Dylan J. Cooper, Jessie Karten, Sarah E. Hoffe, Daniel A. King, Matthew Weiss, Danielle K. DePeralta, Andrew L. Coveler, Sunil R. Hingorani, Tracey Shefter, Cheryl Meguid, Hannah Roberts, Theodore S. Hong, Amol Narang, Amy Hacker-Prietz, George A. Fisher, Jay Sandler, Laurie Singer, Bobby Korah, William Hoos, Carrie T. Stricker, Joseph M. Herman
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引用次数: 0
Abstract
Introduction
Learning health networks (LHNs) improve clinical outcomes by applying core tenets of continuous quality improvements (QI) to reach community-defined outcomes, data-sharing, and empowered interdisciplinary teams including patients and caregivers. LHNs provide an ideal environment for the rapid adoption of evidence-based guidelines and translation of research and best practices at scale. When an LHN is established, it is critical to understand the needs of all stakeholders. To accomplish this, we used ethnographic methods to develop personas of different stakeholders within The Canopy Cancer Collective, the first oncology LHN.
Methods
We partnered with a firm experienced in qualitative research and human-centered design to conduct interviews with stakeholders of The Canopy Cancer Collective, a newly developed pancreatic cancer LHN. Together with the firm, we developed a personas model approach to represent the wide range of diverse perspectives among the representative stakeholders, which included care team members, patients, and caregivers.
Results
Thirty-one stakeholders from all facets of pancreatic cancer care were interviewed, including 20 care team members, 8 patients, and 3 caregivers. Interview transcripts were analyzed to construct 10 personas felt to represent the broad spectrum of stakeholders within The Cancer Canopy Collective. These personas were used as a foundation for the design and development of The Cancer Canopy Cancer Collective key drivers and aims.
Conclusions
As LHNs continue to facilitate comprehensive approaches to patient-centered care, interdisciplinary teams who understand each other's needs can improve Network unity and cohesion. We present the first model utilizing personas for LHNs, demonstrating this framework holds significant promise for further study. If validated, such an approach could be used as a dynamic foundation for understanding individual stakeholder needs in similar LHN ecosystems in the future.
简介:学习型健康网络(LHNs)通过应用持续质量改进(QI)的核心原则来达到社区定义的结果、数据共享和授权跨学科团队(包括患者和护理人员)来改善临床结果。lhn为快速采用基于证据的指南以及大规模转化研究和最佳实践提供了理想的环境。当建立LHN时,理解所有利益相关者的需求是至关重要的。为了实现这一目标,我们使用人种学方法在第一个肿瘤学LHN - The Canopy Cancer Collective中开发不同利益相关者的角色。方法:我们与一家在定性研究和以人为本设计方面经验丰富的公司合作,对新开发的胰腺癌LHN - The Canopy Cancer Collective的利益相关者进行访谈。与公司一起,我们开发了一种人物角色模型方法,以代表具有代表性的利益相关者(包括护理团队成员、患者和护理人员)之间广泛的不同观点。结果:对31名来自胰腺癌护理各方面的利益相关者进行了访谈,其中包括20名护理团队成员,8名患者和3名护理人员。对访谈记录进行分析,以构建10个人物角色,以代表癌症冠层集体内广泛的利益相关者。这些角色被用作设计和开发Cancer Canopy Cancer Collective关键驱动因素和目标的基础。结论:随着lhn继续促进以患者为中心的综合护理方法,了解彼此需求的跨学科团队可以提高网络的统一性和凝聚力。我们提出了第一个利用lhn人物角色的模型,表明该框架具有进一步研究的重要前景。如果得到验证,这种方法可以作为理解未来类似LHN生态系统中个体利益相关者需求的动态基础。