Reconnecting health through innovation

Brunet, F.; Malas, Kathy; Pomey, Marie‐Pascale

doi:10.1177/08404704221114249

Cited by 1 publication

(8 citation statements)

References 22 publications

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“…Twenty papers included a definition of an LHS [2,31,37,38,40,41,44,46,48,52,54,[57][58][59][60][61][62][63][64][65] (Table 2). Twenty-seven unique references were used to cite these LHS definitions.…”

Section: Lhs Definitions and Frameworkmentioning

confidence: 99%

“…Twenty-seven unique references were used to cite these LHS definitions. The most cited references were those originating from the IoM (cited in N = 9 papers, 28%) [31, 40, 44, 57-60, 62, 65] or with authorship from Friedman (cited in N = 7 papers, 22%) [41,43,52,54,58,63,65].…”

Section: Lhs Definitions and Frameworkmentioning

confidence: 99%

“…Of 17 studies (53%) that reported use of an LHS framework, 11 used existing frameworks that were not explicitly modified from their original structure [37,38,40,41,43,46,48,51,56,57,62], 4 adapted an existing framework in response to the COVID-19 pandemic [44,49,59,64], and 2 developed new frameworks [52,54] (Table 2).…”

Section: Lhs Definitions and Frameworkmentioning

confidence: 99%

“…Data-driven research and knowledge translation was reported in 21 articles (68%) [2, 37-42, 44-47, 49-52, 55-57, 59, 61, 65]. For example, data were integrated into dashboards and modeling tools to facilitate clinical decision-making for COVID-19 patients within the University of Montreal's LHS [41]. Sixteen articles (52%) explicitly mentioned a range of digital healthcare services in the response to pandemic, which included remote consultation programs, mobile health applications, websites, or smart devices to deliver patient care [2,36,39,41,43,47,49,51,53,55,57,58,[62][63][64][65].…”

Section: Science and Informaticsmentioning

confidence: 99%

“…For example, data were integrated into dashboards and modeling tools to facilitate clinical decision-making for COVID-19 patients within the University of Montreal's LHS [41]. Sixteen articles (52%) explicitly mentioned a range of digital healthcare services in the response to pandemic, which included remote consultation programs, mobile health applications, websites, or smart devices to deliver patient care [2,36,39,41,43,47,49,51,53,55,57,58,[62][63][64][65]. Health data management (n = 15, 48%), which was the least discussed sub-theme, covered the use of described an LHS in a single organization, and thus were able to rapidly create an extensive data repository populated via their electronic medical records, where data was standardized both prospectively and retrospectively.…”

Section: Science and Informaticsmentioning

confidence: 99%

See 4 more Smart Citations

Progress with the Learning Health System 2.0: a rapid review of Learning Health Systems’ responses to pandemics and climate change

Smith,

Fisher,

Dharmayani

et al. 2024

BMC Med

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Background Pandemics and climate change each challenge health systems through increasing numbers and new types of patients. To adapt to these challenges, leading health systems have embraced a Learning Health System (LHS) approach, aiming to increase the efficiency with which data is translated into actionable knowledge. This rapid review sought to determine how these health systems have used LHS frameworks to both address the challenges posed by the COVID-19 pandemic and climate change, and to prepare for future disturbances, and thus transition towards the LHS2.0. Methods Three databases (Embase, Scopus, and PubMed) were searched for peer-reviewed literature published in English in the five years to March 2023. Publications were included if they described a real-world LHS’s response to one or more of the following: the COVID-19 pandemic, future pandemics, current climate events, future climate change events. Data were extracted and thematically analyzed using the five dimensions of the Institute of Medicine/Zurynski-Braithwaite’s LHS framework: Science and Informatics, Patient-Clinician Partnerships, Continuous Learning Culture, Incentives, and Structure and Governance. Results The search yielded 182 unique publications, four of which reported on LHSs and climate change. Backward citation tracking yielded 13 additional pandemic-related publications. None of the climate change-related papers met the inclusion criteria. Thirty-two publications were included after full-text review. Most were case studies (n = 12, 38%), narrative descriptions (n = 9, 28%) or empirical studies (n = 9, 28%). Science and Informatics (n = 31, 97%), Continuous Learning Culture (n = 26, 81%), Structure and Governance (n = 23, 72%) were the most frequently discussed LHS dimensions. Incentives (n = 21, 66%) and Patient-Clinician Partnerships (n = 18, 56%) received less attention. Twenty-nine papers (91%) discussed benefits or opportunities created by pandemics to furthering the development of an LHS, compared to 22 papers (69%) that discussed challenges. Conclusions An LHS 2.0 approach appears well-suited to responding to the rapidly changing and uncertain conditions of a pandemic, and, by extension, to preparing health systems for the effects of climate change. LHSs that embrace a continuous learning culture can inform patient care, public policy, and public messaging, and those that wisely use IT systems for decision-making can more readily enact surveillance systems for future pandemics and climate change-related events. Trial registration PROSPERO pre-registration: CRD42023408896.

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