Advertisement

Future of Evidence Ecosystem Series: Evidence ecosystems and learning health systems: why bother?

      Highlights

      • Emerging models for evidence ecosystems and learning health systems aim to solve well-recognized problems with getting evidence into policy and practice.
      • Advances in evidence-based medicine and digital transformation of health care offer great opportunities for overarching solutions.
      • A cyclical and fully integrated process, fully making use of trustworthy evidence from its production to documented increased value and reduced waste in health care and research, is needed.
      • Infrastructure to orchestrate, govern, and support joined-up actors is another requirement and perhaps insurmountable challenge.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Clinical Epidemiology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

      1. AHRQ and the National Academy of Medicine: a shared enthusiasm for learning health systems.
        (Available at)
        http://www.ahrq.gov/news/blog/ahrqviews/ahrq-and-nam.html
        Date: 2017
        Date accessed: July 11, 2017
        • Walshe K.
        Pseudoinnovation: the development and spread of healthcare quality improvement methodologies.
        Int J Qual Health Care. 2009; 21: 153-159
        • OECD
        Health in the 21st century: putting data to work for stronger health systems, OECD Health Policy Studies.
        OECD Publishing, Paris2019
        • Djulbegovic B.
        • Guyatt G.H.
        Progress in evidence-based medicine: a quarter century on.
        Lancet. 2017; 390: 415-423
        • Boutron I.
        • Créquit P.
        • Williams H.
        • Meerpohl J.
        • Craig J.C.
        • Ravaud P.
        Future of evidence ecosystem series: 1. Introduction — Evidence synthesis ecosystem needs dramatic change.
        J Clin Epidemiol. 2020; ([Epub ahead of print])https://doi.org/10.1016/j.jclinepi.2020.01.024
        • Créquit P.
        • Boutron I.
        • Meerpohl J.
        • Williams H.
        • Craig J.
        • Ravaud P.
        Future of evidence ecosystem series: 2. Current opportunities and need for better tools and methods..
        J Clin Epidemiol. 2020; ([Epub ahead of print])https://doi.org/10.1016/j.jclinepi.2020.01.023
        • Ravaud P.
        • Créquit P.
        • Hywel C.
        • Joerg Meerpohl Williams
        • Jonathan C.
        • Isabelle Boutron
        Future of evidence ecosystem series: 3. From an evidence synthesis ecosystem to an evidence ecosystem..
        J Clin Epidemiol. 2020; ([Epub ahead of print])https://doi.org/10.1016/j.jclinepi.2020.01.027
        • Cartabellotta A.
        • Tilson J.K.
        The ecosystem of evidence cannot thrive without efficiency of knowledge generation, synthesis and translation.
        J Clin Epidemiol. 2019; 110: 90-95
      2. MAGIC Evidence Ecosystem Foundation.
        (Available at)
        www.magicproject.org
        Date accessed: January 25, 2020
        • Vandvik P.O.
        • Brandt L.
        • Alonso-Coello P.
        • Treweek S.
        • Akl E.A.
        • Kristiansen A.
        • et al.
        Creating clinical practice guidelines we can trust, use, and share: a new era is imminent.
        Chest. 2013; 144: 381-389
        • Agoritsas T.
        • Heen A.F.
        • Brandt L.
        • Alonso-Coello P.
        • Kristiansen A.
        • Akl E.A.
        • et al.
        Decision aids that really promote shared decision making: the pace quickens.
        BMJ. 2015; 350: g7624
        • Siemieniuk R.A.
        • Agoritsas T.
        • Macdonald H.
        • Guyatt G.H.
        • Brandt L.
        • Vandvik P.O.
        Introduction to BMJ rapid recommendations.
        BMJ. 2016; 354: i5191
      3. BMJ rapid recommendations.
        (Available at)
        https://www.bmj.com/rapid-recommendations
        Date accessed: January 25, 2020
      4. Cochrane and MAGIC partnership.
        (Available at)
      5. Living evidence consortium.
        (Available at)
        https://livingevidence.org.au/alec-members
        Date accessed: January 25, 2020
      6. Institute of Medicine (US) Roundtable on evidence-based medicine.
        in: The learning healthcare system: workshop summary. National Academies Press (US), Washington, DC2007 (Available at)
        http://www.ncbi.nlm.nih.gov/books/NBK53494/
        Date accessed: January 25, 2020
        • Smith M.
        • Saunders R.
        • Stuckhardt L.
        • McGinnis J.M.
        America C on the LHCS in, medicine I of a continuously learning health care system.
        National Academies Press (US), Washington, D.C2013 (Available at)
        https://www.ncbi.nlm.nih.gov/books/NBK207218/
        Date accessed: November 30, 2017
        • Friedman C.P.
        • Allee N.J.
        • Delaney B.C.
        • Flynn A.J.
        • Silverstein J.C.
        • Sullivan K.
        • et al.
        The science of learning health systems: foundations for a new journal.
        Learn Health Syst. 2017; 1: e10020
      7. Agency for Health Care Quality and Research (AHRQ) evidence-based Care Transformation Support (ACTS) Initiative.
        (Available at)
        https://digital.ahrq.gov/acts
        Date accessed: January 25, 2020
      8. Canadian Institutes of Health Research (CIHR) Strategy for patient-oriented research (SPOR).
        (Available at)
        https://cihr-irsc.gc.ca/e/41204.html
        Date accessed: February 16, 2020
        • OECD
        Health in the 21st century: putting data to work for stronger health systems, OECD Health Policy Studies.
        OECD Publishing, Paris2019https://doi.org/10.1787/e3b23f8e-en (Available at)
        Date accessed: January 25, 2020
      9. SPOR evidence alliance.
        (Available at)
        https://sporevidencealliance.ca/
        Date accessed: February 20, 2020
        • Gough A.
        • Thomas J.
        • Oliver S.
        Clarifying differences between reviews within evidence ecosystems.
        Syst Rev. 2019; 8: 170
        • Budrionis A.
        • Bellika J.G.
        The Learning Healthcare System: where are we now? A systematic review.
        J Biomed Inform. 2016; 64: 87-92