Evidence map›Paper›PMID 36654805›Full record

ArticleLearning health systems2023

The Alliance for Healthier Communities' journey to a learning health system in primary care.

Danielle M Nash, Jennifer Rayner, Sara Bhatti, Lorri Zagar, Merrick Zwarenstein

Open access · goldAbstract read
In one paragraph

Article in Learning health systems, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 6% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  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

5 authors at 2 institutions in 1 country.

Danielle M NashDepartment of Epidemiology and Biostatistics, The Schulich School of Medicine and Dentistry Western University London Ontario Canada.ORCID https://orcid.org/0000-0003-4593-3675
Jennifer RaynerCentre for Studies in Family Medicine, Department of Family Medicine, Schulich School of Medicine and Dentistry Western University London Ontario Canada.
Sara BhattiDepartment of Research and Evaluation Alliance for Healthier Communities Toronto Ontario Canada.
Lorri ZagarDepartment of Research and Evaluation Alliance for Healthier Communities Toronto Ontario Canada.
Merrick ZwarensteinDepartment of Epidemiology and Biostatistics, The Schulich School of Medicine and Dentistry Western University London Ontario Canada.
Western University · CAAccess Alliance Multicultural Health and Community Services · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The Alliance for Healthier Communities represents community-governed healthcare organizations in Ontario, Canada including Community Health Centres, which provide primary care to more disadvantaged populations. Methods: In this experience report, we describe the Alliance's journey towards becoming a learning health system using examples for organizational culture, data and analytics, people and partnerships, client engagement, ethics and oversight, evaluation and dissemination, resources, identification and prioritization, and deliverables and impact. Results: Many of the foundational elements for a learning health system were already in place at the Alliance including an integrated and accessible data platform. Leadership championed and embraced the movement towards a learning health system, which led to restructuring of the organization. This included role changes for data support personnel, better communication, and dissemination plans, strategies to engage clinicians and other front-line staff, restructuring of committees for more collaborative planning and prioritization of quality improvement and research initiatives, and the development of a new Practice-Based Learning Network for more opportunities to use the data for research and evaluation. Conclusions: Next steps will focus on continued clinical engagement and partnerships as well as ongoing reflection on the transition and success of the learning health system work.

Indexed as

family medicinehealthcare deliveryhealth systems improvementlearning health systemsprimary carequality of care

Identifiers

PMID36654805
PMCPMC9835045
OpenAlexW4281726689

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.