What implementation strategies and outcome measures are used to transform healthcare organizations into learning health systems? A mixed-methods review protocol.
Health services
Learning health system
Systematic review
Journal
Health research policy and systems
ISSN: 1478-4505
Titre abrégé: Health Res Policy Syst
Pays: England
ID NLM: 101170481
Informations de publication
Date de publication:
06 Sep 2022
06 Sep 2022
Historique:
received:
17
01
2022
accepted:
16
08
2022
entrez:
6
9
2022
pubmed:
7
9
2022
medline:
9
9
2022
Statut:
epublish
Résumé
A learning health system (LHS) framework provides an opportunity for health system restructuring to provide value-based healthcare. However, there is little evidence showing how to effectively implement a LHS in practice. A mixed-methods review is proposed to identify and synthesize the existing evidence on effective implementation strategies and outcomes of LHS in an international context. A mixed-methods systematic review will be conducted following methodological guidance from Joanna Briggs Institute (JBI) and PRISMA reporting guidelines. Six databases (CINAHL, Embase, MEDLINE, PAIS, Scopus and Nursing & Allied Health Database) will be searched for terms related to LHS, implementation and evaluation measures. Three reviewers will independently screen the titles, abstracts and full texts of retrieved articles. Studies will be included if they report on the implementation of a LHS in any healthcare setting. Qualitative, quantitative or mixed-methods study designs will be considered for inclusion. No restrictions will be placed on language or date of publication. Grey literature will be considered for inclusion but reviews and protocol papers will be excluded. Data will be extracted from included studies using a standardized extraction form. One reviewer will extract all data and a second will verify. Critical appraisal of all included studies will be conducted by two reviewers. A convergent integration approach to data synthesis will be used, where qualitative and quantitative data will be synthesized separately and then integrated to present overarching findings. Data will be presented in tables and narratively. This review will address a gap in the literature related to implementation of LHS. The findings from this review will provide researchers with a better understanding of how to design and implement LHS interventions. This systematic review was registered in PROSPERO (CRD42022293348).
Sections du résumé
BACKGROUND
BACKGROUND
A learning health system (LHS) framework provides an opportunity for health system restructuring to provide value-based healthcare. However, there is little evidence showing how to effectively implement a LHS in practice.
OBJECTIVE
OBJECTIVE
A mixed-methods review is proposed to identify and synthesize the existing evidence on effective implementation strategies and outcomes of LHS in an international context.
METHODS
METHODS
A mixed-methods systematic review will be conducted following methodological guidance from Joanna Briggs Institute (JBI) and PRISMA reporting guidelines. Six databases (CINAHL, Embase, MEDLINE, PAIS, Scopus and Nursing & Allied Health Database) will be searched for terms related to LHS, implementation and evaluation measures. Three reviewers will independently screen the titles, abstracts and full texts of retrieved articles. Studies will be included if they report on the implementation of a LHS in any healthcare setting. Qualitative, quantitative or mixed-methods study designs will be considered for inclusion. No restrictions will be placed on language or date of publication. Grey literature will be considered for inclusion but reviews and protocol papers will be excluded. Data will be extracted from included studies using a standardized extraction form. One reviewer will extract all data and a second will verify. Critical appraisal of all included studies will be conducted by two reviewers. A convergent integration approach to data synthesis will be used, where qualitative and quantitative data will be synthesized separately and then integrated to present overarching findings. Data will be presented in tables and narratively.
CONCLUSION
CONCLUSIONS
This review will address a gap in the literature related to implementation of LHS. The findings from this review will provide researchers with a better understanding of how to design and implement LHS interventions. This systematic review was registered in PROSPERO (CRD42022293348).
Identifiants
pubmed: 36068563
doi: 10.1186/s12961-022-00898-z
pii: 10.1186/s12961-022-00898-z
pmc: PMC9446707
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
97Informations de copyright
© 2022. The Author(s).
Références
Int J Evid Based Healthc. 2015 Sep;13(3):163-9
pubmed: 26262566
BMC Fam Pract. 2021 Jun 23;22(1):126
pubmed: 34162336
Syst Rev. 2015 Jan 01;4:1
pubmed: 25554246
J Med Internet Res. 2020 Mar 19;22(3):e17026
pubmed: 32191214
Med Care Res Rev. 2012 Apr;69(2):123-57
pubmed: 22203646
Qual Health Res. 2006 Mar;16(3):377-94
pubmed: 16449687
N Engl J Med. 2010 Dec 23;363(26):2477-81
pubmed: 21142528
J Gen Intern Med. 2020 Apr;35(4):1219-1226
pubmed: 31848862
BMJ. 2021 Mar 29;372:n71
pubmed: 33782057
Health Res Policy Syst. 2019 Aug 9;17(1):79
pubmed: 31399114
BMC Health Serv Res. 2021 Mar 5;21(1):200
pubmed: 33663508
Implement Sci. 2015 Feb 12;10:21
pubmed: 25889199
Ann Fam Med. 2014 Nov-Dec;12(6):573-6
pubmed: 25384822
Learn Health Syst. 2021 Jan 24;5(4):e10258
pubmed: 34667878
BMJ. 2010 Sep 17;341:c4587
pubmed: 20851841