Mullins C Daniel, Wingate La'Marcus T, Edwards Hillary A, Tofade Toyin, Wutoh Anthony
Pharmaceutical Health Services Research, University of Maryland, Baltimore, 220 Arch Street, 12th Floor, Baltimore, MD 21201, USA.
Department of Clinical & Administrative Pharmacy Sciences, Howard University College of Pharmacy, Washington, DC 20059, USA.
J Comp Eff Res. 2018 Jun;7(6):603-614. doi: 10.2217/cer-2017-0105. Epub 2018 Feb 26.
The learning healthcare system (LHS) model framework has three core, foundational components. These include an infrastructure for health-related data capture, care improvement targets and a supportive policy environment. Despite progress in advancing and implementing LHS approaches, low levels of participation from patients and the public have hampered the transformational potential of the LHS model. An enhanced vision of a community-engaged LHS redesign would focus on the provision of health care from the patient and community perspective to complement the healthcare system as the entity that provides the environment for care. Addressing the LHS framework implementation challenges and utilizing community levers are requisite components of a learning health care community model, version two of the LHS archetype.
学习型医疗系统（LHS）模型框架有三个核心的基础组成部分。这些包括用于健康相关数据收集的基础设施、护理改善目标以及支持性政策环境。尽管在推进和实施LHS方法方面取得了进展，但患者和公众的低参与度阻碍了LHS模型的变革潜力。对社区参与的LHS重新设计的强化愿景将从患者和社区的角度关注医疗保健的提供，以补充作为提供护理环境的实体的医疗保健系统。应对LHS框架实施挑战并利用社区杠杆是学习型医疗社区模型（LHS原型的第二个版本）的必要组成部分。
