Steels Stephanie, Ainsworth John, van Staa Tjeerd P
Health e-Research Centre, School of Health Sciences, Faculty of Biology, Medicine and Health The University of Manchester Manchester UK.
Faculty of Health, Psychology and Social Care Manchester Metropolitan University Manchester UK.
Learn Health Syst. 2020 Feb 26;5(2):e10224. doi: 10.1002/lrh2.10224. eCollection 2021 Apr.
The "learning health system" has been proposed to deliver better outcomes for patients and communities by analyzing routinely captured health information and feeding back results to clinical staff. This approach has been piloted in the Connected Health Cities (CHC) programme in four regions in the North of England. This paper presents the results of the evaluation of this program conducted between February and December 2018.
Fifty nine semistructured interviews were completed with a mix of CHC programme staff and external partners who had contributed to the delivery of the CHC programme. Interviews were audio recorded and transcribed verbatim. This also included the review of project documentation including project reports and minutes of project group meetings, in addition to a short online survey that was completed by 31 members of CHC programme staff. Data were analyzed thematically.
Two overarching themes emerged through the thematic analysis of participant interview: (a) challenges in the implementation of learning health system pathways, and (b) benefits to the CHC approach for both staff and patients. In particular, time constraints in delivering an ambitious program of work, data quality, and accessibility, as well as the long-term sustainability of the CHC programme were noted as key challenges in implementing a LHS at scale.
The findings from this evaluation provide valuable insight into creating learning health system at scale, including the potential benefits and likely challenges.
“学习型健康系统”被提议通过分析常规收集的健康信息并将结果反馈给临床工作人员，为患者和社区带来更好的治疗效果。这种方法已在英格兰北部四个地区的“健康互联城市”（CHC）项目中进行了试点。本文介绍了2018年2月至12月期间对该项目进行评估的结果。
对参与CHC项目实施的CHC项目工作人员和外部合作伙伴进行了59次半结构化访谈。访谈进行了录音并逐字转录。这还包括审查项目文档，包括项目报告和项目组会议记录，此外还有31名CHC项目工作人员完成的简短在线调查。对数据进行了主题分析。
通过对参与者访谈的主题分析出现了两个总体主题：（a）学习型健康系统路径实施中的挑战，以及（b）CHC方法对工作人员和患者的益处。特别是，在大规模实施学习型健康系统时，开展一项雄心勃勃的工作计划的时间限制、数据质量和可及性，以及CHC项目的长期可持续性被视为关键挑战。
本次评估的结果为大规模创建学习型健康系统提供了宝贵的见解，包括潜在的益处和可能面临的挑战。
