气候变化领域集成服务门户(CCPortal): Progress with the Learning Health System 2.0: a rapid review of Learning Health Systems' responses to pandemics and climate change

CCPortal

DOI	10.1186/s12916-024-03345-8
	Progress with the Learning Health System 2.0: a rapid review of Learning Health Systems' responses to pandemics and climate change
	Smith, Carolynn L.; Fisher, Georgia; Dharmayani, Putu Novi Arfirsta; Wijekulasuriya, Shalini; Ellis, Louise A.; Spanos, Samantha; Dammery, Genevieve; Zurynski, Yvonne; Braithwaite, Jeffrey
发表日期	2024
ISSN	1741-7015
起始页码	22
结束页码	1
卷号	22 期号:1
英文摘要	BackgroundPandemics and climate change each challenge health systems through increasing numbers and new types of patients. To adapt to these challenges, leading health systems have embraced a Learning Health System (LHS) approach, aiming to increase the efficiency with which data is translated into actionable knowledge. This rapid review sought to determine how these health systems have used LHS frameworks to both address the challenges posed by the COVID-19 pandemic and climate change, and to prepare for future disturbances, and thus transition towards the LHS2.0.MethodsThree databases (Embase, Scopus, and PubMed) were searched for peer-reviewed literature published in English in the five years to March 2023. Publications were included if they described a real-world LHS's response to one or more of the following: the COVID-19 pandemic, future pandemics, current climate events, future climate change events. Data were extracted and thematically analyzed using the five dimensions of the Institute of Medicine/Zurynski-Braithwaite's LHS framework: Science and Informatics, Patient-Clinician Partnerships, Continuous Learning Culture, Incentives, and Structure and Governance.ResultsThe search yielded 182 unique publications, four of which reported on LHSs and climate change. Backward citation tracking yielded 13 additional pandemic-related publications. None of the climate change-related papers met the inclusion criteria. Thirty-two publications were included after full-text review. Most were case studies (n = 12, 38%), narrative descriptions (n = 9, 28%) or empirical studies (n = 9, 28%). Science and Informatics (n = 31, 97%), Continuous Learning Culture (n = 26, 81%), Structure and Governance (n = 23, 72%) were the most frequently discussed LHS dimensions. Incentives (n = 21, 66%) and Patient-Clinician Partnerships (n = 18, 56%) received less attention. Twenty-nine papers (91%) discussed benefits or opportunities created by pandemics to furthering the development of an LHS, compared to 22 papers (69%) that discussed challenges.ConclusionsAn LHS 2.0 approach appears well-suited to responding to the rapidly changing and uncertain conditions of a pandemic, and, by extension, to preparing health systems for the effects of climate change. LHSs that embrace a continuous learning culture can inform patient care, public policy, and public messaging, and those that wisely use IT systems for decision-making can more readily enact surveillance systems for future pandemics and climate change-related events.Trial registrationPROSPERO pre-registration: CRD42023408896.
英文关键词	Learning Health Systems; Climate change; Pandemics; COVID-19
语种	英语
WOS研究方向	General & Internal Medicine
WOS类目	Medicine, General & Internal
WOS记录号	WOS:001189380400006
来源期刊	BMC MEDICINE
文献类型	期刊论文
条目标识符	http://gcip.llas.ac.cn/handle/2XKMVOVA/286300
作者单位	Macquarie University; Macquarie University
推荐引用方式 GB/T 7714	Smith, Carolynn L.,Fisher, Georgia,Dharmayani, Putu Novi Arfirsta,et al. Progress with the Learning Health System 2.0: a rapid review of Learning Health Systems' responses to pandemics and climate change[J],2024,22(1).
APA	Smith, Carolynn L..,Fisher, Georgia.,Dharmayani, Putu Novi Arfirsta.,Wijekulasuriya, Shalini.,Ellis, Louise A..,...&Braithwaite, Jeffrey.(2024).Progress with the Learning Health System 2.0: a rapid review of Learning Health Systems' responses to pandemics and climate change.BMC MEDICINE,22(1).
MLA	Smith, Carolynn L.,et al."Progress with the Learning Health System 2.0: a rapid review of Learning Health Systems' responses to pandemics and climate change".BMC MEDICINE 22.1(2024).