健研究成果转化为实践方面发挥着战略性作用。初级医疗保健的研究能力建设需要改进和发展战略,以及完善的研究基础设施来支持医生。方法:我们采用了系统开发方法,参考精益思维,创建并支持初级和儿科医疗保健研究团队。通过分享愿景、使命、核心价值观和长期战略,我们创建了一个初级和儿科护理研究单位。结论精益方法适用于包括医疗保健在内的各种管理和运营环境。在我们的案例中,它使团队成员能够传播研究文化、研究的重要性以及在改善患者健康方面的作用,这要归功于医院内部研究与创新部的组织支持。
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How primary care research can be improved in clinical practice? An Italian case study.
BACKGROUND Primary care is considered essential for the sustainability of the Health System. Practice-Based Research Networks (PBRN) play a strategic role in translation of primary care research into practice. Research Capacity Building in primary care requires a improvement and development strategy and well-developed research infrastructures to support physicians. METHODS We used the system development methodology referring to the Lean Thinking to create and support a research team in primary and pediatric care. In particular a "cascade" deployment model and the X-Matrix, a framework used in management studies to support strategy definition and management process. RESULTS A research unit in primary and pediatric care has been created, by sharing vision, mission, core values, long-term strategies. The definition of a annual planning led to monitoring actions to guarantee the expected goals. CONCLUSIONS Lean methodology is useful to adapt to various managerial and operational contexts, including healthcare. In our case it allowed team members to spread the culture of research, its importance and role to improve the health of patients, thank to the organizational support of a hospital IR, the Research and Innovation Department.
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来源期刊
Minerva medica
Minerva medica 医学-医学:内科
CiteScore
6.40
自引率
6.40%
发文量
358
审稿时长
>12 weeks
期刊介绍: Minerva Medica publishes scientific papers on internal medicine. Manuscripts may be submitted in the form of editorials, original articles, review articles, case reports, special articles, letters to the Editor and guidelines. The journal aims to provide its readers with papers of the highest quality and impact through a process of careful peer review and editorial work. Duties and responsibilities of all the subjects involved in the editorial process are summarized at Publication ethics.
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