학술논문
Reimagining the research-practice relationship: policy recommendations for informatics-enabled evidence-generation across the US health system
Perspective
Perspective
Document Type
Report
Author
Source
JAMIA Open. April 2019, Vol. 2 Issue 1, p2, 8 p.
Subject
Language
English
ISSN
2574-2531
Abstract
INTRODUCTION AND BACKGROUND As a consequence of the almost universal adoption of electronic health records (EHRs) in the United States (US), 'data-driven' healthcare--long considered merely theoretical--is now within reach and [...]
The widespread adoption and use of electronic health records and their use to enable learning health systems (LHS) holds great promise to accelerate both evidence-generating medicine (EGM) and evidence-based medicine (EBM), thereby enabling a LHS. In 2016, AMIA convened its 10th annual Policy Invitational to discuss issues key to facilitating the EGM-EBM paradigm at points-of-care (nodes), across organizations (networks), and to ensure viability of this model at scale (sustainability). In this article, we synthesize discussions from the conference and supplements those deliberations with relevant context to inform ongoing policy development. Specifically, we explore and suggest public policies needed to facilitate EGM-EBM activities on a national scale, particularly those policies that can enable and improve clinical and health services research at the point-of-care, accelerate biomedical discovery, and facilitate translation of findings to improve the health of individuals and populations. Keywords: research informatics, clinical informatics, learning health systems, evidence-generating medicine, evidence-based medicine, policy
The widespread adoption and use of electronic health records and their use to enable learning health systems (LHS) holds great promise to accelerate both evidence-generating medicine (EGM) and evidence-based medicine (EBM), thereby enabling a LHS. In 2016, AMIA convened its 10th annual Policy Invitational to discuss issues key to facilitating the EGM-EBM paradigm at points-of-care (nodes), across organizations (networks), and to ensure viability of this model at scale (sustainability). In this article, we synthesize discussions from the conference and supplements those deliberations with relevant context to inform ongoing policy development. Specifically, we explore and suggest public policies needed to facilitate EGM-EBM activities on a national scale, particularly those policies that can enable and improve clinical and health services research at the point-of-care, accelerate biomedical discovery, and facilitate translation of findings to improve the health of individuals and populations. Keywords: research informatics, clinical informatics, learning health systems, evidence-generating medicine, evidence-based medicine, policy