Stroke Learning Health Systems: A Topical Narrative Review With Case Examples.

Area of Science:

• Health Services Research
• Neurology
• Public Health

Background:

• Learning Health System (LHS) concepts are crucial for enhancing healthcare quality and patient outcomes.
• The application of LHS principles specifically to stroke care has not been comprehensively reviewed.
• Dissemination gaps and inconsistent terminology hinder the widespread adoption and study of LHS in stroke management.

Purpose of the Study:

• To summarize the existing evidence on Learning Health Systems applied to stroke care.
• To identify and present case examples of LHS implementation in stroke management globally.
• To highlight opportunities for advancing and scaling LHS initiatives in stroke care.

Main Methods:

• Topical review of published literature on LHS in stroke.
• Systematic identification of relevant studies and real-world examples.
• Analysis of dissemination gaps and barriers to LHS adoption in stroke care.

Main Results:

• Few published examples of LHS or its concepts applied to stroke care were identified globally.
• Significant dissemination gaps exist, with many LHS concepts not widely implemented or shared.
• A lack of agreed-upon taxonomy or terminology for LHS in stroke complicates identification and study.
• Operational implementation of LHS concepts occurs, but lessons learned are often not published.

Conclusions:

• The adoption of Learning Health Systems in stroke care is nascent, with limited published evidence.
• Addressing terminology and dissemination barriers is essential to advance LHS in stroke.
• Stimulating the stroke community to share activities and use consistent keywords like 'learning health system' is vital for building the evidence base.