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báo cáo khoa học: " Lessons for non-VA care delivery systems from the U.S. Department of Veterans Affairs Quality Enhancement Research Initiative: QUERI Series"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Lessons for non-VA care delivery systems from the U.S. Department of Veterans Affairs Quality Enhancement Research Initiative: QUERI Series | Implementation Science BioMed Central Open Access Debate Lessons for non-VA care delivery systems from the U.S. Department of Veterans Affairs Quality Enhancement Research Initiative QUERI Series Leif Solberg Address Healthpartners Medical Group and Healthpartners Research Foundation Minneapolis MN USA Email Leif Solberg - leif.i.solberg@healthpartners.com Published 26 February 2009 Implementation Science 2009 4 9 doi 10.1186 1 748-5908-4-9 Received 22 August 2006 Accepted 26 February 2009 This article is available from http www.implementationscience.cOm content 4 1 9 2009 Solberg licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract The U.S. Veterans Health Administration VHA may have a very different structure and function from the organizations and practices that provide medical care to most Americans but those organizations and practices could learn a lot from the VHA s Quality Enhancement Research Initiative QUERI . There are at least six topics of increasing importance for implementation research where QUERI experience should be of value to other non-VHA organizations both within and external to the United States 1 Researcher-clinical leader partnerships for care improvement 2 Attention to culture capacity leadership and a supportive infrastructure 3 Practical economic evaluation of quality implementation efforts 4 Human subject protection problems 5 Sustainability of improvements and 6 Scale-up and spread of improvements. The articles in Implementation Science s QUERI Series provide the details of those lessons for others who are willing to invest the time to translate them into their different settings. Background The initial reaction of most American care delivery leaders to the question of what they can learn .