The current ecosystem with challenges at every step
This ambitious research and innovation project represents the next major step for MAGIC. The Evidence Ecosystem project is based on the need for overarching solutions to solve major challenges for patients and society.
In order for healthcare systems to function optimally, the best current evidence must be transferred seamlessly between the communities of people performing primary research (evidence producers), summarizing research into systematic reviews (evidence synthesizers), creating clinical practice guidelines and decisions aids (evidence producers and disseminators), and people responsible for implementing and evaluating evidence into improved healthcare (evidence implementers). Currently, these people are largely siloed, and information flow and utilization is inefficient and incomplete.
Visions and objectives
In short our vision and overarching objective for this project is to establish a Digital and Trustworthy Evidence Ecosystem that will explicitly link innovative eHealth solutions and platforms for digitally structured health data, with processes and key actors in the value chain to increase value and reduce waste in health care.
Solutions for a digital and trustworthy evidence ecosystem
We believe the most efficient way to implement the Evidence Ecosystem is to integrate a collaborative network approach to create digital and trustworthy systematic reviews, guidelines, decision aids and decision support for the EHR. This enables us to work around the obstacles of organisations in need of innovating their processes and tools by allowing structured data to flow openly throughout the Ecosystem.
The integration of these solutions into the Ecosystem is recently exemplified in several Evidence Ecosystem implementation projects, performed in collaboration with key Ecosystem actors in the UK, through our collaboration with the British Medical Journal (BMJ), as well as Finland and Belgium.
Case study demonstrating feasibility
The BMJ Rapid Recommendation case study demonstrates feasibility of more efficient evidence synthesis and dissemination while adhering to the highest standards of trustworthiness, within the Evidence Ecosystem. We looked at innovations concerning increased patient involvement, stringent conflict of interest management, new medical publishing processes and new formats.
The case study also highlights challenges in making the Ecosystem work efficiently, with the critical steps of successful implementation and improvement of care remaining unanswered. The facilitation of rapid change in practice is itself a daunting challenge in applying best current evidence in hospital program.