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Moving From Discovery to System-Wide Change: The Role of Research in a Learning Health Care System: Experience from Three Decades of Health Systems Research in the Veterans Health Administration*
Annual Review of Public Health ( IF 20.8 ) Pub Date : 2017-04-06 00:00:00 , DOI: 10.1146/annurev-publhealth-031816-044255
David Atkins 1 , Amy M. Kilbourne 1, 2 , David Shulkin 1
Affiliation  

The Veterans Health Administration is unique, functioning as an integrated health care system that provides care to more than six million veterans annually and as a home to an established scientific enterprise that conducts more than $1 billion of research each year. The presence of research, spanning the continuum from basic health services to translational research, has helped the Department of Veterans Affairs (VA) realize the potential of a learning health care system and has contributed to significant improvements in clinical quality over the past two decades. It has also illustrated distinct pathways by which research influences clinical care and policy and has provided lessons on challenges in translating research into practice on a national scale. These lessons are increasingly relevant to other health care systems, as the issues confronting the VA—the need to provide timely access, coordination of care, and consistent high quality across a diverse system—mirror those of the larger US health care system.

中文翻译:


从发现过渡到全系统变革:研究在学习型医疗体系中的作用:从退伍军人卫生管理局的三个十年的卫生系统研究中获得的经验*

退伍军人卫生管理局是独一无二的,其功能是作为一个集成的医疗保健系统,每年为600万以上的退伍军人提供护理,并作为一家每年进行超过10亿美元研究的老牌科学企业的所在地。从基础卫生服务到转化研究的连续研究领域的存在,已经帮助退伍军人事务部(VA)实现了学习型卫生保健系统的潜力,并在过去二十年中为临床质量的显着提高做出了贡献。它也说明了研究影响临床护理和政策的不同途径,并提供了有关在全国范围内将研究转化为实践的挑战的经验教训。这些经验教训与其他医疗保健系统越来越相关,

更新日期:2017-04-06
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