Reviewing the learning organisation model in a child and adolescent mental health service

Birleson, Peter; Brann, Peter

doi:10.1071/ah060181

Cited by 9 publications

(7 citation statements)

References 8 publications

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“…Birleson et al [ 26 ] evaluated an experience of applying the LO concept in a child and adolescent mental health service in Australia. The approach taken was action research, and consisted of reviewing the original organisational aims, analysing the performance of the service, examining the quality of clinical care recorded in external reports, and analysing structured interviews with directors of all metropolitan hospitals about the performance of their organisations and the achievement of the aims of the LO set in 1996.…”

Section: Resultsmentioning

confidence: 99%

Scoping literature review on the Learning Organisation concept as applied to the health system

Akhnif

Macq

Fakhreddine³

et al. 2017

Health Res Policy Sys

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ᅟThere is growing interest in the use of the management concept of a ‘learning organisation’. The objective of this review is to explore work undertaken towards the application of this concept to the health sector in general and to reach the goal of universal health coverage in particular. Of interest are the exploration of evaluation frameworks and their application in health.MethodWe used a scoping literature review based on the York methodology. We conducted an online search using selected keywords on some of the main databases on health science, selected websites and main reference books on learning organisations. We restricted the focus of our search on sources in the English language only. Inclusive and exclusive criteria were applied to arrive at a final list of articles, from which information was extracted and then selected and inserted in a chart.ResultsWe identified 263 articles and other documents from our search. From these, 50 articles were selected for a full analysis and 27 articles were used for the summary. The majority of the articles concerned hospital settings (15 articles, 55%). Seven articles (25%) were related to the application of the concept to the health centre setting. Four articles discussed the application of the concept to the health system (14%). Most of the applications involved high-income countries (21 articles, 78%), with only one article being related to a low-income country. We found 13 different frameworks that were applied to different health organisations.ConclusionsThe scoping review allowed us to assess applications of the learning organisation concept to the health sector to date. Such applications are still rare, but are increasingly being used. There is no uniform framework thus far, but convergence as for the dimensions that matter is increasing. Many methodological questions remain unanswered. We also identified a gap in terms of the use of this concept in low- and middle-income countries and to the health system as a whole.

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Section: Resultsmentioning

confidence: 99%

Scoping literature review on the Learning Organisation concept as applied to the health system

Akhnif

Macq

Fakhreddine³

et al. 2017

Health Res Policy Sys

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“…EHCAMHS services a metropolitan and fringe rural area of over 800 000 people, offering community-based treatments for both children and adolescents, and an adolescent day programme and inpatient unit. The service has been guided by the learning organization model and this has supported ROM [28].…”

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confidence: 99%

On the Meaning of Change in a Clinician's Routine Measure of Outcome: HoNOSCA

Brann

Coleman

2010

Aust N Z J Psychiatry

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“…Promotion of inquiry and dialogue, 26 in which group members are encouraged to raise and explore questions. 29 …”

Section: Resultsmentioning

confidence: 99%

“…Regulatory or legislative influence can also be an important factor, 21 as well as an enabling environment which supports and drives change, 41 which may include internal marketing within organisations 42 but should also ensure motivational systems for staff to make learning meaningful and worthwhile. 29 Wider incentives in the health system are also key too. In a study of learning across six LMICs, uptake of policy was strongly driven in most settings by local political economic considerations.…”

Section: Resultsmentioning

confidence: 99%

Learning health systems in low-income and middle-income countries: exploring evidence and expert insights

2022

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IntroductionLearning health systems (LHS) is a multifaceted subject. This paper reviewed current concepts as well as real-world experiences of LHS, drawing on published and unpublished knowledge in order to identify and describe important principles and practices that characterise LHS in low/middle-income country (LMIC) settings.MethodsWe adopted an exploratory approach to the literature review, recognising there are limited studies that focus specifically on system-wide learning in LMICs, but a vast set of connected bodies of literature. 116 studies were included, drawn from an electronic literature search of published and grey literature. In addition, 17 interviews were conducted with health policy and research experts to gain experiential knowledge.ResultsThe findings were structured by eight domains on learning enablers. All of these interact with one another and influence actors from community to international levels.We found that learning comes from the connection between information, deliberation, and action. Moreover, these processes occur at different levels. It is therefore important to consider experiential knowledge from multiple levels and experiences. Creating spaces and providing resources for communities, staff and managers to deliberate on their challenges and find solutions has political implications, however, and is challenging, particularly when resources are constrained, funding and accountability are fragmented and the focus is short-term and narrow. Nevertheless, we can learn from countries that have managed to develop institutional mechanisms and human capacities which help health systems respond to changing environments with ‘best fit’ solutions.ConclusionHealth systems are knowledge producers, but learning is not automatic. It needs to be valued and facilitated. Everyday governance of health systems can create spaces for reflective practice and learning within routine processes at different levels. This article highlights important enablers, but there remains much work to be done on developing this field of knowledge.

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Reviewing the learning organisation model in a child and adolescent mental health service

Cited by 9 publications

References 8 publications

Scoping literature review on the Learning Organisation concept as applied to the health system

Scoping literature review on the Learning Organisation concept as applied to the health system

On the Meaning of Change in a Clinician's Routine Measure of Outcome: HoNOSCA

Learning health systems in low-income and middle-income countries: exploring evidence and expert insights

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