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Aiming for quality: a global compass for national learning systems
Diana Sarakbi1,2, Nana Mensah-Abrampah3, Melissa Kleine-Bingham3
1Health Quality Programs, Queen's University, Kingston, Canada. Diana.Sarakbi@queensu.ca.
Health Research Policy and Systems
|July 20, 2021
Summary
Building a national learning health system requires integrating organizational, subnational, and national levels. Key elements include aligning priorities, fostering collaboration, ensuring transparency, and sharing real-world evidence for improved health services.
Area of Science:
- Health Services Research
- Health Systems Science
- Quality Improvement Science
Background:
- Transforming health systems into learning organizations is crucial for national quality improvement strategies.
- A learning system approach is needed to bridge the gap between healthcare practice and policy.
Purpose of the Study:
- To identify common themes for developing learning health systems.
- To explore strategies for improving health service quality across all national health system levels.
Main Methods:
- A scoping review methodology adapted from Arksey and O'Malley was employed.
- The review focused on identifying themes for learning to enhance health service quality from policy to point-of-care.
Main Results:
- 101 articles were included, analyzing strategic learning at various health system levels (professional, organizational, subnational/national, multiple, global).
- National learning systems require multi-level attention (organizational, subnational, national), guided by patient and community needs.
- Four cross-cutting themes emerged: alignment of priorities, systemwide collaboration, transparency/accountability, and knowledge sharing of point-of-care evidence.
Conclusions:
- This paper outlines an approach to establishing a national learning health system.
- Further research is necessary to validate and refine the proposed guiding principles for national learning systems.
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