H.R. Collard is professor of medicine and health policy, Department of Medicine, director, Clinical and Translational Science Institute, and associate vice chancellor, Clinical Research, University of California, San Francisco, San Francisco, California; ORCID: https://orcid.org/0000-0002-8384-9506 .
K. Grumbach is professor and chair, Department of Family and Community Medicine, director, Community Engagement Program, Clinical and Translational Science Institute, and senior medical director, Office of Population Health, University of California, San Francisco, San Francisco, California; ORCID: https://orcid.org/0000-0002-7809-214X .
Acad Med. 2023 Jan 1;98(1):29-35. doi: 10.1097/ACM.0000000000004949. Epub 2022 Aug 23.
The learning health care system is an aspirational operational model for improving health care by learning from the care being delivered. The model, which has been endorsed by the National Academy of Medicine, aligns naturally with academic health systems, which have a mission to improve care for their communities through research and education. In this scholarly perspective, the authors define the learning health care system concept and its historical relationship to academic health systems; explore opportunities for and barriers to realizing the learning health care system; and propose actions to achieve the learning health care system at the local, regional, and national levels. The authors argue that the learning health care system model is essential to academic medicine's evolution and to achieving the foundational societal mission of academic health systems to advance health through research and education.
学习型医疗保健系统是一种通过从提供的医疗服务中学习来提高医疗保健水平的理想运营模式。该模式已得到国家医学院的认可，与学术医疗系统自然契合，学术医疗系统的使命是通过研究和教育来改善其所在社区的医疗服务。在这篇学术观点文章中，作者定义了学习型医疗保健系统的概念及其与学术医疗系统的历史关系；探讨了实现学习型医疗保健系统的机会和障碍；并提出了在地方、区域和国家各级实现学习型医疗保健系统的行动。作者认为，学习型医疗保健系统模式对于学术医学的发展以及实现学术医疗系统通过研究和教育促进健康的基本社会使命至关重要。
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