Implementation of New Clinical Programs in the VHA Healthcare System: The Importance of Early Collaboration Between Clinical Leadership and Research
Implementation of New Clinical Programs in the VHA Healthcare System: The Importance of Early Collaboration Between Clinical Leadership and Research
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DOI：
10.1007/s11606-014-3026-3
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发表时间：
2014-12-01
影响因子：
5.7
通讯作者：
Jackson, George L.
中科院分区：
文献类型：
--
作者：
Wu, R. Ryanne;Kinsinger, Linda S.;Jackson, George L.
政策、研究和临床合作伙伴之间的合作对于实现经验证的优质护理至关重要。退伍军人健康管理局为促进这种合作付出了巨大努力。通过这一点，我们了解到，一个理想的合作涉及从一个新的临床项目的一开始就建立伙伴关系，以便该计划的设计方式，确保质量，有效性，并落实必要的基础设施，以可靠的评估。本文将给出一个这样的项目，肺癌筛查示范项目（LCSDP）的例子。我们将概述临床，政策和研究合作伙伴在设计，规划和实施方面的合作方式，以创建一个可持续的模型，可以严格评估其有效性和保真度。我们将描述使用多纳贝迪安质量矩阵来确定质量计划的必要特征，以及与工程，信息技术和临床范式联系的重要性，以将实地临床计划的发展与学习型医疗保健组织的评估目标联系起来。虽然LCSDP是这里给出的例子，但这些伙伴关系和建议对于任何寻求以有用和可靠的方式实施新的科学证明的护理的医疗保健组织来说都是突出的。
Collaboration between policy, research, and clinical partners is crucial to achieving proven quality care. The Veterans Health Administration has expended great efforts towards fostering such collaborations. Through this, we have learned that an ideal collaboration involves partnership from the very beginning of a new clinical program, so that the program is designed in a way that ensures quality, validity, and puts into place the infrastructure necessary for a reliable evaluation. This paper will give an example of one such project, the Lung Cancer Screening Demonstration Project (LCSDP). We will outline the ways that clinical, policy, and research partners collaborated in design, planning, and implementation in order to create a sustainable model that could be rigorously evaluated for efficacy and fidelity. We will describe the use of the Donabedian quality matrix to determine the necessary characteristics of a quality program and the importance of the linkage with engineering, information technology, and clinical paradigms to connect the development of an on-the-ground clinical program with the evaluation goal of a learning healthcare organization. While the LCSDP is the example given here, these partnerships and suggestions are salient to any healthcare organization seeking to implement new scientifically proven care in a useful and reliable way.