Strategies for Building Delivery Science in an Integrated Health Care System.
J Gen Intern Med
; 34(6): 1043-1047, 2019 06.
Article
in En
| MEDLINE
| ID: mdl-30684194
ABSTRACT
Health systems today have increasing opportunities and imperatives to conduct delivery science, which is applied research that evaluates clinical or organizational practices that systems can implement or encourage. Examples include research on eliminating racial/ethnic disparities in hypertension management and on identifying the types of patients who can successfully use video visits. Clinical leaders and researchers often face barriers to delivery science, including limited funding, insufficient leadership support, lack of engagement between operational and research leaders, limited pools of research expertise, and lack of pathways to identify and develop ideas. We describe five key strategies we employed to address these barriers and develop a portfolio of delivery science programs in Kaiser Permanente Northern California. This portfolio now includes small and medium-sized grant programs, training programs for postdoctoral research fellows and experienced physician researchers, and a dedicated team that partners with clinicians to develop high-priority ideas and conduct small projects. Most of our approaches are consistent with frameworks used to develop delivery science by other health systems; some are innovative. Most of these strategies are adaptable by other health systems prepared to make long-range organizational commitments to mechanisms that foster partnerships between clinical leaders and researchers.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Health Personnel
/
Delivery of Health Care, Integrated
/
Leadership
Type of study:
Prognostic_studies
Aspects:
Equity_inequality
Limits:
Humans
Language:
En
Journal:
J Gen Intern Med
Journal subject:
MEDICINA INTERNA
Year:
2019
Document type:
Article
Affiliation country:
United States