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Related Concept Videos

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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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Project-Based Learning Guidelines for Health Sciences Students: An Analysis with Data Mining and Qualitative Techniques
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Supporting Cultural and Learning Enablers for a Learning Health System (SCALE): A Program Theory Approach.

Laura Desveaux1,2, Ruoxi Wang1, Jayshree Joshi3

  • 1Institute for Better Health Trillium Health Partners Mississauga Ontario Canada.

Learning Health Systems
|May 4, 2026
PubMed
Summary

Leadership practices are crucial for fostering learning in health systems. Effective leadership cultivates a culture of curiosity and connection, enabling learning health systems (LHS) to adapt and improve.

Keywords:
applied health researchleadershiplearning health systemorganizational learningprogram theory

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Area of Science:

  • Health Services Research
  • Organizational Behavior
  • Healthcare Management

Background:

  • Global health systems are implementing learning health system (LHS) infrastructure for enhanced adaptability.
  • Prior research emphasizes technical aspects, with limited understanding of the conditions enabling organizational learning within LHS.

Purpose of the Study:

  • To develop a theory explaining organizational attributes and leadership practices influencing learning in LHS.
  • To address the knowledge gap regarding the operationalization of learning within health systems.

Main Methods:

  • An iterative, theory-informed qualitative approach inspired by realist evaluation.
  • Semi-structured interviews with 12 formal leaders in a community hospital setting.
  • Development and refinement of a program theory using a teacher-learner cycle.

Main Results:

  • A mid-range program theory identified structural, leadership, and cultural factors influencing organizational learning in LHS.
  • Key factors include resource investment, governance, shared identity, and leadership approaches.
  • These factors shape relational and execution dynamics, determining learning catalysts or inertial loops.

Conclusions:

  • Leadership practices are pivotal in shaping the cultural conditions for system-level learning in LHS.
  • Structural supports are insufficient without leadership that fosters clarity, connection, and curiosity.
  • Leadership is essential for creating an environment conducive to continuous improvement in health systems.