Evidence map›Paper›PMID 34277945›Full record

ArticleLearning health systems2021

Seven practices for pursuing equity through learning health systems: Notes from the field.

Allison Parsons, Ndidi I Unaka, Constance Stewart, Jennifer Foster, Valerie Perez, Nana-Hawa Yayah Jones, Robert Kahn, Andrew F Beck, Carley Riley

Abstract read
In one paragraph

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 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Allison ParsonsDivision of Critical Care Cincinnati Children's Hospital Medical Center Cincinnati Ohio USA.
Ndidi I UnakaDepartment of Pediatrics University of Cincinnati College of Medicine Cincinnati Ohio USA.
Constance StewartJames M Anderson Center for Health Systems Excellence Cincinnati Ohio USA.
Jennifer FosterCommunity Advocate Cincinnati Ohio USA.
Valerie PerezCommunity Matters Cincinnati Ohio USA.
Nana-Hawa Yayah JonesDepartment of Pediatrics University of Cincinnati College of Medicine Cincinnati Ohio USA.
Robert KahnDepartment of Pediatrics University of Cincinnati College of Medicine Cincinnati Ohio USA.
Andrew F BeckDepartment of Pediatrics University of Cincinnati College of Medicine Cincinnati Ohio USA.
Carley RileyDivision of Critical Care Cincinnati Children's Hospital Medical Center Cincinnati Ohio USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDespite learning health systems' focus on improvement in health outcomes, inequities in outcomes remain deep and persistent. To achieve and sustain health equity, it is critical that learning health systems (LHS) adapt and function in ways that directly prioritize equity.

methodsWe present guidance, including seven core practices, borne from theory, evidence, and experience, for actors within LHS pursuing equity.

resultsWe provide a foundational definition of equity. We then offer seven core practices for how LHS may effectively pursue equity in health: establish principle, measure for equity, lead from lived experience, co-produce, redistribute power, practice a growth mindset, and engage beyond the healthcare system. We include three use cases that illustrate ways in which we have begun to center equity in the work of our own LHS.

conclusionThe achievement of equity requires real transformation at individual, institutional, and structural levels and requires sustained and persistent effort.

Indexed as

co‐productionhealth equityimprovement sciencelearning networkspopulation healthsocial determinants of health

Identifiers

PMID34277945
PMCPMC8278437

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

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.