Advancing the Implementation of Patient-Centered Outcomes in Rehabilitation Learning Health Systems: Insights From the 2024 LeaRRn Summit.

IF 3.7 2区 医学 Q1 REHABILITATION
Margaret A French, Megan E Schliep, Jason M Beneciuk, Lisa Juckett, Claire Kalpakjian, Brocha Z Stern, Robert Cavanaugh, Kelly Daley, Pamela Dunlap, John S Magel, Jennifer Oshita, Sean D Rundell, Hallie Zeleznik, Linda Resnik
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Abstract

Patient-centered outcomes can inform the delivery of value-based rehabilitation care; however, there are many barriers that affect their routine use in clinical care. Learning health systems-which focus on improving patient-centered outcomes through the iterative process of data collection, knowledge generation, and practice change-are well-positioned to overcome these barriers. In September 2024, the Learning Health Systems Rehabilitation Research Network and the Center on Health Services Training and Research hosted the Power of Patient-Centered Outcomes in Rehabilitation Learning Health Systems Summit. The Summit aimed to advance the science and practice of implementing patient-centered outcomes in learning health systems. It was organized around the following 5 stages of the patient-centered outcome lifecycle in learning health systems: (1) selecting measures, (2) capturing data, (3) accessing data, (4) analyzing data, and (5) using data. At the Summit, experts across the rehabilitation community presented current work related to each of these lifecycle stages, discussed challenges to implementing patient-centered outcomes in learning health systems during breakout groups, and generated potential solutions for improving implementation of patient-centered outcomes across the 5 stages. The purpose of this paper is to disseminate the central themes of the Summit, which include common challenges and potential solutions to implementing patient-centered outcomes in rehabilitation learning health systems. In doing so, this paper aims to serve as a catalyst for future efforts to incorporate patient-centered outcomes within learning health systems in rehabilitation care. List of abbreviations: EHR, electronic health record; LeaRRn, Learning Health Systems Rehabilitation Research Network; LHS, learning health system.

在康复学习卫生系统中推进以患者为中心的结果的实施:来自2024年LeaRRn峰会的见解。
以患者为中心的结果可以为基于价值的康复护理提供信息;然而,有许多障碍影响其在临床护理中的常规使用。学习型卫生系统——其重点是通过数据收集、知识生成和实践改变的迭代过程来改善以患者为中心的结果——能够很好地克服这些障碍。2024年9月,学习卫生系统康复研究网络(LeaRRn)和卫生服务培训与研究中心(CoHSTAR)主办了康复学习卫生系统中以患者为中心的成果的力量峰会。首脑会议旨在推动在学习型卫生系统中实施以患者为中心的成果的科学和实践。它围绕学习卫生系统中以患者为中心的结果生命周期的以下五个阶段进行组织:1)选择措施,2)获取数据,3)访问数据,4)分析数据,5)使用数据。在峰会上,康复界的专家介绍了与每个生命周期阶段相关的当前工作,讨论了在分组期间在学习型卫生系统中实施以患者为中心的结果所面临的挑战,并提出了在五个阶段改进以患者为中心的结果实施的潜在解决方案。本手稿的目的是传播首脑会议的中心主题,其中包括在康复学习卫生系统中实施以患者为中心的结果的共同挑战和潜在解决方案。在这样做的过程中,这篇手稿的目的是作为催化剂,为未来的努力纳入以患者为中心的结果在康复护理学习卫生系统。
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来源期刊
CiteScore
6.20
自引率
4.70%
发文量
495
审稿时长
38 days
期刊介绍: The Archives of Physical Medicine and Rehabilitation publishes original, peer-reviewed research and clinical reports on important trends and developments in physical medicine and rehabilitation and related fields. This international journal brings researchers and clinicians authoritative information on the therapeutic utilization of physical, behavioral and pharmaceutical agents in providing comprehensive care for individuals with chronic illness and disabilities. Archives began publication in 1920, publishes monthly, and is the official journal of the American Congress of Rehabilitation Medicine. Its papers are cited more often than any other rehabilitation journal.
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