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学习型卫生系统实施慢性病预防项目:一个新颖的框架及来自澳大利亚一家卫生服务机构的观点

Learning health systems to implement chronic disease prevention programs: A novel framework and perspectives from an Australian health service.

作者信息

Wolfenden Luke, Wiggers John, Barnes Courtney, Lane Cassandra, Groombridge Daniel, Robertson Katie, Jones Jannah, McCrabb Sam, Hodder Rebecca K, Shoesmith Adam, Hudson Nayerra, McCarthy Nicole, Kingsland Melanie, Doherty Emma, Princehorn Emily, Finch Meghan, Nathan Nicole, Sutherland Rachel

机构信息

Hunter New England Population Health Hunter New England Local Health District Newcastle NSW Australia.

School of Medicine and Public Health The University of Newcastle Newcastle NSW Australia.

出版信息

Learn Health Syst. 2024 Oct 15;8(4):e10466. doi: 10.1002/lrh2.10466. eCollection 2024 Oct.

DOI:10.1002/lrh2.10466
PMID:39444504
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11493556/
Abstract

BACKGROUND

Chronic diseases are a considerable burden to health systems, communities, and patients. Much of this burden, however, could be prevented if interventions effective in reducing chronic disease risks were routinely implemented.

AIMS

The aim of this paper is to discuss the role of public health agencies in preventing chronic disease through the application of learning health system (LHS) approaches to improve the implementation of evidence-based interventions.

MATERIALS AND METHODS

We draw on the literature and our experience operating a local LHS in Australia that has achieved rapid improvements in the implementation of chronic disease prevention interventions.

RESULTS

The proposed LHS framework has been adapted to be both implementation and chronic disease prevention focused. The framework describes both broad improvement processes, and the infrastructure and other support (pillars) recommended to support its core functions.

CONCLUSION

The framework serves as a basis for further exploration of the potentially transformative role LHS's may have in addressing the chronic disease health crisis.

摘要

背景

慢性病给卫生系统、社区和患者带来了相当大的负担。然而,如果常规实施有效降低慢性病风险的干预措施,这种负担的很大一部分是可以预防的。

目的

本文旨在探讨公共卫生机构在预防慢性病方面的作用,即通过应用学习型卫生系统(LHS)方法来改善基于证据的干预措施的实施。

材料与方法

我们借鉴了相关文献以及我们在澳大利亚运营当地学习型卫生系统的经验,该系统在慢性病预防干预措施的实施方面取得了快速进展。

结果

所提出的学习型卫生系统框架已进行调整,以专注于实施和慢性病预防。该框架描述了广泛的改进过程以及为支持其核心功能而推荐的基础设施和其他支持(支柱)。

结论

该框架为进一步探索学习型卫生系统在应对慢性病健康危机方面可能具有的潜在变革性作用奠定了基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d073/11493556/d07cce78594e/LRH2-8-e10466-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d073/11493556/d07cce78594e/LRH2-8-e10466-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d073/11493556/d07cce78594e/LRH2-8-e10466-g001.jpg

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