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数字健康产业的现实世界经验教训:英国国家医疗服务体系(NHS)的合作——生命科学愿景付诸实践。

Real-world learnings for digital health industryNHS collaboration: Life sciences vision in action.

作者信息

Pope Rebecca, Zenonos Alexandros, Bryant William, Spiridou Anastasia, Key Daniel, Patel Shiren, Robinson Jack, Styles Anna, Rockenbach Chris, Bicknell Gina, Rajendran Pavithra, Taylor Andrew M, Sebire Neil J

机构信息

Roche Products Limited, United Kingdom.

Great Ormond Street Hospital for Children NHS Foundation Trust and NIHR GOSH Biomedical Research Centre, United Kingdom.

出版信息

Future Healthc J. 2024 Aug 8;11(3):100168. doi: 10.1016/j.fhj.2024.100168. eCollection 2024 Sep.

Abstract

Several publications have indicated potential benefit from collaboration with industry regarding wider use of anonymised routine NHS healthcare data. However, there is limited guidance regarding exactly how such collaborations between NHS hospitals and industry partners should best be carried out, and specific issues that need to be addressed at an individual project or collaboration level to achieve desired benefit. Specifically, routine health data are complex, not collected in a format optimised for secondary use, and often require interpretation based on clinical understanding of the medical conditions or patients. In order to address these issues, a formal partnership collaboration was established between an NHS organisation (Great Ormond Street Hospital for Children) and a pharmaceutical company (Roche Products Limited), to jointly understand the problems that require solving in order to maximise such use of NHS data to support improved patient outcomes and other patient/NHS benefit in a more sustainable way. We present the learnings from the first 2 years of the 5-year collaboration addressing aspects such as complexities of NHS Electronic Patient Record (EPR), data engineering and use of modern technology to optimise such data. Plus, the development of appropriate technology and data infrastructure within the NHS to support interoperability and prepare the NHS for wider application of artificial intelligence. We also highlight the staff skills and training needed to support such systems in the NHS, governance structures and processes needed to ensure appropriate use of tools and data and how best to co-design with patients, their families, and clinical teams. It is hoped that this review may provide useful information for both healthcare organisations and industry partners working towards the future of optimal use of data and technology for healthcare benefit.

摘要

几份出版物表明,就更广泛地使用匿名的英国国家医疗服务体系(NHS)常规医疗数据而言,与行业合作可能带来益处。然而,关于NHS医院与行业合作伙伴之间究竟应如何最好地开展此类合作,以及在单个项目或合作层面为实现预期效益需要解决的具体问题,相关指导却很有限。具体而言,常规健康数据复杂,并非以最适合二次使用的格式收集,而且往往需要根据对医疗状况或患者的临床理解进行解读。为了解决这些问题,一家NHS机构(大奥蒙德街儿童医院)与一家制药公司(罗氏产品有限公司)建立了正式的合作关系,以共同了解为了以更可持续的方式最大限度地利用NHS数据来支持改善患者治疗效果及其他患者/NHS效益而需要解决的问题。我们介绍了为期5年的合作头两年所获得的经验教训,涉及NHS电子病历(EPR)的复杂性、数据工程以及利用现代技术优化此类数据等方面。此外,还介绍了NHS内部为支持互操作性并使NHS为更广泛应用人工智能做好准备而开发适当的技术和数据基础设施的情况。我们还强调了在NHS中支持此类系统所需的员工技能和培训、确保工具和数据得到恰当使用所需的治理结构和流程,以及如何最好地与患者及其家属和临床团队进行协同设计。希望这篇综述能为致力于未来最佳利用数据和技术以实现医疗效益的医疗保健组织和行业合作伙伴提供有用信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/118b/11387268/72787af6ec7c/gr1.jpg

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