通过合作和移情设计改善健康。

Q4 Medicine Frontiers of Health Services Management Pub Date : 2024-09-01 Epub Date: 2024-08-28 DOI:10.1097/HAP.0000000000000201
Kee Chan, Richard Sewell
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引用次数: 0

摘要

精准医疗(即利用数据为特定群体量身定制医疗服务)和机器学习(建立数据模型,开发满足特定需求的新方法)技术的应用在人口健康领域发挥着至关重要的作用。然而,单靠技术并不能解决健康的基本社会决定因素(SDOH)和医疗机构结构所带来的挑战。要取得进展,就需要利益相关者携手合作,共同制定整体解决方案。通常情况下,一个僵化的机构依赖于假设、研究、实验和评估的顺序过程来推动健康计划和政策的发展。虽然这一过程在很多情况下行之有效,但结果并不总是持久的。尽管资金和资源得到了扩充,但许多健康问题的根源依然存在于社区。鉴于这一现实,医疗保健领导者是应该做更多过去已经做过的事情,还是应该探索另一种方式--一种新的思维方式--来设计合作的、以人为本的计划和政策,从而改善和维持社区的健康状况?我们在此提出的对策将在我们的著作《公共卫生与卫生系统管理》中详细阐述:人口健康视角》(计划于 2025 年由卫生管理出版社出版)一书中详细介绍了我们的对策,该对策考虑到了医疗保健的复杂结构和 SDOH 问题,并提倡用设计思维来解决这些因素的价值。
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Health Improvement by Design Through Partnership and Empathy.

The application of technology in precision medicine (i.e., using data to tailor care for specific groups) and machine learning (modeling data to develop new ways to meet particular needs) plays a vital role in population health. And yet, technology alone cannot resolve the challenges presented by the underlying social determinants of health (SDOH) and the structure of healthcare institutions. Progress requires a partnership of stakeholders to build holistic solutions. Typically, a rigid institutional reliance on a sequential process of hypothesis, study, experimentation, and evaluation drives the development of health programs and policies. While this process works in many cases, the results are not always long-lasting. The roots of many health problems persist in their communities, despite expanded funding and advanced resources. In light of this reality, should healthcare leaders do more of what has been done in the past, or should they explore another way-a new way of thinking-to design collaborative, people-driven programs and policies that can improve and sustain the health of their communities? The response presented here and detailed in our book, Public Health and Health Systems Management: A Population Health Perspective (scheduled for publication in 2025 by Health Administration Press), considers healthcare's complex structure and SDOH and promotes the value of design thinking to address those factors.

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来源期刊
Frontiers of Health Services Management
Frontiers of Health Services Management Medicine-Medicine (all)
CiteScore
1.00
自引率
0.00%
发文量
27
期刊介绍: Disaster preparedness. The future of health professions. Workforce shortages. Alternative medicine. You want to understand the latest trends, but you don"t always have time for books. Magazines don"t give you quite enough information. Keeping up doesn"t have to be difficult. Frontiers can bring you up to speed quickly. Frontiers" unique "bookazine" format gives you the deep understanding gained from books but in a shorter format, like a magazine. Each issue focuses on one healthcare management topic, providing you with the knowledge you need to understand and react to evolving trends. Frontiers is written by experts on the topic and includes commentary from the field.
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