Developing a framework for integrating health equity into the learning health system
Danielle Brooks,Megan Douglas,Neelum T. Aggarwal,Shyam Prabhakaran,Kisha Holden,Dominic Mack +5 more
- Vol. 1, Iss: 3
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TLDR
This document sets forth a practical framework to incorporate health equity into a developing LHS and applies it to 2 projects focused on the reduction of health disparities to highlight its application.Abstract:
While there have been gains in the overall quality of health care, racial and ethnic disparities in health outcomes continue to persist in the United States. The Learning Health System (LHS) has the potential to significantly improve health care quality using patient-centered design, data analytics, and continuous improvement. To ensure that health disparities are also being addressed, targeted approaches must be used. This document sets forth a practical framework to incorporate health equity into a developing LHS. Using a case study approach, the framework is applied to 2 projects focused on the reduction of health disparities to highlight its application.read more
Citations
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Journal ArticleDOI
A framework for value-creating learning health systems
TL;DR: A conceptual framework is presented that has been developed in Canada to support the implementation of value-creating learning health systems and illustrates how the distinctive structures, processes and outcomes of LHSs tie together with the aim of optimising health system performance and delivering greater value in health systems.
Dissertations and Theses
TL;DR: ProQuest digital dissertations (Dissertations Abstracts online) • Access through BearCat “Other Electronic Resources” • Citations for dissertation from 1861 to those accepted last semester; thoe published from 1980 forward include 350-word abstract.
Journal ArticleDOI
Clarifying the concept of a learning health system for healthcare delivery organizations: Implications from a qualitative analysis of the scientific literature
TL;DR: A conceptual map of the LHS landscape is provided by identifying the activities, principles, tools, and conditions that LHS researchers have associated with the concept by assessing how often each element is referenced in the literature.
Journal ArticleDOI
Sustainable community engagement in a constantly changing health system
Kent Key,E. Yvonne Lewis +1 more
TL;DR: A continuum model for distinguishing various levels of community engagement and recommendations for approaching community, patient, and public engagement for health care systems that are expanding uses of health information are offered.
Journal ArticleDOI
Population-Level Disparities in COVID-19: Measuring the Independent Association of the Proportion of Black Population on COVID-19 Cases and Deaths in US Counties.
Anne H. Gaglioti,Chaohua Li,Megan Douglas,Peter Baltrus,Mitchell A. Blount,Rabab Zahidi,Lee S. Caplan,Robina Josiah Willock,Omofolarin B. Fasuyi,Dominic Mack +9 more
TL;DR: The proportion of NHB people in a county was positively associated with county COVID-19 case and death rates and did not change in models that accounted for other socioecologic and health care infrastructure characteristics that have been hypothesized to account for the disproportionate impact of CO VID-19 on racial and ethnic minority populations.
References
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Journal ArticleDOI
Community-Based Participatory Research Contributions to Intervention Research: The Intersection of Science and Practice to Improve Health Equity
Nina Wallerstein,Bonnie Duran +1 more
TL;DR: The barriers and challenges within the intervention and implementation sciences are identified, how CBPR can address these challenges are discussed, an illustrative research example is provided, and next steps to advance the translational science of CBPR are discussed.
Journal ArticleDOI
Patient And Family Engagement: A Framework For Understanding The Elements And Developing Interventions And Policies
Kristin L. Carman,Pam Dardess,Maureen Maurer,Shoshanna Sofaer,Karen Adams,Christine Bechtel,Jennifer Sweeney +6 more
TL;DR: The levels at which patient engagement can occur across the health care system are discussed, from the direct care setting to incorporating patient engagement into organizational design, governance, and policy making.
Journal ArticleDOI
We Can Do Better — Improving the Health of the American People
TL;DR: In the 117th Shattuck Lecture, Dr. Steven Schroeder asks why the American system fails to deliver a standard of health similar to that observed in many other countries.
Journal ArticleDOI
We Can Do Better — Improving the Health of the American People
TL;DR: This lecture discusses pathways to improvement, emphasizing lessons learned from tobacco control and acknowledging the reality that better health cannot be achieved without paying greater attention to poor Americans.
BookDOI
Communities in Action: Pathways to Health Equity
TL;DR: The Communities in Action: Pathways to Health Equity as discussed by the authors report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as root causes and structural barriers that need to be overcome.