Pitzen Jason H, Dieter Heidi L, Gronseth Darren L, Dahl Amber K, Boyle Venessa L, Maran Tharana, Harper C Michel, Gores Gregory J
Department of Planning Services, Mayo Clinic College of Medicine and Science, Mayo Clinic, Rochester, MN, United States of America.
Department of Research Administration, Mayo Clinic, Rochester, MN, United States of America.
Health Res Policy Syst. 2020 Sep 17;18(1):104. doi: 10.1186/s12961-020-00619-4.
The translation of biomedical research discoveries into clinical practice is marked by extended timelines (averaging 17 years) and multiple sequential process steps. However, even after a drug, device, diagnostic tool or unique therapeutic procedure successfully navigates through clinical testing to approval, real barriers remain in applying and scaling the innovation in practice.
Mayo Clinic initiated the Transform the Practice programme to facilitate multidisciplinary team and convergence science to continuously reinvent solutions to address unmet patient needs and accelerate the application of next-generation healthcare solutions. During a 5-year period, 24 programme teams received financial resources, barrier-removing engagement from clinical and research leadership, and enhanced administrative support, including dedicated project managers.
The approach created value in facilitating consistent progress toward project objectives and resulted in multiple publications, new extramural funding sources, and implementation of new tests and services into the clinical practice. This report describes the concentrated institutional effort to accelerate the discovery-translation-application continuum in an academic medical centre and highlights successful applications and persistent obstacles.
The Transform the Practice approach is effective in moving high-potential research discoveries closer to implementation in the clinical practice. Its concepts, including the application of structured project management methodology, may be quickly integrated to shorten an organisation's time to implementing its most important discoveries.
生物医学研究成果转化为临床实践的特点是时间线延长(平均17年)且有多个连续的流程步骤。然而,即使一种药物、设备、诊断工具或独特的治疗程序成功通过临床试验获得批准,在实际应用和扩大创新规模方面仍然存在真正的障碍。
梅奥诊所启动了“改变实践”计划,以促进多学科团队和融合科学,不断重塑解决方案,满足未得到满足的患者需求,并加速下一代医疗解决方案的应用。在5年期间,24个项目团队获得了资金、临床和研究领导层消除障碍的支持以及增强的行政支持,包括专门的项目经理。
该方法在推动项目目标取得一致进展方面创造了价值,并带来了多篇出版物、新的外部资金来源,以及将新测试和服务应用于临床实践。本报告描述了学术医疗中心为加速发现-转化-应用连续体所做的集中机构努力,并突出了成功的应用和持续存在的障碍。
“改变实践”方法有效地推动了高潜力研究成果更接近在临床实践中的实施。其概念,包括结构化项目管理方法的应用,可以迅速整合,以缩短组织实施其最重要发现的时间。