Evidence map›Paper›PMID 35036551›Full record

ArticleLearning health systems2022

Patients' roles in governance of learning: Results from a qualitative study of 16 learning healthcare systems.

Rachel Grob, Katharine Gleason, Paul McLean, Sarah McGraw, Mildred Solomon, Steven Joffe

Abstract read
In one paragraph

Article in Learning health systems, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Patient Roles and Patient Knowledge in Learning Health Systems.The International journal of health planning and management · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
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

6 authors.

Rachel GrobCenter for Patient Partnerships University of Wisconsin-Madison Madison Wisconsin USA.ORCID https://orcid.org/0000-0002-1017-4536
Katharine GleasonDepartment of Medical Ethics and Health Policy University of Pennsylvania Philadelphia Pennsylvania USA.
Paul McLeanIndependent patient/family co-investigator.
Sarah McGrawThe Hastings Center Garrison New York USA.
Mildred SolomonThe Hastings Center Garrison New York USA.ORCID https://orcid.org/0000-0002-2144-2946
Steven JoffeUniversity of Pennsylvania, Philadelphia Pennsylvania USA.ORCID https://orcid.org/0000-0002-0667-7384

Funding

University of Wisconsin Institute for Clinical and Translational ResearchUL1TR002373 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI ELIZABETH S BURNSIDE, Allan R. Brasier · 2017 to 2026
$75.9M
NCATS NIH HHS UL1 TR002373
6 · The paper itself

Abstract

Patient and family engagement has been identified as key to fulfilling Learning Healthcare Systems' (LHSs') promise as a model for improving clinical care, catalyzing research, and controlling costs. Little is known, however, about the state of patient engagement in the learning mission of these systems or about what governance structures and processes facilitate such engagement. Here, we report on an interview study of 99 patient and employee leaders in 16 systems. We found both variable levels of engagement and broad agreement that shared governance of learning remains a work in progress. We also identified a range of practices that can support or thwart development of an organizational culture conducive to shared governance, including transparency, capacity building, infrastructure investment, leadership, attention to diversity of patient partners, and committee structures. In LHSs with most sophisticated shared governance, both employees and patients contribute to building a democratic learning culture.

Indexed as

governancelearning health systemspatient engagement

Identifiers

PMID35036551
PMCPMC8753297

What OpenQuestion holds

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Registered trials

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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.