Tenenbaum Jessica D
Duke University Durham North Carolina USA.
Learn Health Syst. 2024 Sep 30;8(4):e10449. doi: 10.1002/lrh2.10449. eCollection 2024 Oct.
Public health systems worldwide face increasing challenges in addressing complex health issues and improving population health outcomes. This experience report introduces the concept of a Learning Public Health System (LPHS) as a potential solution to transform public health practice. Building upon the framework of a Learning Health System (LHS) in healthcare, the LPHS aims to create a dynamic, data-driven ecosystem that continuously improves public health interventions and policies. This report explores the definition, benefits, challenges, and implementation strategies of an LPHS, highlighting its potential to revolutionize public health practice.
This report employs a comparative analysis approach, examining the similarities and differences between an LPHS and an LHS. It also identifies and elaborates on the potential benefits, challenges, and barriers to implementing an LPHS. Additionally, the study investigates promising national initiatives that exemplify elements of an LPHS in action.
An LPHS integrates data from diverse sources to inform knowledge generation, policy development, and operational improvements. Key benefits of implementing an LPHS include improved disease prevention, evidence-informed policy-making, and enhanced health outcomes. However, several challenges were identified, such as interoperability issues, governance concerns, funding limitations, and cultural factors that may impede the widespread adoption of an LPHS.
Implementation of an LPHS has the potential to significantly transform public health practice. To realize this potential, a call to action is issued for stakeholders across the public health ecosystem. Recommendations include investing in informatics infrastructure, prioritizing workforce development, establishing robust data governance frameworks, and creating incentives to support the development and implementation of a LPHS. By addressing these key areas, public health systems can evolve to become more responsive, efficient, and effective in improving population health outcomes.
全球公共卫生系统在应对复杂的健康问题和改善人群健康结果方面面临着日益严峻的挑战。本经验报告引入了学习型公共卫生系统（LPHS）的概念，将其作为变革公共卫生实践的一种潜在解决方案。基于医疗保健领域学习型健康系统（LHS）的框架，LPHS旨在创建一个动态的、数据驱动的生态系统，不断改进公共卫生干预措施和政策。本报告探讨了LPHS的定义、益处、挑战和实施策略，强调了其变革公共卫生实践的潜力。
本报告采用比较分析方法，研究LPHS与LHS之间的异同。它还确定并阐述了实施LPHS的潜在益处、挑战和障碍。此外，该研究调查了一些有前景的国家举措，这些举措体现了LPHS在实际行动中的要素。
LPHS整合来自不同来源的数据，为知识生成、政策制定和运营改进提供信息。实施LPHS的主要益处包括改善疾病预防、基于证据的政策制定以及更好的健康结果。然而，也发现了一些挑战，如互操作性问题、治理问题、资金限制以及可能阻碍LPHS广泛采用的文化因素。
实施LPHS有可能显著变革公共卫生实践。为实现这一潜力，向公共卫生生态系统中的利益相关者发出行动呼吁。建议包括投资信息学基础设施、优先发展劳动力、建立强大的数据治理框架以及创造激励措施以支持LPHS的开发和实施。通过解决这些关键领域的问题，公共卫生系统可以不断发展，在改善人群健康结果方面变得更具响应性、效率和效果。
