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A science of collaborative learning health systems.

Michael Seid1,2,3, David M Hartley2,3, Peter A Margolis2,3

  • 1Division of Pulmonary Medicine Cincinnati Children's Hospital Medical Center Cincinnati Ohio USA.

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|July 19, 2021
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Summary

Collaborative Learning Health Systems (CLHSs) are complex adaptive systems enabling stakeholder collaboration for healthcare improvement. Understanding their mechanisms is key to optimizing this approach for better health outcomes.

Keywords:
collaborative learning health systemsscience of learning health systemssystems sciencetheoretical framework

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Area of Science:

  • Healthcare systems science
  • Public health
  • Complex adaptive systems

Background:

  • Improving U.S. healthcare and health outcomes is a critical public health challenge.
  • Collaborative Learning Health Systems (CLHSs) show promise for outcomes improvement.
  • A deeper understanding of CLHSs is needed to realize their full potential.

Purpose of the Study:

  • To define the nature of Collaborative Learning Health Systems (CLHSs).
  • To establish an appropriate scientific approach for studying CLHSs.
  • To conceptually frame CLHSs and identify their mechanisms of action.

Main Methods:

  • Drawing on a decade of experience with CLHSs.
  • Conducting a qualitative literature review.
  • Addressing three core research questions regarding CLHSs.

Main Results:

  • CLHSs are identified as complex adaptive systems.
  • Stakeholders collaborate at scale to create and share resources.
  • Infrastructure and services enable stakeholder motivation and action.

Conclusions:

  • The proposed framework and mechanisms of action can guide research.
  • This understanding will aid in developing and optimizing CLHSs.
  • Facilitates hypothesis testing and refinement for healthcare improvement.