J. Brian Cassel (
Brynn Bowman is vice president of education at the Center to Advance Palliative Care, in New York City.
Health Aff (Millwood). 2018 Feb;37(2):231-239. doi: 10.1377/hlthaff.2017.1122.
Between 2000 and 2015 the proportion of US hospitals with more than fifty beds that had palliative care programs tripled, from 25 percent to 75 percent. The rapid adoption of this high-value program, which is voluntary and runs counter to the dominant culture in US hospitals, was catalyzed by tens of millions of dollars in philanthropic support for innovation, dissemination, and professionalization in the palliative care field. We describe the dissemination strategies of the Center to Advance Palliative Care in the context of the principles of social entrepreneurship, and we provide an in-depth look at its hallmark training initiative, Palliative Care Leadership Centers. Over 1,240 hospital palliative care teams have trained at the Leadership Centers to date, with 80 percent of them instituting palliative care services within two years. We conclude with lessons learned about the role of purposeful technical assistance in promoting the rapid diffusion of high-value health care innovation.
在 2000 年至 2015 年期间，拥有姑息治疗项目的美国拥有 50 多张病床的医院比例增加了两倍，从 25%增加到 75%。这项高价值的自愿项目迅速得到采用，与美国医院的主流文化背道而驰，这得益于数千万美元的慈善资金支持，用于姑息治疗领域的创新、传播和专业化。我们将姑息治疗中心的传播策略描述为社会创业精神原则的背景，并深入探讨其标志性培训计划姑息治疗领导力中心。迄今为止，已有超过 1240 个医院姑息治疗团队在领导力中心接受了培训，其中 80%的团队在两年内建立了姑息治疗服务。我们最后总结了有目的的技术援助在促进高价值医疗创新快速传播方面的作用。
