ArticleLearning health systems2023
Gathering speed and countering tensions in the rapid learning health system.
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 21 papers.
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.
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.
Who cites it
21 citing papers in PubMed.
- Readiness for scale up following effectiveness-implementation trial: results of scalability assessment of the Community Partnership Program for diabetes self-management for older adults with multiple chronic conditions.BMC health services research · 2025Trial
- Supporting Cultural and Learning Enablers for a Learning Health System (SCALE): A Program Theory Approach.Learning health systems · 2026Article
- Navigating and reframing tensions within equity-centered learning health systems.Learning health systems · 2026Article
- Integrating Indigenous Data Sovereignty Principles Into Learning Health Systems: Survey of Canadian PBRLNs and Framework Analysis.Annals of family medicine · 2026Article
- Exploring the Effect of Doctor-Nurse Collaboration on Overall Satisfaction Among the Older Patients: A Moderated Mediation Model of Responsiveness and Environment.Patient preference and adherence · 2026Article
- Learning Health Systems Symposium: Charting the Future of Saskatchewan Healthcare.Learning health systems · 2026Article
- Improvement science as the engine for the next generation of learning health networks.Frontiers in health services · 2026Article
- Evaluating health organization readiness for implementing a learning health system: a scoping review.Health research policy and systems · 2025Article
- Ten Reasons Why Learning Health Systems Will Have a Transformational Effect on Health and Health Care.Learning health systems · 2025Article
- Operationalizing a learning health system: A self-assessment tool for interprofessional teams.Learning health systems · 2025Article
- The surprising politics of learning health systems.Learning health systems · 2025Article
- Empowering partnership: key lessons from the co-development of patient-oriented research with parents, researchers, and healthcare professionals.Frontiers in health services · 2025Article
- Establishing a learning agenda for learning health system implementation and research in Canada.PloS one · 2025Article
- Evaluation Methods, Indicators, and Outcomes in Learning Health Systems: Protocol for a Jurisdictional Scan.JMIR research protocols · 2024Article
- Transforming community-based primary health care delivery through comprehensive performance measurement and reporting: examining the influence of context.BMC primary care · 2024Article
- Using incident reports to diagnose communication challenges for precision intervention in learning health systems: A methods paper.Learning health systems · 2024Article
- Shifting gears: Creating equity informed leaders for effective learning health systems.Healthcare management forum · 2024Article
- Partnership-building considerations for implementation science in learning health systems: a case study of the Implementation Science Collaborative in Alberta, Canada.Frontiers in health services · 2024Article
- 21st century (clinical) decision support in nursing and allied healthcare. Developing a learning health system: a reasoned design of a theoretical framework.BMC medical informatics and decision making · 2023Review
- Positioning patients to partner: exploring ways to better integrate patient involvement in the learning health systems.Research involvement and engagement · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The vision of the learning health system (LHS), conceptualized 15 years ago, is for the rapid generation, use, and spread of high-quality evidence that yields better health experiences, outcomes, efficiencies, and equity in everyday practice settings across communities. However, despite the emergence of many useful LHS frameworks and examples to guide adoption, large gaps remain in the speed and consistency with which evidence is generated and used across the range of settings from the bedside to the policy table. Gaps in progress are not surprising, however, given the tensions that predictably arise when key stakeholders-researchers, health systems, and funders-comingle in these efforts. This commentary examines eight core tensions that naturally arise and offers practical actions that stakeholders can take to address these tensions and speed LHS adoption. The urgency for attenuating these tensions and accelerating health system improvements has never been higher. Timeliness, rigor, and prioritization can be aligned across stakeholders, but only if all partners are intentional about the operational and cultural challenges that exist.
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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.