Implementation model for a national learning health system (IMPLEMENT-National LHS): a concept analysis and...

Area of Science:

• Health Services Research
• Knowledge Translation
• Healthcare Management

Background:

• Healthcare systems face persistent challenges in adapting and integrating innovations, leading to suboptimal quality improvements.
• Learning health systems (LHS) offer a promising model to accelerate research application for enhanced healthcare quality.
• Despite their potential, LHS are often considered more aspirational than fully realized in practice.

Purpose of the Study:

• To comprehensively understand the implementation of Learning Health Systems (LHS) concepts.
• To synthesize evidence on the design, implementation, and evaluation of LHS from a multilevel perspective.
• To identify evidence-based interventions supporting national-scale LHS implementation.

Main Methods:

• A hybrid methodology combining concept analysis and systematic review.
• Two-step analysis: content analysis of LHS concepts and systematic review of implementation mechanisms.
• Searched eight databases and grey literature, adhering to PRISMA guidelines; included mixed-methods primary studies.

Main Results:

• The review will synthesize available evidence on LHS design, implementation, and evaluation.
• Findings will highlight effective interventions for establishing national LHS.
• The study aims to provide a multilevel perspective on LHS implementation.

Conclusions:

• This systematic review will provide crucial insights into realizing the potential of Learning Health Systems.
• Results will inform decision-makers, researchers, managers, clinicians, and patients on implementing LHS.
• The study seeks to facilitate the practical application of LHS at a national scale.