Seid Michael, Gamel Breck, Woolf Becky, Hartley David M, Dunn Maureen, Vinson Alexandra H
Division of Pulmonary Medicine Cincinnati Children's Hospital Medical Center Cincinnati Ohio USA.
James M Anderson Center for Health Systems Excellence Cincinnati Children's Hospital Medical Center Cincinnati Ohio USA.
Learn Health Syst. 2024 Oct 1;9(2):e10459. doi: 10.1002/lrh2.10459. eCollection 2025 Apr.
Ongoing experience and emerging evidence suggest that Collaborative Learning Health Systems (CLHSs) are a promising approach to transforming population outcomes and organizational care processes. As implied in their name, this type of Learning Health System both promotes and relies upon collaboration to achieve its aims. However, to realize the promise of the Collaborative Learning Health System, a better understanding of engagement as a catalyst for collaboration is necessary. In this commentary, we elaborate the phenomenon of engagement. We define engagement in the context of CLHSs, consider dimensions of engagement, and further explore the role of engagement as a catalyst of network functioning. We conclude by offering an agenda for research and practice intended to develop an understanding of engagement so as to further advance the theory and practice of CLHS efforts and ultimately promote the uptake of the CLHS model.
不断积累的经验和新出现的证据表明，协作学习健康系统（CLHSs）是改善人群健康结局和组织护理流程的一种很有前景的方法。顾名思义，这种类型的学习健康系统既促进协作又依赖协作来实现其目标。然而，为了实现协作学习健康系统的前景，有必要更好地理解参与作为协作催化剂的作用。在这篇评论中，我们阐述了参与这一现象。我们在CLHSs的背景下定义参与，考虑参与的维度，并进一步探讨参与作为网络功能催化剂的作用。我们最后提出了一个研究和实践议程，旨在加深对参与的理解，以进一步推进CLHS工作的理论和实践，并最终促进CLHS模式的采用。
