Training for Impact: PhD Modernization as a Key Resource for Learning Health Systems

McMahon, Meghan; Bornstein, Stephen; Brown, Adalsteinn D.; Tamblyn, Robyn

doi:10.12927/hcpol.2019.25983

Cited by 13 publications

(14 citation statements)

References 10 publications

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“…16,25 There are also some national efforts to increase the number of formal LHS training programs. 27,28 With respect to generalizability, many LHSs describe approaches to conducting learning cycles with limited consideration of how the findings can be applied to other health systems. 19 The Vanderbilt LHS is one example that prioritizes external generalizability.…”

Section: The Current State Of Lhss: An Environmental Scanmentioning

confidence: 99%

How Dissemination and Implementation Science Can Contribute to the Advancement of Learning Health Systems

Trinkley¹,

Ho²,

Glasgow³

et al. 2022

Academic Medicine

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Many health systems are working to become learning health systems (LHSs), which aim to improve the value of health care by rapidly, continuously generating evidence to apply to practice. However, challenges remain to advance toward the aspirational goal of becoming a fully mature LHS. While some important challenges have been well described (i.e., building system-level supporting infrastructure and the accessibility of inclusive, integrated, and actionable data), other key challenges are underrecognized, including balancing evaluation rapidity with rigor, applying principles of health equity and classic ethics, focusing on external validity and reproducibility (generalizability), and designing for sustainability. Many LHSs focus on continuous learning cycles, but with limited consideration of issues related to the rapidity of these learning cycles, as well as the sustainability or generalizability of solutions. Some types of data have been consistently underrepresented, including patient-reported outcomes and preferences, social determinants, and behavioral and environmental data, the absence of which can exacerbate health disparities. A promising approach to addressing many challenges that LHSs face may be found in dissemination and implementation (D&I) science. With an emphasis on multilevel dynamic contextual factors, representation of implementation partner engagement, pragmatic research, sustainability, and generalizability, D&I science methods can assist in overcoming many of the challenges facing LHSs. In this article, the authors describe the current state of LHSs and challenges to becoming a mature LHS, propose solutions to current challenges, focusing on the contributions of D&I science with other methods, and propose key components and characteristics of a mature LHS model that others can use to plan and develop their LHSs.

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Section: The Current State Of Lhss: An Environmental Scanmentioning

confidence: 99%

How Dissemination and Implementation Science Can Contribute to the Advancement of Learning Health Systems

Trinkley¹,

Ho²,

Glasgow³

et al. 2022

Academic Medicine

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“…The research trends of Chinese and international telemedicine literature from 2008 to 2020 are shown in Figure 3 ( 13 , 14 ). The research direction of Chinese telemedicine literature is shown in Figure 4 ( 15 , 16 ).…”

Section: Medical Innovation Policies Covid-19 Prevention and Control ...mentioning

confidence: 99%

Effect of medical innovation policies on the prevention and control of the COVID-19 and the impact of the “Belt and Road” economy

Chen

Zhang

Dai

2022

Front. Public Health

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With the spread of the COVID-19, it is urgent for everyone to protect themselves. The introduction of the medical innovation policy has also brought certain effects to the prevention and control of the COVID-19. The specific effect will be reflected in the following research. This paper firstly analyzed research results related to medical innovation policy, COVID-19 prevention and control, and the “One Belt, One Road” economy, finding out the content that fits this research, and innovates the research work on this basis. Then, this paper provided a detailed explanation of medical innovation policies, the prevention and control of the COVID-19, and the “One Belt, One Road” economy. Among them, this paper focuses on the “One Belt and One Road,” uses the α-convergence model to analyze the economic changes of the “One Belt and One Road,” and conducts experimental tests in the medical field. The results have shown that from 2017 to 2019, the average hospitalization expenses paid by the pooled funds were 4986.19, 4997.34, and 4888.60 yuan, respectively.

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Section: The Integration Of Ideas: Mobilizing For Impactmentioning

confidence: 99%

“…24 Specialized training in analytics, research, and scientific leadership has been acknowledged in some instantiations of an LHS framework, 3,5,24 often framed as capacity-building or developing competencies. 3 Some studies have described how research trainees can mobilize LHSs 25,26 and how medical students can enhance their continuous quality improvement skills, 27,28 but such formal learning is given less attention than other LHS processes or characteristics. 1,3 For its part, socially accountable health professional education is well-positioned to fill the knowledge gap in the LHS literature and in the operationalization of the LHS, through institutional design, instructional processes, and defined educational outcomes.…”

Section: The Integration Of Ideas: Mobilizing For Impactmentioning

confidence: 99%

Integrating socially accountable health professional education and learning health systems to transform community health and health systems

Wood

Fitzgerald

Kendall

et al. 2021

Learning Health Systems

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A learning health system aims to create value in health systems using data‐driven innovations, quality improvement techniques, and collaborations between health system partners. Although the concept is mobilized through cycles of learning, most instantiations of the learning health system overlook the importance of formalized learning in educational settings. Social accountability in health professional education focuses on measurably improving people's health and health care, specifically through education and training activities. In this commentary, we argue that the idea of social accountability clearly articulates a rationale and a broad range of aspirations, whereas the learning health system offers an approach to achieve these goals. With a similar aim to a learning health system, social accountability promotes partnerships between health professional education, the health system, and communities in a way that allows for co‐designed and contextualized interventions. On the other hand, learning health systems prioritize data, research, and analytic capacities to facilitate quality improvement. An integrative framework could enhance learning cycles by collectively designing interventions and innovations with people and communities from health, research, and education systems. As well as aspiring to improve population health and health equity, such a framework will consider broader impacts, including the degree of participation amongst a range of partners and the level of responsiveness to partners' priorities.

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Training for Impact: PhD Modernization as a Key Resource for Learning Health Systems

Cited by 13 publications

References 10 publications

How Dissemination and Implementation Science Can Contribute to the Advancement of Learning Health Systems

How Dissemination and Implementation Science Can Contribute to the Advancement of Learning Health Systems

Effect of medical innovation policies on the prevention and control of the COVID-19 and the impact of the “Belt and Road” economy

Integrating socially accountable health professional education and learning health systems to transform community health and health systems

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