Christiana Care Health System, Newark, DE.
Baylor Scott & White Health, and Texas A&M Health Science Center, Temple, TX.
Am J Med Qual. 2020 Jul/Aug;35(4):297-305. doi: 10.1177/1062860619877941. Epub 2019 Oct 4.
The Alliance of Independent Academic Medical Centers (AIAMC) organized and coordinated a multicenter learning collaborative, National Initiative V (NI V), focused on community health and health inequity. A pre-post descriptive study was designed to examine the outcomes of the AIAMC NI V. Data were collected from pre- and post-assessment surveys as well as a project milestone self-assessment survey. Twenty-nine institutions participated. By the conclusion of the NI, the majority of institutions had completed at least 1 of the milestones in each of the pre-work/background (65.52%), measurement (62.07%), methods (62.07%), and implement/sustain (20.69%) domains. Institutions reported a significant association between their readiness assessments prior to the start of the NI compared with their status of activities on completion. Milestone achievement is significantly associated with 3 of the assessment items. Learning collaboratives with thoughtfully integrated structure and support can be impactful on topic readiness for the participating organizations.
独立学术医学中心联盟（AIAMC）组织并协调了一个多中心学习合作组织，即第五次国家倡议（NI V），专注于社区健康和健康不平等问题。本研究采用描述性前后研究设计，旨在考察 AIAMC NI V 的结果。数据来自于前后评估调查以及项目里程碑自我评估调查。共有 29 家机构参与。到 NI 结束时，大多数机构已经完成了预工作/背景（65.52%）、测量（62.07%）、方法（62.07%）和实施/维持（20.69%）领域中的至少一个里程碑。机构报告称，在 NI 开始之前的准备情况评估与其完成时的活动状态之间存在显著关联。里程碑的实现与 3 项评估项目显著相关。具有深思熟虑的综合结构和支持的学习合作组织可能会对参与组织的主题准备产生影响。
