Learning health systems to implement chronic disease prevention programs: A novel framework and perspectives from an Australian health service.

chronic disease implementation learning health system prevention public health

Journal

Learning health systems
ISSN: 2379-6146
Titre abrégé: Learn Health Syst
Pays: United States
ID NLM: 101708071

Informations de publication

Date de publication:
Oct 2024
Historique:
received: 14 04 2024
revised: 11 09 2024
accepted: 01 10 2024
medline: 24 10 2024
pubmed: 24 10 2024
entrez: 24 10 2024
Statut: epublish

Résumé

Chronic diseases are a considerable burden to health systems, communities, and patients. Much of this burden, however, could be prevented if interventions effective in reducing chronic disease risks were routinely implemented. The aim of this paper is to discuss the role of public health agencies in preventing chronic disease through the application of learning health system (LHS) approaches to improve the implementation of evidence-based interventions. We draw on the literature and our experience operating a local LHS in Australia that has achieved rapid improvements in the implementation of chronic disease prevention interventions. The proposed LHS framework has been adapted to be both implementation and chronic disease prevention focused. The framework describes both broad improvement processes, and the infrastructure and other support (pillars) recommended to support its core functions. The framework serves as a basis for further exploration of the potentially transformative role LHS's may have in addressing the chronic disease health crisis.

Sections du résumé

Background UNASSIGNED
Chronic diseases are a considerable burden to health systems, communities, and patients. Much of this burden, however, could be prevented if interventions effective in reducing chronic disease risks were routinely implemented.
Aims UNASSIGNED
The aim of this paper is to discuss the role of public health agencies in preventing chronic disease through the application of learning health system (LHS) approaches to improve the implementation of evidence-based interventions.
Materials and Methods UNASSIGNED
We draw on the literature and our experience operating a local LHS in Australia that has achieved rapid improvements in the implementation of chronic disease prevention interventions.
Results UNASSIGNED
The proposed LHS framework has been adapted to be both implementation and chronic disease prevention focused. The framework describes both broad improvement processes, and the infrastructure and other support (pillars) recommended to support its core functions.
Conclusion UNASSIGNED
The framework serves as a basis for further exploration of the potentially transformative role LHS's may have in addressing the chronic disease health crisis.

Identifiants

pubmed: 39444504
doi: 10.1002/lrh2.10466
pii: LRH210466
pmc: PMC11493556
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e10466

Informations de copyright

© 2024 The Author(s). Learning Health Systems published by Wiley Periodicals LLC on behalf of University of Michigan.

Déclaration de conflit d'intérêts

The authors declare no conflicts of interest.

Auteurs

Luke Wolfenden (L)

Hunter New England Population Health Hunter New England Local Health District Newcastle NSW Australia.
School of Medicine and Public Health The University of Newcastle Newcastle NSW Australia.
National Centre of Implementation Science The University of Newcastle Newcastle NSW Australia.
Hunter Medical Research Institute New Lambton Heights NSW Australia.

John Wiggers (J)

Hunter New England Population Health Hunter New England Local Health District Newcastle NSW Australia.
School of Medicine and Public Health The University of Newcastle Newcastle NSW Australia.
National Centre of Implementation Science The University of Newcastle Newcastle NSW Australia.
Hunter Medical Research Institute New Lambton Heights NSW Australia.

Courtney Barnes (C)

School of Medicine and Public Health The University of Newcastle Newcastle NSW Australia.
National Centre of Implementation Science The University of Newcastle Newcastle NSW Australia.
Hunter Medical Research Institute New Lambton Heights NSW Australia.

Cassandra Lane (C)

School of Medicine and Public Health The University of Newcastle Newcastle NSW Australia.
National Centre of Implementation Science The University of Newcastle Newcastle NSW Australia.
Hunter Medical Research Institute New Lambton Heights NSW Australia.

Daniel Groombridge (D)

Hunter New England Population Health Hunter New England Local Health District Newcastle NSW Australia.

Katie Robertson (K)

Hunter New England Population Health Hunter New England Local Health District Newcastle NSW Australia.

Jannah Jones (J)

Hunter New England Population Health Hunter New England Local Health District Newcastle NSW Australia.
School of Medicine and Public Health The University of Newcastle Newcastle NSW Australia.
National Centre of Implementation Science The University of Newcastle Newcastle NSW Australia.
Hunter Medical Research Institute New Lambton Heights NSW Australia.

Sam McCrabb (S)

School of Medicine and Public Health The University of Newcastle Newcastle NSW Australia.
National Centre of Implementation Science The University of Newcastle Newcastle NSW Australia.
Hunter Medical Research Institute New Lambton Heights NSW Australia.

Rebecca K Hodder (RK)

Hunter New England Population Health Hunter New England Local Health District Newcastle NSW Australia.
School of Medicine and Public Health The University of Newcastle Newcastle NSW Australia.
National Centre of Implementation Science The University of Newcastle Newcastle NSW Australia.
Hunter Medical Research Institute New Lambton Heights NSW Australia.

Adam Shoesmith (A)

School of Medicine and Public Health The University of Newcastle Newcastle NSW Australia.
National Centre of Implementation Science The University of Newcastle Newcastle NSW Australia.
Hunter Medical Research Institute New Lambton Heights NSW Australia.

Nayerra Hudson (N)

Hunter New England Population Health Hunter New England Local Health District Newcastle NSW Australia.

Nicole McCarthy (N)

Hunter New England Population Health Hunter New England Local Health District Newcastle NSW Australia.
School of Medicine and Public Health The University of Newcastle Newcastle NSW Australia.
National Centre of Implementation Science The University of Newcastle Newcastle NSW Australia.
Hunter Medical Research Institute New Lambton Heights NSW Australia.

Melanie Kingsland (M)

Hunter New England Population Health Hunter New England Local Health District Newcastle NSW Australia.
School of Medicine and Public Health The University of Newcastle Newcastle NSW Australia.
Hunter Medical Research Institute New Lambton Heights NSW Australia.

Emma Doherty (E)

Hunter New England Population Health Hunter New England Local Health District Newcastle NSW Australia.
School of Medicine and Public Health The University of Newcastle Newcastle NSW Australia.
Hunter Medical Research Institute New Lambton Heights NSW Australia.

Emily Princehorn (E)

School of Medicine and Public Health The University of Newcastle Newcastle NSW Australia.
National Centre of Implementation Science The University of Newcastle Newcastle NSW Australia.
Hunter Medical Research Institute New Lambton Heights NSW Australia.

Meghan Finch (M)

School of Medicine and Public Health The University of Newcastle Newcastle NSW Australia.
National Centre of Implementation Science The University of Newcastle Newcastle NSW Australia.
Hunter Medical Research Institute New Lambton Heights NSW Australia.

Nicole Nathan (N)

Hunter New England Population Health Hunter New England Local Health District Newcastle NSW Australia.
School of Medicine and Public Health The University of Newcastle Newcastle NSW Australia.
National Centre of Implementation Science The University of Newcastle Newcastle NSW Australia.
Hunter Medical Research Institute New Lambton Heights NSW Australia.

Rachel Sutherland (R)

Hunter New England Population Health Hunter New England Local Health District Newcastle NSW Australia.
School of Medicine and Public Health The University of Newcastle Newcastle NSW Australia.
National Centre of Implementation Science The University of Newcastle Newcastle NSW Australia.
Hunter Medical Research Institute New Lambton Heights NSW Australia.

Classifications MeSH