Circulation. 2017 Apr 4;135(14):e826-e857. doi: 10.1161/CIR.0000000000000480. Epub 2017 Mar 2.
The learning healthcare system uses health information technology and the health data infrastructure to apply scientific evidence at the point of clinical care while simultaneously collecting insights from that care to promote innovation in optimal healthcare delivery and to fuel new scientific discovery. To achieve these goals, the learning healthcare system requires systematic redesign of the current healthcare system, focusing on 4 major domains: science and informatics, patient-clinician partnerships, incentives, and development of a continuous learning culture. This scientific statement provides an overview of how these learning healthcare system domains can be realized in cardiovascular disease care. Current cardiovascular disease care innovations in informatics, data uses, patient engagement, continuous learning culture, and incentives are profiled. In addition, recommendations for next steps for the development of a learning healthcare system in cardiovascular care are presented.
学习型医疗保健系统利用健康信息技术和健康数据基础设施，在临床护理点应用科学证据，同时从该护理中收集见解，以促进最佳医疗保健提供方面的创新，并推动新的科学发现。为了实现这些目标，学习型医疗保健系统需要对当前医疗保健系统进行系统的重新设计，重点关注四个主要领域：科学和信息学、医患合作、激励措施以及持续学习文化的发展。本科学声明概述了如何在心血管疾病护理中实现这些学习型医疗保健系统领域。本文介绍了信息学、数据使用、患者参与、持续学习文化和激励措施方面的当前心血管疾病护理创新。此外，还提出了在心血管护理中发展学习型医疗保健系统的下一步建议。
