Evidence map›Paper›PMID 38249848›Full record

ArticleLearning health systems2024

Frameworks, guidelines, and tools to develop a learning health system for Indigenous health: An environmental scan for Canada.

Emma Rice, Angela Mashford-Pringle, Jinfan Qiang, Lynn Henderson, Tammy MacLean, Justin Rhoden, Abigail Simms, Sterling Stutz

Abstract read
In one paragraph

Article in Learning health systems, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

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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

8 authors.

Emma RiceWaakebiness-Bryce Institute for Indigenous Health, Dalla Lana School of Public Health University of Toronto Toronto Ontario Canada.ORCID https://orcid.org/0000-0002-8588-5148
Angela Mashford-PringleWaakebiness-Bryce Institute for Indigenous Health, Dalla Lana School of Public Health University of Toronto Toronto Ontario Canada.ORCID https://orcid.org/0000-0002-5623-7053
Jinfan QiangUniversity of Toronto at Mississauga Mississauga Ontario Canada.ORCID https://orcid.org/0000-0003-4696-1360
Lynn HendersonDepartment of Clinical Studies University of Guelph Guelph Ontario Canada.ORCID https://orcid.org/0000-0001-6626-0997
Tammy MacLeanWaakebiness-Bryce Institute for Indigenous Health, Dalla Lana School of Public Health University of Toronto Toronto Ontario Canada.ORCID https://orcid.org/0000-0002-5454-4367
Justin RhodenDepartment of Geography and Planning University of Toronto Toronto Ontario Canada.
Abigail SimmsWaakebiness-Bryce Institute for Indigenous Health, Dalla Lana School of Public Health University of Toronto Toronto Ontario Canada.ORCID https://orcid.org/0000-0003-2779-5037
Sterling StutzWaakebiness-Bryce Institute for Indigenous Health, Dalla Lana School of Public Health University of Toronto Toronto Ontario Canada.ORCID https://orcid.org/0000-0001-5842-7670

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: First Nations, Inuit, and Métis (FNIM) peoples experience systemic health disparities within Ontario's healthcare system. Learning health systems (LHS) is a rapidly growing interdisciplinary area with the potential to address these inequitable health outcomes through a comprehensive health system that draws on science, informatics, incentives, and culture for ongoing innovation and improvement. However, global literature is in its infancy with grounding theories and principles still emerging. In addition, there is inadequate information on LHS within Ontario's health care context. Methods: We conducted an environmental scan between January and April 2021 and again in June 2022 to identify existing frameworks, guidelines, and tools for designing, developing, implementing, and evaluating an LHS. Results: We found 37 relevant sources. This paper maps the literature and identifies gaps in knowledge based on five key pillars: (a) data and evidence-driven, (b) patient-centeredness, (c) system-supported, (d) cultural competencies enabled, and (e) the learning health system. Conclusion: We provide recommendations for implementation accordingly. The literature on LHS provides a starting point to address the health disparities of FNIM peoples within the healthcare system but Indigenous community partnerships in LHS development and operation will be key to success.

Indexed as

cultural competencyIndigenous peopleslearning health systemOntariosocial determinants of health

Identifiers

PMID38249848
PMCPMC10797576

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.