Giroux Catherine M, Zomahoun Hervé Tchala Vignon, Boies Sophie, Bush Paula, Alkhaldi Mohammed, Kengne Talla Pascaline, Poitras Marie-Eve, Couturier Yves, Ahmed Sara
McGill University, Montreal, Quebec, Canada.
Population Health and Optimal Health Practices Unit, Institut national d'excellence en sante et en services sociaux du Quebec, Québec, Québec, Canada.
BMJ Open. 2025 Aug 25;15(8):e088720. doi: 10.1136/bmjopen-2024-088720.
In the health sciences, it can take up to 17 years for 14% of research findings to be adopted in clinical practice. Adopting a learning health system (LHS) approach may help accelerate the transition of medicoadministrative and clinical data to knowledge, knowledge to performance and performance to data. However, little is currently known about whether healthcare organisations are both willing and able to adopt such an innovation. Therefore, the aim of this study is to generate validity evidence in support of a measure assessing healthcare organisations' readiness to implement an LHS approach.
A three-round Delphi method will be used to establish consensus on the relevance, clarity and comprehensiveness of the LHS readiness questionnaire's domains, subdomains and items. The questionnaire has been developed based on a review of the literature. Participants with expertise in LHS across Canada and internationally will be purposively recruited using a modified Dillman approach, with opportunities for additional snowball sampling. Descriptive statistics will be calculated from all closed-ended Delphi survey responses. A conventional content analysis will be conducted on all open-ended responses.
Ethical approval has been obtained from the McGill University Faculty of Medicine and Health Sciences Institutional Review Board (AO3-E23-24B). The findings of this study will be disseminated in peer-reviewed publications, academic conferences, knowledge mobilisation workshops and through policy briefs and position papers.
在健康科学领域，14%的研究成果可能需要长达17年才能应用于临床实践。采用学习型健康系统（LHS）方法可能有助于加速医疗管理和临床数据向知识的转化、知识向绩效的转化以及绩效向数据的转化。然而，目前对于医疗机构是否愿意且能够采用这种创新方法知之甚少。因此，本研究的目的是生成有效性证据，以支持一项评估医疗机构准备好实施LHS方法的措施。
将采用三轮德尔菲法就LHS准备情况问卷的领域、子领域和项目的相关性、清晰度和全面性达成共识。该问卷是在文献综述的基础上制定的。将采用改良的迪尔曼方法有目的地招募加拿大和国际上在LHS方面具有专业知识的参与者，并提供额外的滚雪球抽样机会。将根据所有封闭式德尔菲调查回复计算描述性统计数据。将对所有开放式回复进行常规内容分析。
已获得麦吉尔大学医学与健康科学学院机构审查委员会（AO3-E23-24B）的伦理批准。本研究的结果将在同行评审的出版物、学术会议、知识传播研讨会以及通过政策简报和立场文件进行传播。
