ArticleLearning health systems2021
Implementation of a "real-world" learning health system: Results from the evaluation of the Connected Health Cities programme.
Article in Learning health systems, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Implementation strategies and outcome measures for advancing learning health systems: a mixed methods systematic review.Health research policy and systems · 2023Pooled it
- Evaluating health organization readiness for implementing a learning health system: a scoping review.Health research policy and systems · 2025Article
- Evaluating for learning and sustainability (ELS) framework: a realist synthesis.BMC health services research · 2025Article
- Developing a codebook to characterize barriers, enablers, and strategies for implementing learning health systems from a multilevel perspective.Learning health systems · 2025Article
- The role of patients, caregivers, and communities in Learning Health Systems: a narrative review.Frontiers in health services · 2025Review
- Feasibility of implementing a rapid-learning methodology to inform radiotherapy treatments: key professional stakeholders' views.BMJ oncology · 2024Article
- Evaluating a learning health system initiative: Lessons learned during COVID-19 in Saskatchewan, Canada.Learning health systems · 2023Article
- From "Invented here" to "Use it everywhere!": A Learning health system from bottom and/or top?Learning health systems · 2022Article
- The role of co-production in Learning Health Systems.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2021Review
- Implementation of a "real-world" learning health system: Results from the evaluation of the Connected Health Cities programme.Learning health systems · 2021Article
- Deep learning in systems medicine.Briefings in bioinformatics · 2021Review
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe "learning health system" has been proposed to deliver better outcomes for patients and communities by analyzing routinely captured health information and feeding back results to clinical staff. This approach has been piloted in the Connected Health Cities (CHC) programme in four regions in the North of England. This paper presents the results of the evaluation of this program conducted between February and December 2018.
methodsFifty nine semistructured interviews were completed with a mix of CHC programme staff and external partners who had contributed to the delivery of the CHC programme. Interviews were audio recorded and transcribed verbatim. This also included the review of project documentation including project reports and minutes of project group meetings, in addition to a short online survey that was completed by 31 members of CHC programme staff. Data were analyzed thematically.
resultsTwo overarching themes emerged through the thematic analysis of participant interview: (a) challenges in the implementation of learning health system pathways, and (b) benefits to the CHC approach for both staff and patients. In particular, time constraints in delivering an ambitious program of work, data quality, and accessibility, as well as the long-term sustainability of the CHC programme were noted as key challenges in implementing a LHS at scale.
conclusionsThe findings from this evaluation provide valuable insight into creating learning health system at scale, including the potential benefits and likely challenges.
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Registered trials
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