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E-raamat: Patients Charting the Course: Citizen Engagement and the Learning Health System: Workshop Summary

  • Formaat: 338 pages
  • Ilmumisaeg: 21-Sep-2011
  • Kirjastus: National Academies Press
  • Keel: eng
  • ISBN-13: 9780309149945
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  • Formaat: 338 pages
  • Ilmumisaeg: 21-Sep-2011
  • Kirjastus: National Academies Press
  • Keel: eng
  • ISBN-13: 9780309149945
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As past, current, or future patients, the public should be the health care system's unwavering focus and serve as change agents in its care. Taking this into account, the quality of health care should be judged not only by whether clinical decisions are informed by the best available scientific evidence, but also by whether care is tailored to a patient's individual needs and perspectives. However, too often it is provider preference and convenience, rather than those of the patient, that drive what care is delivered. As part of its Learning Health System series of workshops, the Roundtable on Value & Science-Driven Health Care hosted a workshop to assess the prospects for improving health and lowering costs by advancing patient involvement in the elements of a learning health system.

Table of Contents



Front Matter Synopsis and Overview 1 The Learning Health System 2 Clinical Research, Patient Care, and Learning That Is Real-Time and Continuous 3 Clinical Data as a Public Good for Discovery 4 Engaging Patients to Improve Science and Value in a Learning Health System 5 Health Information Technology as the Engine for Learning 6 Patients, Clinical Decisions, and Health Information Management in the Information Age 7 Applying Evidence for Patient-Centered Care: Standards and Expectations 8 Team-Based Care and the Learning Culture 9 Incentives Aligned with Value and Learning 10 Common Themes and Opportunities for Action Appendixes Appendix A: Workshop Agenda Appendix B: Biographical Sketches of Workshop Participants Appendix C: Workshop Attendee List Appendix D: The Learning Health System Series: Workshop Common Themes OTHER PUBLICATIONS IN THE LEARNING HEALTH SYSTEM SERIES
Abbreviations and Acronyms xxiii
Synopsis and Overview 1(32)
1 The Learning Health System
33(14)
Introduction and Context
33(2)
The Roundtable and the Learning Health System Series
35(3)
Healthcare Reform and a Learning Health System
38(1)
Creating a Learning Culture
39(1)
The Learning Health System in 2010 and to Come
40(7)
Harvey V. Fineberg
2 Clinical Research, Patient Care, and Learning That Is Real-Time and Continuous
47(22)
Introduction
47(1)
Comparative Effectiveness Research: Patient, Clinician, and Policy Needs Patrick Conway
48(4)
Health Systems as Research Platforms: Enhancing Science, Value, and Innovation
52(7)
John Noseworthy
Sherine Gabriel
Enhancing the Culture of Patient Contributions to Learning in Health Care
59(10)
Diane Simmons
Kenneth Getz
3 Clinical Data as a Public Good for Discovery
69(26)
Introduction
69(1)
Information Needs for a Learning Health System
70(4)
Farzad Mostashari
Opening Access to High-Value Data Sets
74(13)
Todd Park
Ensuring Data Integrity: Adressing Privacy Protection and Proprietary Concerns
87(8)
Don E. Detmer
4 Engaging Patients to Improve Science and Value in a Learning Health System
95(24)
Introduction
95(1)
Investing Patients in the Research and Continuous Improvement Enterprise
96(7)
Sharon F. Terry
Public and Patient Strategies to Improve Health System Performance
103(7)
James B. Conway
Communicating with Patients About Their Concerns, Expectations, and Preferences
110(9)
Karen Sepucha
5 Health Information Technology as the Engine for Learning
119(18)
Introduction
119(1)
The Meaningful Use of Health Information Technology
120(3)
David Blumenthal
New Classes of Data, New Opportunities to Learn
123(5)
Daniel R. Masys
Jack M. Starmer
Jill M. Pulley
Web 2.0 and Patient Engagement
128(9)
Kamal Jethwani
Joseph C. Kvedar
6 Patients, Clinical Decisions, and Health Information Management in the Information Age
137(22)
Introduction
137(1)
Public and Patient Information Access and Use as a Core Care Component
138(7)
George D. Lundberg
Health Information Technology-Based Approaches to Health Management
145(4)
Paul C. Tang
Health and Disease Management Outside the Clinic Doors: There's an App for That!
149(10)
Doriane C. Miller
7 Applying Evidence for Patient-Centered Care: Standards and Expectations
159(28)
Introduction
159(1)
The Role of Evidence in Patient-Centered Care
160(7)
Dale Collins Vidal
Evidence Standards and Application: Right Care, Right Patient, Right Time
167(10)
Clifford Goodman
Translation and Communication Needs for Care in the Face of Uncertain Evidence
177(10)
Fran M. Visco
8 Team-Based Care and the Learning Culture
187(26)
Introduction
187(1)
Practical Experience with Collaborative Models in the Health Professions
188(8)
Allan S. Frankel
Michael Leonard
Measures and Strategies for Clinical Excellence and Continuous Improvement
196(6)
Joyce Lammert
Care Cooperation and Continuity Across Clinicians, Facilities, and Systems
202(11)
Alice Bonner
Craig Schneider
Joel S. Weissman
9 Incentives Aligned with Value and Learning
213(22)
Introduction
213(1)
Paying for Value and Science-Driven Care
214(5)
Michael E. Chernew
Generating Evidence to Guide Care
219(9)
Richard Gilfillan
Creating a Learning Culture
228(7)
Anne F. Weiss
Bianca M. Freda
10 Common Themes and Opportunities for Action
235(12)
Introduction
235(1)
Common Themes
235(4)
Strategies for Moving Forward
239(3)
Looking Ahead to Next Steps
242(5)
Appendixes
A Workshop Agenda
247(6)
B Biographical Sketches of Workshop Participants
253(20)
C Workshop Attendee List
273(10)
D The Learning Health System Series: Workshop Common Themes
283