绘制学习健康系统的进步图:对5年来定义,模型和框架的系统审查
Louise A Ellis1, Georgia Fisher1, Maree Saba1
1Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation Macquarie University Sydney New South Wales Australia.
Learning health systems
|July 18, 2025
概括
学习健康系统 (LHS) 概念推动了医疗保健转型. 本综述综合了LHS的定义,模型和理论,为改善卫生系统绩效提供了一个综合框架.
科学领域:
- 医疗保健系统研究 医疗保健系统研究
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
背景情况:
- 2007年推出的学习健康系统 (LHS) 概念旨在实现系统级医疗保健转型.
- 本综述巩固了目前对LHS定义,模型,框架和基础理论的理解.
- 它评估了与医学研究所 (IoM) 最初的概念化相对的LHS文献.
研究的目的:
- 审查和综合现有关于学习健康系统 (LHS) 的文献.
- 巩固目前对LHS定义,模型,框架和基础理论的理解.
- 为LHS研究人员,临床医生和政策制定者提供一个综合框架.
主要方法:
- 在三个学术数据库 (PubMed,Embase,Scopus) 中搜索了2018-2023年的同行评审文献.
- 包括明确关注LHS的文章,并描述了定义,模型或框架.
- 使用主题和视觉网络分析来检查提取的数据和合成的实践示例.
主要成果:
- 包括226篇文章,主要来自高收入国家 (97%),其中35%描述了现实世界的LHS实施.
- 主要的LHS概念包括"实践知识"",工作场所文化"和"信息学".
- LHS模型和框架强调科学和信息学 (83%) 和持续学习文化 (81%),支持系统能力 (76%) 是最普遍的子域. 实现科学是最常用的支理论.
结论:
- 提出了一个综合框架,剖析LHS定义,模型和框架.
- 这个框架可以帮助研究人员,临床医生和决策者提高卫生系统的性能.
- 该审查巩固了对LHS演变和应用的理解.
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