Department of Population Health Sciences, University of Wisconsin - Madison School of Medicine and Public Health, Madison, WI, USA; Department of Family Medicine and Community Health, University of Wisconsin - Madison School of Medicine and Public Health, Madison, WI, USA; Health Innovation Program, University of Wisconsin - Madison School of Medicine and Public Health, Madison, WI, USA.
Health Innovation Program, University of Wisconsin - Madison School of Medicine and Public Health, Madison, WI, USA.
Appl Ergon. 2020 Apr;84:103023. doi: 10.1016/j.apergo.2019.103023. Epub 2019 Dec 5.
For researchers to contribute meaningfully to the creation of learning health systems, practical tools are required to operationalize existing conceptual frameworks. We describe a model currently in use by the University of Wisconsin Health Innovation Program (HIP). The HIP model consolidates and enhances existing learning health system frameworks by defining specific steps needed to create sustainable change based on research conducted within the health system. As an example of the model's application, we describe its use to improve patient identification for the University of Wisconsin health system's case management program. Our case study shows the importance of culture, infrastructure, and strong leadership support in realizing a learning health systems research project and creating sustainable change within the health system. By articulating the foundational elements and steps to conduct research with learning health systems, our model supports researchers in achieving the challenge of moving learning health systems from concept to action.
为了让研究人员有意义地为学习型卫生系统的创建做出贡献，需要实用工具来实现现有概念框架。我们描述了威斯康星大学卫生创新计划（HIP）目前正在使用的模型。HIP 模型通过定义在卫生系统内进行的研究基础上实现可持续变革所需的具体步骤，整合和增强了现有的学习卫生系统框架。作为该模型应用的一个例子，我们描述了它在改善威斯康星大学卫生系统的病例管理项目中的患者识别方面的应用。我们的案例研究表明，在实现学习型卫生系统研究项目和在卫生系统内实现可持续变革方面，文化、基础设施和强有力的领导支持的重要性。通过阐明开展学习卫生系统研究的基础要素和步骤，我们的模型支持研究人员应对将学习卫生系统从概念转化为行动的挑战。
