资源匮乏环境下学习型健康系统的必要性。
The learning health system imperative in low-resource contexts.
作者信息
Lewicki Patrick, Swarray-Deen Alim, Moyer Cheryl A
机构信息
Department of Urology University of Michigan Ann Arbor Michigan USA.
Department of Learning Health Sciences University of Michigan Medical School Ann Arbor Michigan USA.
出版信息
Learn Health Syst. 2025 Feb 10;9(3):e70002. doi: 10.1002/lrh2.70002. eCollection 2025 Jul.
INTRODUCTION
Learning health system (LHS) development has been described in the highest resource settings, which could suggest that resources are a precondition to LHS formation.
METHOD
We reviewed literature surrounding LHSs in low-resource contexts and used this to inform an argument that LHS activity is critically important in these circumstances.
RESULTS
We focus on three key points. First, when resources are scarce, they should not be squandered. Second, local knowledge artifacts have advantages. Finally, LHS emphasis on lasting sociotechnical infrastructure addresses sustainability concerns.
CONCLUSION
We believe LHS formation and activity is more important in low-resource contexts than in their higher resource counterparts. Less path dependence in many low-resource contexts forecasts that LHSs may see their greatest success there.
引言
学习型卫生系统（LHS）的发展已在资源最为丰富的环境中得到描述，这可能意味着资源是LHS形成的一个先决条件。
方法
我们回顾了低资源环境下有关LHS的文献，并以此为依据提出一个观点，即在这些情况下LHS活动至关重要。
结果
我们着重关注三个关键点。第一，资源稀缺时，不应浪费。第二，当地知识产物具有优势。最后，LHS对持久社会技术基础设施的重视解决了可持续性问题。
结论
我们认为，在低资源环境中，LHS的形成和活动比在资源更丰富的环境中更为重要。许多低资源环境中的路径依赖性较小，这预示着LHS可能在那里取得最大成功。
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