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学习健康系统应对 COVID-19 大流行的影响:对早期文献的考察。

The influence of the learning health system to address the COVID-19 pandemic: An examination of early literature.

机构信息

School of Nursing, Duke University, Durham, North Carolina, USA.

出版信息

Int J Health Plann Manage. 2021 Mar;36(2):244-251. doi: 10.1002/hpm.3088. Epub 2020 Oct 26.

Abstract

INTRODUCTION

The COVID-19 pandemic has demanded immediate response from healthcare systems around the world. The learning health system (LHS) was created with rapid uptake of the newest evidence in mind, making it essential in the face of a pandemic. The goal of this review is to gain knowledge on the initial impact of the LHS on addressing the COVID-19 pandemic.

METHODS

PubMed, Scopus and the Duke University library search tool were used to identify current literature regarding the intersection of the LHS and the COIVD-19 pandemic. Articles were reviewed for their purpose, findings and relation to each component of the LHS.

RESULTS

Twelve articles were included in the review. All stages of the LHS were addressed from this sample. Most articles addressed some component of interoperability. Articles that interpreted data unique to COVID-19 and demonstrated specific tools and interventions were least common.

CONCLUSIONS

Gaps in interoperability are well known and unlikely to be solved in the coming months. Collaboration between health systems, researchers, governments and professional societies is needed to support a robust LHS which grants the ability to rapidly adapt to global emergencies.

摘要

简介

COVID-19 大流行要求全球医疗系统立即做出反应。学习型卫生系统 (LHS) 的创建初衷是快速采用最新证据,因此在面对大流行时至关重要。本综述的目的是了解 LHS 对解决 COVID-19 大流行的初步影响。

方法

使用 PubMed、Scopus 和杜克大学图书馆搜索工具来确定当前有关 LHS 与 COVID-19 大流行交叉点的文献。对文章的目的、发现及其与 LHS 各个组成部分的关系进行了审查。

结果

综述共纳入 12 篇文章。从这个样本中可以看到 LHS 的所有阶段都得到了处理。大多数文章都涉及互操作性的某些方面。解释 COVID-19 特有数据并展示特定工具和干预措施的文章则比较少见。

结论

互操作性方面的差距是众所周知的,并且不太可能在未来几个月内得到解决。需要卫生系统、研究人员、政府和专业协会之间的合作,以支持一个强大的 LHS,使其能够迅速适应全球紧急情况。

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