Development of the Learning Health System Researcher Core Competencies

Development of the Learning Health System Researcher Core Competencies
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DOI:
10.1111/1475-6773.12751
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发表时间:
2018-08-01
影响因子:
3.4
通讯作者:
Mistry, Kamila B.
Mistry, Kamila B.
中科院分区:
医学3区
文献类型:
--
作者:
Forrest, Christopher B.;Chesley, Francis D., Jr.;Mistry, Kamila B.

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目标为学习健康系统(LHS)研究人员开发核心能力,以指导培训计划的开发。数据来源/研究设置数据来自文献综述、专家访谈、改进的德尔菲流程和共识制定会议。研究设计能力是使用定性方法从 2016 年 8 月至 12 月开发的。数据收集/提取方法文献综述形成了能力域框架初稿的基础。关键知情人半结构化访谈、修改后的德尔菲调查和三个专家小组(n=19 名成员)共识开发会议产生了最终的能力集。主要发现迭代开发过程产生了七个能力领域:(1)系统科学; (二)研究问题和科学证据标准; (三)研究方法; (4) 信息学; (5) 卫生系统研究和实施的道德规范; (六)改进和实施的科学性; (7) 参与、领导力和研究管理。这七个领域总共优先考虑了 33 项核心能力。 LHS 研究的现实环境、研究人员在卫生系统中的嵌入以及利益相关者的参与是这一新兴领域的显着特征。结论 LHS 研究人员的核心能力可用于指导学习目标、评估方法和培训项目课程的制定。
ObjectiveTo develop core competencies for learning health system (LHS) researchers to guide the development of training programs.Data Sources/Study SettingData were obtained from literature review, expert interviews, a modified Delphi process, and consensus development meetings.Study DesignThe competencies were developed from August to December 2016 using qualitative methods.Data Collection/Extraction MethodsThe literature review formed the basis for the initial draft of a competency domain framework. Key informant semi-structured interviews, a modified Delphi survey, and three expert panel (n=19 members) consensus development meetings produced the final set of competencies.Principal FindingsThe iterative development process yielded seven competency domains: (1) systems science; (2) research questions and standards of scientific evidence; (3) research methods; (4) informatics; (5) ethics of research and implementation in health systems; (6) improvement and implementation science; and (7) engagement, leadership, and research management. A total of 33 core competencies were prioritized across these seven domains. The real-world milieu of LHS research, the embeddedness of the researcher within the health system, and engagement of stakeholders are distinguishing characteristics of this emerging field.ConclusionsThe LHS researcher core competencies can be used to guide the development of learning objectives, evaluation methods, and curricula for training programs.