Evidence map›Paper›PMID 41822309›Full record

ArticleLearning health systems2026

Learning Health Systems, Equity, and Bounded Justice: A Critical Scoping Review.

Vivetha Thambinathan, Katie Lynch, Maricruz Moya, Maria G Flores, Rama Mwenesi Musalia, Joshua Rubin, Jenna Lepczyk, Francesca A Williamson

Abstract read
In one paragraph

Article in Learning health systems, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Vivetha ThambinathanDepartment of Learning Health Sciences University of Michigan Medical School Ann Arbor Michigan USA.
Katie LynchDepartment of Learning Health Sciences University of Michigan Medical School Ann Arbor Michigan USA.
Maricruz MoyaDepartment of Learning Health Sciences University of Michigan Medical School Ann Arbor Michigan USA.
Maria G FloresEisenberg Family Depression Center University of Michigan Ann Arbor Michigan USA.
Rama Mwenesi MusaliaDepartment of Learning Health Sciences University of Michigan Medical School Ann Arbor Michigan USA.
Joshua RubinDepartment of Learning Health Sciences University of Michigan Medical School Ann Arbor Michigan USA.
Jenna LepczykTaubman Health Sciences Library University of Michigan Ann Arbor Michigan USA.
Francesca A WilliamsonDepartment of Learning Health Sciences University of Michigan Medical School Ann Arbor Michigan USA.ORCID https://orcid.org/0000-0002-7065-7089

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The science of learning health systems (LHSs) has expanded to include equity aims. However, efforts toward this end are nascent. The purpose of this study was to critically examine how equity has been discussed in LHS literature. Methods: We conducted a critical scoping review informed by the bounded justice concept. Using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, Pubmed, Embase, Scopus, and CINAHL Complete (Ebsco) databases were searched to identify relevant literature from inception to June 2024. We used qualitative descriptive analysis for detailed extraction and to identify patterns across equity conceptions in the literature. Results: The search strategy generated 420 articles. Forty articles met the selection criteria. Our analysis generated four interrelated themes: (1) Conclusions: LHS equity science is emerging, though it still privileges narrow, Westernized approaches. It is imperative that future work more deeply engages health justice traditions to inform LHS theory, research, and practice.

Indexed as

bounded justicecommunity engagementequity sciencehealth equitylearning health systems

Identifiers

PMID41822309
PMCPMC12976803

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.