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Stroke Learning Health Systems : A Topical Narrative Review With Case Examples

Cadilhac, Dominique A. ; Bravata, Dawn M. ; Bettger, Janet Prvu ; Mikulik, Robert ; Norrving, Bo LU ; Uvere, Ezinne O. ; Owolabi, Mayowa ; Ranta, Annemarei and Kilkenny, Monique F. (2023) In Stroke 54(4). p.1148-1159
Abstract

To our knowledge, the adoption of Learning Health System (LHS) concepts or approaches for improving stroke care, patient outcomes, and value have not previously been summarized. This topical review provides a summary of the published evidence about LHSs applied to stroke, and case examples applied to different aspects of stroke care from high and low-to-middle income countries. Our attempt to systematically identify the relevant literature and obtain real-world examples demonstrated the dissemination gaps, the lack of learning and action for many of the related LHS concepts across the continuum of care but also elucidated the opportunity for continued dialogue on how to study and scale LHS advances. In the field of stroke, we found only... (More)

To our knowledge, the adoption of Learning Health System (LHS) concepts or approaches for improving stroke care, patient outcomes, and value have not previously been summarized. This topical review provides a summary of the published evidence about LHSs applied to stroke, and case examples applied to different aspects of stroke care from high and low-to-middle income countries. Our attempt to systematically identify the relevant literature and obtain real-world examples demonstrated the dissemination gaps, the lack of learning and action for many of the related LHS concepts across the continuum of care but also elucidated the opportunity for continued dialogue on how to study and scale LHS advances. In the field of stroke, we found only a few published examples of LHSs and health systems globally implementing some selected LHS concepts, but the term is not common. A major barrier to identifying relevant LHS examples in stroke may be the lack of an agreed taxonomy or terminology for classification. We acknowledge that health service delivery settings that leverage many of the LHS concepts do so operationally and the lessons learned are not shared in peer-reviewed literature. It is likely that this topical review will further stimulate the stroke community to disseminate related activities and use keywords such as learning health system so that the evidence base can be more readily identified.

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Please use this url to cite or link to this publication:
author
; ; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
emergency medical services, ischemic attack, transient, learning health system, quality improvement, stroke
in
Stroke
volume
54
issue
4
pages
12 pages
publisher
American Heart Association
external identifiers
  • pmid:36715006
  • scopus:85151045090
ISSN
0039-2499
DOI
10.1161/STROKEAHA.122.036216
language
English
LU publication?
yes
id
68fceb1f-08ca-45c2-b3ee-a6b86dda3af3
date added to LUP
2023-05-22 13:24:36
date last changed
2024-09-21 12:14:37
@article{68fceb1f-08ca-45c2-b3ee-a6b86dda3af3,
  abstract     = {{<p>To our knowledge, the adoption of Learning Health System (LHS) concepts or approaches for improving stroke care, patient outcomes, and value have not previously been summarized. This topical review provides a summary of the published evidence about LHSs applied to stroke, and case examples applied to different aspects of stroke care from high and low-to-middle income countries. Our attempt to systematically identify the relevant literature and obtain real-world examples demonstrated the dissemination gaps, the lack of learning and action for many of the related LHS concepts across the continuum of care but also elucidated the opportunity for continued dialogue on how to study and scale LHS advances. In the field of stroke, we found only a few published examples of LHSs and health systems globally implementing some selected LHS concepts, but the term is not common. A major barrier to identifying relevant LHS examples in stroke may be the lack of an agreed taxonomy or terminology for classification. We acknowledge that health service delivery settings that leverage many of the LHS concepts do so operationally and the lessons learned are not shared in peer-reviewed literature. It is likely that this topical review will further stimulate the stroke community to disseminate related activities and use keywords such as learning health system so that the evidence base can be more readily identified.</p>}},
  author       = {{Cadilhac, Dominique A. and Bravata, Dawn M. and Bettger, Janet Prvu and Mikulik, Robert and Norrving, Bo and Uvere, Ezinne O. and Owolabi, Mayowa and Ranta, Annemarei and Kilkenny, Monique F.}},
  issn         = {{0039-2499}},
  keywords     = {{emergency medical services; ischemic attack, transient; learning health system; quality improvement; stroke}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{1148--1159}},
  publisher    = {{American Heart Association}},
  series       = {{Stroke}},
  title        = {{Stroke Learning Health Systems : A Topical Narrative Review With Case Examples}},
  url          = {{http://dx.doi.org/10.1161/STROKEAHA.122.036216}},
  doi          = {{10.1161/STROKEAHA.122.036216}},
  volume       = {{54}},
  year         = {{2023}},
}