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A Call to Improve Health by Achieving the Learning Health Care System
Harold R Collard1, Kevin Grumbach2
1H.R. Collard is professor of medicine and health policy, Department of Medicine, director, Clinical and Translational Science Institute, and associate vice chancellor, Clinical Research, University of California, San Francisco, San Francisco, California; ORCID: https://orcid.org/0000-0002-8384-9506 .
Abstract:
The learning health care system is an aspirational operational model for improving health care by learning from the care being delivered. The model, which has been endorsed by the National Academy of Medicine, aligns naturally with academic health systems, which have a mission to improve care for their communities through research and education. In this scholarly perspective, the authors define the learning health care system concept and its historical relationship to academic health systems; explore opportunities for and barriers to realizing the learning health care system; and propose actions to achieve the learning health care system at the local, regional, and national levels. The authors argue that the learning health care system model is essential to academic medicine's evolution and to achieving the foundational societal mission of academic health systems to advance health through research and education.
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