Discipline of Paediatrics and Child Health, School of Clinical Medicine, UNSW Sydney, Kensington, New South Wales, Australia.
Telethon Kids Institute, University of Western Australia, Perth, Western Australia, Australia.
Pediatr Pulmonol. 2024 Sep;59(9):2257-2266. doi: 10.1002/ppul.26377. Epub 2023 Mar 10.
Addressing the recognized challenges and inequalities in providing high quality healthcare for rare diseases such as children's interstitial lung disease (chILD) requires collaboration across institutional, geographical, discipline, and system boundaries. The Children's Interstitial Lung Disease Respiratory Network of Australia and New Zealand (chILDRANZ) is an example of a clinical network that brings together multidisciplinary health professionals for collaboration, peer learning, and advocacy with the goal of improving the diagnosis and management of this group of rare and ultra-rare conditions. This narrative review explores the multifaceted benefits arising from social learning spaces within rare disease clinical networks by applying the value creation framework. The operation of the chILDRANZ network is used as an example across the framework to highlight how value is generated, realized, and transferred within such collaborative clinical and research networks. The community of practice formed in the chILDRANZ multidisciplinary meetings provides a strong example of social learning that engages with the uncertainty inherent in rare disease diagnosis and management and pays attention to generate new knowledge and best practice to make a difference for children and families living with chILD. This review underscores international calls for further investment in, and support of, collaborative clinical networks and virtual centers of excellence for rare disease.
解决儿童间质性肺病(chILD)等罕见疾病提供高质量医疗保健方面公认的挑战和不平等问题,需要跨越机构、地理、学科和系统边界进行协作。澳大利亚和新西兰儿童间质性肺病呼吸网络(chILDRANZ)就是一个临床网络的范例,它汇集了多学科的卫生专业人员,进行合作、同行学习和宣传,旨在改善这群罕见和超罕见疾病的诊断和管理。本叙事评论通过应用价值创造框架,探讨了罕见病临床网络中社会学习空间带来的多方面益处。该框架还以 chILDRANZ 网络的运作为例,突出了此类协作临床和研究网络中如何在内部创造、实现和转移价值。chILDRANZ 多学科会议形成的实践社区为社会学习提供了一个很好的范例,它参与解决罕见病诊断和管理中固有的不确定性,并注重生成新知识和最佳实践,为患有 chILD 的儿童及其家庭带来改变。这篇综述强调了国际社会呼吁进一步投资和支持罕见病协作临床网络和虚拟卓越中心。