Overcoming Challenges to Evidence-Based Policy Development in a Large, Integrated Delivery System.

ABSTRACT:

Objective

To describe a new Veterans Health Administration (VHA) program to foster the learning health system paradigm by rigorously evaluating health care initiatives and to report key lessons learned in designing those evaluations.

Principal findings

The VHA's Quality Enhancement Research Initiative and its Health Services Research and Development Service are cooperating on several large, randomized program evaluations aimed at improving the care veterans receive and the efficiency with which it is delivered. The evaluations we describe involve collaborative design, outcomes assessment, and implementation science through partnerships between VHA operations and researchers. We review key factors to assess before committing to an evaluation. In addition to traditional design

SUBMITTER: Frakt AB 

PROVIDER: S-EPMC6232400 | biostudies-literature | 2018 Dec

REPOSITORIES: biostudies-literature