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Seven practices for pursuing equity through learning health systems: Notes from the field.
Allison Parsons1,2, Ndidi I Unaka2,3, Constance Stewart4
1Division of Critical Care Cincinnati Children's Hospital Medical Center Cincinnati Ohio USA.
Learning Health Systems
|July 19, 2021
Summary
Learning health systems (LHS) must prioritize health equity to address persistent outcome disparities. This involves adapting systems with seven core practices for sustained, transformative change at all levels.
Area of Science:
- Health Services Research
- Health Equity Studies
- Organizational Transformation
Background:
- Persistent health outcome inequities challenge learning health systems (LHS).
- Achieving health equity necessitates direct prioritization within LHS operations.
Purpose of the Study:
- To provide actionable guidance for LHS actors aiming to advance health equity.
- To define equity and outline core practices for its pursuit within healthcare systems.
Main Methods:
- Synthesized theory, evidence, and experience to develop guidance.
- Presented seven core practices for LHS to pursue health equity.
- Included use cases demonstrating equity-centered LHS work.
Main Results:
- Defined health equity and proposed seven core practices: establish principle, measure for equity, lead from lived experience, co-produce, redistribute power, practice a growth mindset, and engage beyond the healthcare system.
- Illustrated practical application of these practices through three use cases.
Conclusions:
- Achieving health equity demands comprehensive transformation across individual, institutional, and structural levels.
- Sustained and persistent effort is crucial for realizing and maintaining health equity.
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