Evidence map›Paper›PMID 36103510›Full record

ArticlePloS one2022

Using a learning health system framework to examine COVID-19 pandemic planning and response at a Canadian Health Centre.

Christine Cassidy, Meaghan Sim, Mari Somerville, Daniel Crowther, Douglas Sinclair, Annette Elliott Rose, Stacy Burgess, Shauna Best, Janet A Curran

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.3field-weighted citation impact, top 8% of its field
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

7 citing papers in PubMed, 12 citations in OpenAlex.

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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 at 3 institutions in 1 country.

Christine CassidySchool of Nursing, Faculty of Health, Dalhousie University, Halifax, NS, Canada.
Meaghan SimResearch, Innovation & Discovery, Nova Scotia Health, Halifax, NS, Canada.
Mari SomervilleSchool of Nursing, Faculty of Health, Dalhousie University, Halifax, NS, Canada.ORCID 0000-0002-4699-7278
Daniel CrowtherSchool of Nursing, Faculty of Health, Dalhousie University, Halifax, NS, Canada.ORCID 0000-0002-3402-8189
Douglas SinclairIzaak Walton Killam (IWK) Health Centre, Halifax, NS, Canada.
Annette Elliott RoseIzaak Walton Killam (IWK) Health Centre, Halifax, NS, Canada.
Stacy BurgessIzaak Walton Killam (IWK) Health Centre, Halifax, NS, Canada.
Shauna BestIzaak Walton Killam (IWK) Health Centre, Halifax, NS, Canada.
Janet A CurranSchool of Nursing, Faculty of Health, Dalhousie University, Halifax, NS, Canada.
Dalhousie University · CAIzaak Walton Killam Health Centre · CANova Scotia Health Authority · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic has presented a unique opportunity to explore how health systems adapt under rapid and constant change and develop a better understanding of health system transformation. Learning health systems (LHS) have been proposed as an ideal structure to inform a data-driven response to a public health emergency like COVID-19. The aim of this study was to use a LHS framework to identify assets and gaps in health system pandemic planning and response during the initial stages of the COVID-19 pandemic at a single Canadian Health Centre.

methodsThis paper reports the data triangulation stage of a concurrent triangulation mixed methods study which aims to map study findings onto the LHS framework. We used a triangulation matrix to map quantitative (textual and administrative sources) and qualitative (semi-structured interviews) data onto the seven characteristics of a LHS and identify assets and gaps related to health-system receptors and research-system supports.

resultsWe identified several health system assets within the LHS characteristics, including appropriate decision supports and aligned governance. Gaps were identified in the LHS characteristics of engaged patients and timely production and use of research evidence.

conclusionThe LHS provided a useful framework to examine COVID-19 pandemic response measures. We highlighted opportunities to strengthen the LHS infrastructure for rapid integration of evidence and patient experience data into future practice and policy changes.

Indexed as

COVID-19Learning Health SystemCanadaHealth FacilitiesHumansPandemics

Identifiers

PMID36103510
PMCPMC9473619
OpenAlexW4295709350

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.