ArticleBMC health services research2020
Leaders' perspectives on learning health systems: a qualitative study.
Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.
What it found
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Who cites it
24 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Learning health system for implementation, scale-up, and sustainment: a systematic review to consolidate guidance for improvement.Implementation science : IS · 2026Pooled it
- Implementation strategies and outcome measures for advancing learning health systems: a mixed methods systematic review.Health research policy and systems · 2023Pooled it
- Learning health systems using data to drive healthcare improvement and impact: a systematic review.BMC health services research · 2021Pooled it
- Toward a Smart Learning Health System: An Ontology-Based Framework.Learning health systems · 2026Article
- Supporting Cultural and Learning Enablers for a Learning Health System (SCALE): A Program Theory Approach.Learning health systems · 2026Article
- The HALO Model: A Learning Health System Framework for Artificial Intelligence.Learning health systems · 2026Article
- Exploring Barriers, Enablers, and Strategies for Implementing Learning Health System Projects in Healthcare Organizations: A Multilevel Analysis in an Australian Setting.Learning health systems · 2026Article
- Article
- The Monash learning health system maturity matrix: codesign of a tool to measure and guide improvement in complex health system behaviour.BMC health services research · 2026Article
- Continuous quality improvement across a South Australian health service and the role it plays in a learning health system: a qualitative study.BMC health services research · 2025Article
- Improving hospital food and meal provision: a qualitative exploration of nutrition leaders' experiences in implementing change.BMC health services research · 2025Article
- Organizational Leaders' Views on Digital Health Competencies in Medical Education: Qualitative Semistructured Interview Study.JMIR medical education · 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
- Achieving a rapid and continuous learning health system requires socio-technical harmonization of research and operational IT.npj health systems · 2025Review
- Learning together for better health using an evidence-based Learning Health System framework: a case study in stroke.BMC medicine · 2024Article
- The prototype of a frailty learning health system: The HARMONY Model.Learning health systems · 2024Article
- The value of maternity care in Queensland, 2012-18, based on an analysis of administrative data: a retrospective observational study.The Medical journal of Australia · 2023Observational
- Design, implementation, and inferential issues associated with clinical trials that rely on data in electronic medical records: a narrative review.BMC medical research methodology · 2023Review
- Thought Leader Perspectives on the Benefits, Barriers, and Enablers for Routinely Collected Electronic Health Data to Support Professional Development: Qualitative Study.Journal of medical Internet research · 2023Article
- Value in maternal care: Using the Learning Health System to facilitate action.Birth (Berkeley, Calif.) · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundIntegrated utilisation of digital health data has the power to transform healthcare to deliver more efficient and effective services, and the learning health system (LHS) is emerging as a model to achieve this. The LHS uses routine data from service delivery and patient care to generate knowledge to continuously improve healthcare. The aim of this project was to explore key features of a successful and sustainable LHS to inform implementation in an Academic Health Science Centre context.
methodsWe purposively identified and conducted semi-structured qualitative interviews with leaders, experienced in supporting or developing data driven innovations in healthcare. A thematic analysis using NVivo was undertaken.
resultsAnalysis of 26 interviews revealed five themes thought to be integral in an effective, sustainable LHS: (1) Systematic approaches and iterative, continuous learning with implementation into healthcare contributing to new best-practice care; (2) Broad stakeholder, clinician and academic engagement, with collective vision, leadership, governance and a culture of trust, transparency and co-design; (3) Skilled workforce, capability and capacity building; (4) Resources with sustained investment over time and; (5) Data access, systems and processes being integral to a sustainable LHS.
conclusionsThis qualitative study provides insights into the elements of a sustainable LHS across a range of leaders in data-driven healthcare improvement. Fundamentally, an LHS requires continuous learning with implementation of new evidence back into frontline care to improve outcomes. Structure, governance, trust, culture, vision and leadership were all seen as important along with a skilled workforce and sustained investment. Processes and systems to optimise access to quality data were also seen as vital in an effective, sustainable LHS. These findings will inform a co-designed framework for implementing a sustainable LHS within the Australian healthcare and Academic Health Science Centre context. It is anticipated that application of these findings will assist to embed and accelerate the use of routine health data to continuously generate new knowledge and ongoing improvement in healthcare delivery and health outcomes.
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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.