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The learning health system imperative in low-resource contexts.

Patrick Lewicki1,2, Alim Swarray-Deen3,4, Cheryl A Moyer2

  • 1Department of Urology University of Michigan Ann Arbor Michigan USA.

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Summary

Learning health system (LHS) development is crucial in low-resource settings, not just high-income countries. LHSs promote efficient resource use and sustainability, offering significant potential for success in these environments.

Keywords:
GhanaKenyaglobal healthimplementation sciencelearning health systemslow‐ and middle‐income countries

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Area of Science:

  • Health Systems Research
  • Implementation Science
  • Global Health Equity

Background:

  • Learning health systems (LHSs) are typically discussed in high-income settings.
  • This framing may imply that substantial resources are a prerequisite for LHS development.
  • Limited research exists on LHSs in low-resource contexts.

Purpose of the Study:

  • To argue for the critical importance of LHS activity in low-resource contexts.
  • To explore how LHS principles can be adapted and applied where resources are scarce.
  • To highlight the unique advantages and potential of LHSs in diverse settings.

Main Methods:

  • Literature review focusing on LHSs in low-resource contexts.
  • Synthesis of findings to support the argument for LHS importance in these settings.
  • Analysis of key principles relevant to resource-constrained environments.

Main Results:

  • Scarcity necessitates efficient resource utilization, a core LHS principle.
  • Local knowledge and artifacts offer unique advantages in LHS implementation.
  • LHS focus on sustainable sociotechnical infrastructure addresses long-term viability concerns.

Conclusions:

  • LHS formation and activity are arguably more critical in low-resource contexts.
  • Lower path dependency in many low-resource settings may foster greater LHS success.
  • LHSs hold significant, potentially underestimated, potential in resource-limited environments.