ArticleBMC family practice2021
Learning health systems in primary care: a systematic scoping review.
Article in BMC family practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
What it found
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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
27 citing papers in PubMed.
- 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
- Navigating and reframing tensions within equity-centered learning health systems.Learning health systems · 2026Article
- A learning health system approach to improving chronic kidney disease management in primary care.BMC primary care · 2026Article
- Practice-Based Research Network Activities and Future Nationwide Plans in Japan.Journal of general and family medicine · 2026Article
- A survey of cancer affiliate network hubs in the US: goals, composition, resources, and evaluation.Cancer causes & control : CCC · 2025Article
- The impact of leadership on AI deployment study outcomes in healthcare: an integrative analysis.NPJ digital medicine · 2025Article
- Envisioning Home Health as a Critical Component of Learning Health Systems to Improve Evidence-Based Care in Heart Failure.JACC. Advances · 2025Article
- A learning health system model for addressing substance use: Denver Health Center for Addiction Medicine.Learning health systems · 2025Article
- Development and launch of a regional learning network to improve physical and mental health outcomes.Learning health systems · 2025Article
- Moving from crisis response to a learning health system: Experiences from an Australian regional primary care network.Learning health systems · 2025Article
- Learning Care Pathways Framework: A New Method to Implement, Learn, Replicate, and Scale up Care Pathways for and With the Patient.International journal of health policy and management · 2025Article
- Article
- Advancing District Nursing Care Through a Learning Healthcare System: A Viewpoint on Key Requirements.Healthcare (Basel, Switzerland) · 2024Article
- A learning health systems approach to scaling up an evidence-based intervention for integrated primary mental healthcare case finding and referral in South Africa.BMJ global health · 2024Article
- Diversity in Combating Complex, Chronic, and Costly Conditions Using a Learning Health System Approach: A Scoping Review.The Permanente journal · 2024Article
- Barriers and facilitators to learning health systems in primary care: a framework analysis.BMJ health & care informatics · 2024Article
- Organizational Learning and Primary Care Nurses' Work Performance and Well-Being: A Multilevel Linear Analysis in a Developing Country.Journal of nursing management · 2024Article
- Implementation model for a national learning health system (IMPLEMENT-National LHS): a concept analysis and systematic review protocol.BMJ open · 2023Article
- A Neuro-Informatics Pipeline for Cerebrovascular Disease: Research Registry Development.JMIR formative research · 2023Article
- A framework for precision "dosing" of mental healthcare services: algorithm development and clinical pilot.International journal of mental health systems · 2023Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLearning health systems have been gaining traction over the past decade. The purpose of this study was to understand the spread of learning health systems in primary care, including where they have been implemented, how they are operating, and potential challenges and solutions.
methodsWe completed a scoping review by systematically searching OVID Medline®, Embase®, IEEE Xplore®, and reviewing specific journals from 2007 to 2020. We also completed a Google search to identify gray literature.
resultsWe reviewed 1924 articles through our database search and 51 articles from other sources, from which we identified 21 unique learning health systems based on 62 data sources. Only one of these learning health systems was implemented exclusively in a primary care setting, where all others were integrated health systems or networks that also included other care settings. Eighteen of the 21 were in the United States. Examples of how these learning health systems were being used included real-time clinical surveillance, quality improvement initiatives, pragmatic trials at the point of care, and decision support. Many challenges and potential solutions were identified regarding data, sustainability, promoting a learning culture, prioritization processes, involvement of community, and balancing quality improvement versus research.
conclusionsWe identified 21 learning health systems, which all appear at an early stage of development, and only one was primary care only. We summarized and provided examples of integrated health systems and data networks that can be considered early models in the growing global movement to advance learning health systems in primary care.
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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.