Training the next generation of learning health system scientists

被引：11

作者：

Lozano, Paula M. ^{[1
]}

Lane-Fall, Meghan ^{[2
,3
]}

Franklin, Patricia D. ^{[4
]}

Rothman, Russell L. ^{[5
]}

Gonzales, Ralph ^{[6
,7
]}

Ong, Michael K. ^{[8
,9
,10
]}

Gould, Michael K. ^{[11
]}

Beebe, Timothy J. ^{[12
]}

Roumie, Christianne L. ^{[13
]}

Guise, Jeanne-Marie ^{[14
,15
,16
]}

Enders, Felicity T. ^{[17
]}

Forrest, Christopher B. ^{[18
]}

Mendonca, Eneida A. ^{[19
,20
,21
]}

Starrels, Joanna L. ^{[22
]}

Sarkar, Urmimala ^{[23
]}

Savitz, Lucy A. ^{[24
]}

Moon, JeanHee ^{[18
]}

Linzer, Mark ^{[25
,26
,27
]}

Ralston, James D. ^{[1
]}

Chesley, Francis D., Jr. ^{[28
]}

机构：

[1] Kaiser Permanente Washington Hlth Res Inst, 1730 Minor Ave,Suite 1600, Seattle, WA 98101 USA

[2] Univ Penn, Perelman Sch Med, Dept Anesthesiol & Crit Care, Philadelphia, PA 19104 USA

[3] Univ Penn, Perelman Sch Med, Dept Biostat Epidemiol & Informat, Philadelphia, PA 19104 USA

[4] Northwestern Univ, Feinberg Sch Med, Dept Med Social Sci, Chicago, IL 60611 USA

[5] Vanderbilt Univ, Med Ctr, Inst Med & Publ Hlth, Nashville, TN USA

[6] UCSF, Div Gen Internal Med, Dept Med, San Francisco, CA USA

[7] UCSF Hlth, Continuous Improvement Dept, San Francisco, CA USA

[8] UCLA, Dept Med, Los Angeles, CA 90024 USA

[9] UCLA, Dept Hlth Policy & Management, Los Angeles, CA USA

[10] VA Greater Los Angeles Healthcare Syst, Los Angeles, CA USA

[11] Kaiser Permanente Bernard J Tyson Sch Med, Dept Hlth Syst Sci, Pasadena, CA USA

[12] Univ Minnesota, Sch Publ Hlth, Minneapolis, MN USA

[13] Vanderbilt Univ, Med Ctr, Div Gen Internal Med & Publ Hlth, Nashville, TN USA

[14] OHSU PSU Sch Publ Hlth, Dept Obstet & Gynecol, Portland, OR USA

[15] OHSU PSU Sch Publ Hlth, Dept Med Informat & Clin Epidemiol, Portland, OR USA

[16] OHSU PSU Sch Publ Hlth, Dept Emergency Med, Portland, OR USA

[17] Mayo Clin, Dept Quantitat Hlth Sci, Coll Med & Sci, Rochester, MN USA

[18] Childrens Hosp Philadelphia, Appl Clin Res Ctr, Philadelphia, PA 19104 USA

[19] Regenstrief Inst Inc, Ctr Biomed Informat, Indianapolis, IN USA

[20] Indiana Univ Sch Med, Dept Pediat, Indianapolis, IN USA

[21] Indiana Univ Sch Med, Dept Biostat, Indianapolis, IN USA

[22] Albert Einstein Coll Med, Dept Med, Bronx, NY USA

[23] Zuckerberg San Francisco Gen Hosp San, UCSF Ctr Vulnerable Populat, Div Gen Internal Med, UCSF Dept Med, San Francisco, CA USA

[24] Kaiser Permanente Ctr Hlth Res, Portland, OR USA

[25] Hennepin Healthcare, Dept Med, Minneapolis, MN USA

[26] Hennepin Healthcare, Inst Profess Worklife, Minneapolis, MN USA

[27] Univ Minnesota, Sch Med, Minneapolis, MN 55455 USA

[28] Agcy Healthcare Res & Qual, Rockville, MD 20857 USA

来源：

LEARNING HEALTH SYSTEMS | 2022年 / 6卷 / 04期

基金：

美国医疗保健研究与质量局;

关键词：

embedded research; health system partnership; learning health systems workforce; patient-centered outcomes research; training;

D O I：

10.1002/lrh2.10342

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Introduction: The learning health system (LHS) aligns science, informatics, incentives, stakeholders, and culture for continuous improvement and innovation. The Agency for Healthcare Research and Quality and the Patient-Centered Outcomes Research Institute designed a K12 initiative to grow the number of LHS scientists. We describe approaches developed by 11 funded centers of excellence (COEs) to promote partnerships between scholars and health system leaders and to provide mentored research training. Methods: Since 2018, the COEs have enlisted faculty, secured institutional resources, partnered with health systems, developed and implemented curricula, recruited scholars, and provided mentored training. Program directors for each COE provided descriptive data on program context, scholar characteristics, stakeholder engagement, scholar experiences with health system partnerships, roles following program completion, and key training challenges. Results: To date, the 11 COEs have partnered with health systems to train 110 scholars. Nine (82%) programs partner with a Veterans Affairs health system and 9 (82%) partner with safety net providers. Clinically trained scholars (n = 87; 79%) include 70 physicians and 17 scholars in other clinical disciplines. Non-clinicians (n = 29; 26%) represent diverse fields, dominated by population health sciences. Stakeholder engagement helps scholars understand health system and patient/family needs and priorities, enabling opportunities to conduct embedded research, improve outcomes, and grow skills in translating research methods and findings into practice. Challenges include supporting scholars through roadblocks that threaten to derail projects during their limited program time, ranging from delays in access to data to COVID-19-related impediments and shifts in organizational priorities. Conclusions: Four years into this novel training program, there is evidence of scholars' accomplishments, both in traditional academic terms and in terms of moving along career trajectories that hold the potential to lead and accelerate transformational health system change. Future LHS training efforts should focus on sustainability, including organizational support for scholar activities.

引用

页数：14

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