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创新的障碍——来自一项新型医疗服务创新项目的见解

Hurdles of innovation-insights from a new healthcare delivery innovation program.

作者信息

Bardach Shoshana, Perry Amanda, Powell Lillian, Kapadia Nirav, Barnato Amber

机构信息

The Dartmouth Institute for Health Policy and Clinical Practice Dartmouth College Lebanon New Hampshire USA.

Connected Care Dartmouth Health Lebanon New Hampshire USA.

出版信息

Learn Health Syst. 2022 Nov 2;7(3):e10353. doi: 10.1002/lrh2.10353. eCollection 2023 Jul.

Abstract

INTRODUCTION

Healthcare systems are actively working to innovate their care delivery models, seeking to improve service quality, improve patient and provider satisfaction, and reduce cost.

METHODS

By critically evaluating our experiences to date, this article highlights challenges systems may face in the process of trying to redesign healthcare and offers insights on how to navigate hurdles. We identify barriers to-and ultimately approaches to promote-rapid, scalable, sustainable, and transformative care redesign.

RESULTS

Dedicated electronic health record IT and analytic support, and ongoing leadership engagement and communication, play a valuable role in enabling redesign efforts. Flexible, but guided, innovation support helps teams stay accountable and motivated, while accommodating new project needs and directions. Understanding the change ecosystem and evaluating and sharing outcomes on an ongoing basis, enables teams to adapt as needed. Facilitation and support help realize the value of diverse, engaged teams; novel approaches and techniques draw out innovative perspectives and promote creative thinking.

CONCLUSIONS

Although not an exhaustive list of challenges or strategies to overcome them, we hope these insights will contribute to a culture of innovation and support other institutions in their healthcare redesign initiatives.

摘要

引言

医疗保健系统正在积极努力创新其护理模式,力求提高服务质量、提升患者和医护人员满意度并降低成本。

方法

通过批判性地评估我们迄今为止的经验,本文强调了医疗保健系统在尝试重新设计医疗服务过程中可能面临的挑战,并就如何跨越障碍提供见解。我们确定了促进快速、可扩展、可持续和变革性护理重新设计的障碍以及最终方法。

结果

专用的电子健康记录信息技术和分析支持,以及持续的领导层参与和沟通,在推动重新设计工作中发挥着重要作用。灵活但有指导的创新支持有助于团队保持责任感和积极性,同时适应新项目的需求和方向。了解变革生态系统并持续评估和分享成果,使团队能够根据需要进行调整。促进和支持有助于实现多元化、积极参与的团队的价值;新颖的方法和技术能激发创新观点并促进创造性思维。

结论

尽管这并非挑战或克服这些挑战的策略的详尽清单,但我们希望这些见解将有助于营造创新文化,并支持其他机构开展其医疗保健重新设计计划。

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