ArticleLearning health systems2017
What allows a health care system to become a learning health care system: Results from interviews with health system leaders.
Article in Learning health systems, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
49 citing papers in PubMed.
- Integrating Consumer-Grade Wearable Devices and Patient-Generated Health Data into Clinical Care: Perspectives from Healthcare Professionals at a Learning Health System.Journal of general internal medicine · 2026Article
- Supporting Cultural and Learning Enablers for a Learning Health System (SCALE): A Program Theory Approach.Learning health systems · 2026Article
- It takes a village: Evolving from learning health system to learning community for health equity.Learning health systems · 2026Article
- Structuring Collaboration Between Researchers and Operational Innovators: Diffusing New Practices Across the Veteran's Administration Healthcare System.Learning health systems · 2026Article
- Evaluating health organization readiness for implementing a learning health system: a scoping review.Health research policy and systems · 2025Article
- Clinical quality registries: Establishing the socio-technical infrastructure for learning health systems.Learning health systems · 2025Article
- Improving information sharing in Medicaid home and community-based services with learning health systems: Implications for older adults and individuals living with disabilities and dementia.Learning health systems · 2025Article
- Moving from a registry to a learning health system: A case study of a Dutch prostate cancer registry.Learning health systems · 2025Article
- Creating a collaborative culture of learning within a network of community mental health early psychosis programs in Texas.Schizophrenia research · 2025Article
- Towards a shared understanding of the learning health system in a large academic-based health system: A qualitative analysis.Health services management research · 2025Article
- The power of personas: Exploring an innovative model for understanding stakeholder perspectives in an oncology learning health network.Learning health systems · 2025Article
- Using a participatory approach to identify priorities to advance LHS implementation at an academic medical center.Learning health systems · 2025Article
- Shifting gears: Creating equity informed leaders for effective learning health systems.Healthcare management forum · 2024Article
- Feasibility of implementing a rapid-learning methodology to inform radiotherapy treatments: key professional stakeholders' views.BMJ oncology · 2024Article
- Frameworks, guidelines, and tools to develop a learning health system for Indigenous health: An environmental scan for Canada.Learning health systems · 2024Article
- Hurdles of innovation-insights from a new healthcare delivery innovation program.Learning health systems · 2023Article
- Short- and long-term strategies for navigating research-ambivalent organizational cultures besetting embedded researchers.Learning health systems · 2023Article
- The Association of Learning Health System Practicing Hospitals and other Health Information Interested Hospitals with Patient-Generated Health Data Uptake.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2023Article
- "We're Not Providing the Best Care If We Are Not on the Cutting Edge of Research": A Research Impact Evaluation at a Regional Australian Hospital and Health Service.International journal of health policy and management · 2022Article
- A replicable, open-source, data integration method to support national practice-based research & quality improvement systems.Epilepsy research · 2022Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe US health care system faces pressure to improve quality while managing complexity, curbing costs, and reducing inefficiency. These shortcomings have sparked interest in the Learning Health Care System (LHCS) as an alternate approach to organizing research and clinical care. Although diverse stakeholders have expressed support for moving toward an LHCS model, limited guidance exists for institutions considering such a transition.
methodsInterviews were conducted with institutional leaders from 25 health care systems considered to be at the forefront of LHCS. Interviews focused on the process of transitioning toward an LHCS, including motivations for change, key components, challenges encountered, and strategies for success, and on ethics and regulatory issues encountered. Qualitative analysis identified key themes across institutions.
resultsRespondents described 5 themes related to the origin of their LHCS transformation: (1) visionary leadership or influence of a key individual, (2) adaptation to a changing health care landscape, (3) external funding, (4) regulatory or legislative influence, and (5) mergers or expansions. They described 6 challenges: (1) organizational culture, (2) data systems and data sharing, (3) funding learning activities, (4) limited supply of skilled individuals, (5) managing competing priorities, and (6) regulatory challenges. Finally, they suggested 8 strategies to support transformation: (1) strong leadership, (2) setting a limited number of organizational priorities, (3) building on existing strengths, (4) training programs, (5) "purposeful" design of data systems, (6) internal transparency of quality metrics, (7) payer/provider integration, and, within academic medical centers, (8) academic/clinical integration.
conclusionsEven institutions at the forefront of LHCS described the transition as difficult. Their experiences provide insight into other institutions considering similar transitions, including elements essential for success and likely challenges.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.