Innovation Pathways in the NHS: An Introductory Review.
Innovation Pathways in the NHS: An Introductory Review.
复制标题
NHS的创新路径：导论综述。
DOI：
10.1007/s43441-021-00304-w
复制
发表时间：
2021-09
影响因子：
1.5
通讯作者：
Seah M
中科院分区：
文献类型：
--
作者：
Arora A;Wright A;Cheng TKM;Khwaja Z;Seah M
医疗保健作为一个行业被认为是最具创新性的行业之一。尽管监管严格，但新技术和护理模式仍有很大的空间，不仅可以提高患者的治疗效果，而且可以降低医疗保健系统和消费者的成本。促进国家卫生系统（例如英国的国民医疗服务体系 (NHS)）内的创新已被定为医疗保健专业人员和政策制定者的关键目标。然而，尽管英国拥有世界一流的生物医学研究产业，但过去二十年的几份报告都强调了NHS在鼓励和采用创新方面面临的困难，卫生技术从想法到实施的过程往往需要数年时间，而且成本非常昂贵，失败率很高。这导致在 NHS 内部和周围建立了数条创新途径，以鼓励发明、开发和实施具有成本效益的技术，以改善医疗保健服务。这些途径涵盖地方、区域和国家卫生基础设施。它们在创新管道的不同阶段运作，其范围和工作根据其成立时确定的具体问题由地点、技术领域或行业部门定义。在这篇介绍性评论中，我们概述了 NHS 在地方、区域和国家层面运作的每条主要创新途径，包括其历史、治理、操作程序和专业领域。讨论了创新路径在多大程度上解决了创新者当前面临的挑战，以及需要改进和未来研究的领域。
Healthcare as an industry is recognised as one of the most innovative. Despite heavy regulation, there is substantial scope for new technologies and care models to not only boost patient outcomes but to do so at reduced cost to healthcare systems and consumers. Promoting innovation within national health systems such as the National Health Service (NHS) in the United Kingdom (UK) has been set as a key target for health care professionals and policy makers. However, while the UK has a world-class biomedical research industry, several reports in the last twenty years have highlighted the difficulties faced by the NHS in encouraging and adopting innovations, with the journey from idea to implementation of health technology often taking years and being very expensive, with a high failure rate. This has led to the establishment of several innovation pathways within and around the NHS, to encourage the invention, development and implementation of cost-effective technologies that improve health care delivery. These pathways span local, regional and national health infrastructure. They operate at different stages of the innovation pipeline, with their scope and work defined by location, technology area or industry sector, based on the specific problem identified when they were set up. In this introductory review, we outline each of the major innovation pathways operating at local, regional and national levels across the NHS, including their history, governance, operating procedures and areas of expertise. The extent to which innovation pathways address current challenges faced by innovators is discussed, as well as areas for improvement and future study.