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Leading Learning Health Systems in the Asia Pacific: A Mixed-Method Evaluation of Health Professionals' Experiences
Lichin Lim1,2, Carolyn Van Heerden1,2, Amy Gray1,2
1Department of Paediatrics University of Melbourne Parkville Victoria Australia.
The Leading a Learning Health System (LLHS) Program successfully built leadership capacity in Asia-Pacific low- and middle-income countries (LMICs). Participants applied learnings to foster adaptive leadership and organizational change, enhancing health system resilience.
Area of Science:
- Health Systems Strengthening
- Leadership Development
- Global Health Equity
Background:
- Learning Health System (LHS) implementation is limited in low- and middle-income countries (LMICs).
- The Leading a Learning Health System (LLHS) Program was designed to build leadership capacity in five Asia-Pacific LMICs.
- This study explored participants' learning experiences and application of LHS principles in their specific contexts.
Purpose of the Study:
- To evaluate the impact of the LLHS Program on health professionals' leadership capacities.
- To understand how participants applied LHS principles in resource-limited settings.
- To identify facilitators and barriers to implementing LHS in LMICs.
Main Methods:
- A 13-month mixed-method longitudinal study using social constructivism and Kirkpatrick's evaluation framework.
- Surveys and semi-structured interviews were conducted post-course and one year later.
- Quantitative data were analyzed descriptively, and qualitative data underwent inductive content analysis.
Main Results:
- High program value (100%) and network utility reported by participants.
- Consistent application of learnings (daily/weekly) by 100% of follow-up participants.
- Reported influence on team culture (82%) and organizational change (45%), with themes of leadership identity, practical application, contextual challenges, and resilience.
Conclusions:
- The LLHS Program effectively fostered systems leadership identity, learning culture, and adaptive leadership in LMIC health professionals.
- LMIC health information system variability is not a barrier to LHS implementation; local data utilization is key.
- Findings inform future capacity-building initiatives to advance LHS in resource-limited settings.
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