Learning Networks for Sustainable, Large-Scale Improvement

摘要

The movement to improve health care quality does not lack established interventions and potent ideas; there is substantial literature on evidence-based practices that have proven effective in controlled environments and trials. However, a major challenge for the health system in the United States and elsewhere is to spread these advances broadly and rapidly, adapting them for every care setting. How will health care providers make the superb care experience of one lucky patient the experience of every patient?rnTheories abound: Some advocate transparency; some prefer incentives; some think publishing sound guidelines will suffice. All of these answers make some sense, depending on context and timing. Yet, although each might have some impact in the right place or moment, they are, alone or together, insufficient to drive meaningful change.