Bailie Jodie, Cunningham Frances Clare, Bainbridge Roxanne Gwendalyn, Passey Megan E, Laycock Alison Frances, Bailie Ross Stewart, Larkins Sarah L, Brands Jenny S M, Ramanathan Shanthi, Abimbola Seye, Peiris David
University Centre for Rural Health, University of Sydney, Sydney, New South Wales, Australia.
Menzies School of Health Research, Charles Darwin University, Brisbane, Queensland, Australia.
BMJ Glob Health. 2018 May 17;3(3):e000683. doi: 10.1136/bmjgh-2017-000683. eCollection 2018.
Efforts to strengthen health systems require the engagement of diverse, multidisciplinary stakeholder networks. Networks provide a forum for experimentation and knowledge creation, information exchange and the spread of good ideas and practice. They might be useful in addressing complex issues or 'wicked' problems, the solutions to which go beyond the control and scope of any one agency. Innovation platforms are proposed as a novel type of network because of their diverse stakeholder composition and focus on problem solving within complex systems. Thus, they have potential applicability to health systems strengthening initiatives, even though they have been predominantly applied in the international agricultural development sector. In this paper, we compare and contrast the concept of innovation platforms with other types of networks that can be used in efforts to strengthen primary healthcare systems, such as communities of practice, practice-based research networks and quality improvement collaboratives. We reflect on our ongoing research programme that applies innovation platform concepts to drive large-scale quality improvement in primary healthcare for Aboriginal and Torres Strait Islander Australians and outline our plans for evaluation. Lessons from our experience will find resonance with others working on similar initiatives in global health.
加强卫生系统的努力需要不同的多学科利益相关者网络的参与。网络为实验和知识创造、信息交流以及好想法和实践的传播提供了一个平台。它们可能有助于解决复杂问题或 “棘手” 问题，这些问题的解决方案超出了任何一个机构的控制范围和能力。创新平台因其利益相关者构成多样且专注于复杂系统内的问题解决而被提议作为一种新型网络。因此，它们对卫生系统加强举措具有潜在的适用性，尽管它们主要应用于国际农业发展领域。在本文中，我们将创新平台的概念与其他可用于加强初级卫生保健系统的网络类型进行比较和对比，这些网络类型包括实践社区、基于实践的研究网络和质量改进协作组织。我们反思了我们正在进行的研究项目，该项目应用创新平台概念推动澳大利亚原住民和托雷斯海峡岛民初级卫生保健的大规模质量改进，并概述了我们的评估计划。我们经验中的教训将与全球卫生领域从事类似举措的其他人产生共鸣。
