Using a learning health system framework to examine COVID-19 pandemic planning and response at a Canadian Health Centre

Christine Cassidy, Meaghan Sim, Mari Somerville, Daniel Crowther, Douglas Sinclair, Annette Elliott Rose, Stacy Burgess, Shauna Best, Janet A. Curran

Producción científica: Contribución a una revistaArtículorevisión exhaustiva

7 Citas (Scopus)

Resumen

Background The COVID-19 pandemic has presented a unique opportunity to explore how health systems adapt under rapid and constant change and develop a better understanding of health system transformation. Learning health systems (LHS) have been proposed as an ideal structure to inform a data-driven response to a public health emergency like COVID-19. The aim of this study was to use a LHS framework to identify assets and gaps in health system pandemic planning and response during the initial stages of the COVID-19 pandemic at a single Canadian Health Centre. Methods This paper reports the data triangulation stage of a concurrent triangulation mixed methods study which aims to map study findings onto the LHS framework. We used a triangulation matrix to map quantitative (textual and administrative sources) and qualitative (semi-structured interviews) data onto the seven characteristics of a LHS and identify assets and gaps related to health-system receptors and research-system supports. Results We identified several health system assets within the LHS characteristics, including appropriate decision supports and aligned governance. Gaps were identified in the LHS characteristics of engaged patients and timely production and use of research evidence. Conclusion The LHS provided a useful framework to examine COVID-19 pandemic response measures. We highlighted opportunities to strengthen the LHS infrastructure for rapid integration of evidence and patient experience data into future practice and policy changes.

Idioma originalEnglish
Número de artículoe0273149
PublicaciónPLoS One
Volumen17
N.º9 September
DOI
EstadoPublished - sep. 2022
Publicado de forma externa

Nota bibliográfica

Funding Information:
This research (author JC) received financial support from the Nova Scotia COVID-19 Health Research Coalition. (URL: https:// researchns.ca/covid19-health-research-coalition/) The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

Publisher Copyright:
© 2022 Cassidy et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

ASJC Scopus Subject Areas

  • General

PubMed: MeSH publication types

  • Journal Article
  • Research Support, Non-U.S. Gov't

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