What should a learning health system look like?

Correspondence to Dr Robbie Foy, University of Leeds, Leeds Institute of Health Sciences, Leeds, UK; r.foy@leeds.ac.uk Learning health systems have been defined as “a team, provider or group of providers in the health and care system that, working with a community of stakeholders, has developed the...

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Vydáno v:BMJ open quality Ročník 14; číslo 3; s. e003455
Hlavní autoři: Foy, Robbie, Carder, Paul, Johnson, Stella, Copsey, Bethan, Alderson, Sarah
Médium: Journal Article
Jazyk:angličtina
Vydáno: England British Medical Journal Publishing Group 22.08.2025
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Témata:
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Collaboration
Commentary
Cost analysis
Feedback
Leadership
Narcotics
Performance management
PRIMARY CARE
Quality improvement
Randomised controlled trial
United Kingdom > UK
Quality improvement
PRIMARY CARE
Randomised controlled trial
ISSN:2399-6641, 2399-6641
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Shrnutí:Correspondence to Dr Robbie Foy, University of Leeds, Leeds Institute of Health Sciences, Leeds, UK; r.foy@leeds.ac.uk Learning health systems have been defined as “a team, provider or group of providers in the health and care system that, working with a community of stakeholders, has developed the ability to learn from its own delivery of routine care and improve as a result”.1 The concept of learning health systems is gaining traction,2–4 including as a means of accelerating the translation of clinical evidence into practice. [...]the effectiveness of most implementation strategies is typically modest, although still potentially important at a population level. Learning health systems can combine repeated cycles of data-driven improvement with robust evaluation. [...]Reid et al recognise the need for five capabilities: advanced analytics and population insights; evidence synthesis and curation; patient, caregiver and provider co-design; implementation and reach; and rapid cycle evaluation, feedback and adaptation.4 We suggest several conditions necessary to establish a learning health system based on our experience and earlier work (box 1).22 Box 1 Suggested conditions for a learning health system Leadership and organisation Mutual stability to promote continuity in the partnership between healthcare system and researchers.
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This paper includes independent research funded by the UK National Institute for Health and Care Research (NIHR) under its Programme Grants for Applied Research scheme (Grant Reference Number RP-PG-1209-10040). The views expressed are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health and Social Care.
ISSN:2399-6641
2399-6641
DOI:10.1136/bmjoq-2025-003455