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创新作为英国医疗保健质量和生产力的驱动力:创建并连接接纳之地——新见解

Innovation as a Driver of Quality and Productivity in UK Healthcare: Creating and Connecting Receptive Places-Emerging Insights.

作者信息

Marjanovic Sonja, Sim Megan, Dubow Talitha, Corbett Jennie, Harte Emma, Parks Sarah, Miani Celine, Chataway Joanna, Ling Tom

出版信息

Rand Health Q. 2018 Mar 30;7(4):1. eCollection 2018 Mar.

Abstract

The demand for health services in England is both growing and changing in nature, yet resources are limited in their ability to respond to the scale and scope of need. As a result, the NHS is under increasing pressures to realise productivity gains, while continuing to deliver high quality care. RAND Europe and the University of Manchester have been commissioned to conduct a study to examine the potential of innovation to respond to the challenges the NHS faces, and to help deliver value for money, efficient and effective services. "Innovation" in this study refers to any product, technology or service that is new to the NHS, or applied in a new way, aimed at delivering affordable and improved care. The learning we have gained adds considerable depth to the practical discussions presented regarding how innovation can be first nurtured and then made meaningful and actionable in a variety of settings. This is important given the complexity of health innovation systems and the diversity of elements that need to interact and work together for the overall system to function effectively. We share insights related to skills, capabilities and leadership; motivations and accountabilities; information and evidence; relationships and networks; patient and public engagement; and funding and commissioning. We will develop these detailed learning points into a more systematic analysis as the research evolves. The research is funded by the Department of Health Policy Research Programme, in close collaboration with NHS England and the Office of Life Sciences.

摘要

英国对医疗服务的需求在数量上不断增长且性质也在发生变化,然而资源应对需求规模和范围的能力却很有限。因此,英国国家医疗服务体系(NHS)在实现生产率提升的同时,还要持续提供高质量医疗服务,面临着与日俱增的压力。兰德欧洲公司和曼彻斯特大学受委托开展一项研究,以考察创新应对NHS所面临挑战的潜力,并助力提供物有所值、高效且有效的服务。本研究中的“创新”指任何对NHS而言全新的或采用新方式应用的产品、技术或服务,旨在提供可负担得起的、质量更高的医疗服务。我们所获得的经验为关于如何首先培育创新,然后在各种环境中使其具有意义并切实可行的实际讨论增添了相当的深度。鉴于医疗创新系统的复杂性以及为使整个系统有效运作而需要相互作用和协同工作的各种要素的多样性,这一点很重要。我们分享了与技能、能力和领导力;动机和问责制;信息和证据;关系和网络;患者及公众参与;以及资金和委托相关的见解。随着研究的推进,我们将把这些详细的经验要点发展成更系统的分析。该研究由卫生政策研究项目司资助,与英国国家医疗服务体系及生命科学办公室密切合作开展。

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