A roadmap to operationalize and evaluate impact in a learning health system.
A roadmap to operationalize and evaluate impact in a learning health system.
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DOI：
10.1002/lrh2.10258
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发表时间：
2021-10
影响因子：
3.1
通讯作者：
Lozano P
中科院分区：
文献类型：
--
作者：
Allen C;Coleman K;Mettert K;Lewis C;Westbrook E;Lozano P
许多卫生系统投资于加速将知识转化为实践的举措。然而，组织缺乏关于如何开发和运作这样的学习健康系统（LHS）计划和评估其影响的指导。凯泽医疗于2017年6月启动了我们的LHS项目，并开发了一个逻辑模型作为评估项目影响的基础。为希望建立LHS计划的组织制定路线图，了解LHS核心组件在实践中如何相互关联，并评估和改进其进展。我们对LHS模型、关键模型组件和测量方法进行了叙述性的回顾。KPWA LHS逻辑模型提供了与LHS计划相关的一组广泛的结构，描述了它们与LHS操作的关系，协调了模型之间的术语，并提供了每个结构的可测量的操作方法，以指导其他卫生系统。该模型确定了LHS的基本投入，为LHS活动提供了透明度，并定义了评估LHS过程和影响的关键结果。我们对该模型最有帮助的组成部分进行了反思，并通过在COVID - 19大流行期间部署LHS模型的示例，确定了需要进一步改进的领域。KPWA LHS逻辑模型是未来LHS实施研究的起点，也是正在构建、实施和评估LHS计划的医疗保健组织的实用指南。
Many health systems invest in initiatives to accelerate translation of knowledge into practice. However, organizations lack guidance on how to develop and operationalize such Learning Health System (LHS) programs and evaluate their impact. Kaiser Permanente Washington (KPWA) launched our LHS program in June 2017 and developed a logic model as a foundation to evaluate the program's impact. To develop a roadmap for organizations that want to establish an LHS program, understand how LHS core components relate to one another when operationalized in practice, and evaluate and improve their progress. We conducted a narrative review on LHS models, key model components, and measurement approaches. The KPWA LHS Logic Model provides a broad set of constructs relevant to LHS programs, depicts their relationship to LHS operations, harmonizes terms across models, and offers measurable operationalizations of each construct to guide other health systems. The model identifies essential LHS inputs, provides transparency into LHS activities, and defines key outcomes to evaluate LHS processes and impact. We provide reflections on the most helpful components of the model and identify areas that need further improvement using illustrative examples from deployment of the LHS model during the COVID‐19 pandemic. The KPWA LHS Logic Model is a starting point for future LHS implementation research and a practical guide for healthcare organizations that are building, operationalizing, and evaluating LHS initiatives.
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影响因子：
3.1
作者：
Harrison MI;Shortell SM
通讯作者：
Shortell SM
DOI：
10.1186/1748-5908-8-117
发表时间：
2013-10-02
期刊：
Implementation science : IS
影响因子：
--
作者：
Chambers DA;Glasgow RE;Stange KC
通讯作者：
Stange KC
影响因子：
39.2
作者：
Greene, Sarah M.;Reid, Robert J.;Larson, Eric B.
通讯作者：
Larson, Eric B.
影响因子：
5.7
作者：
Guise, Jeanne-Marie;Savitz, Lucy A.;Friedman, Charles P.
通讯作者：
Friedman, Charles P.
影响因子：
3
作者：
Cella, David;Yount, Susan;Rose, Mattias
通讯作者：
Rose, Mattias