Learning health systems: A review of key topic areas and bibliometric trends

Learning Health Systems

Zeyad Mahmoud¹  Jeffrey Braithwaite¹  Chiara Pomare¹  Louise A. Ellis¹  Carolynn L. Smith¹  Gilbert Knaggs¹  Yvonne Zurynski¹  Alex Vedovi¹ 

[1] Australian Institute of Health Innovation Macquarie University Sydney Australia;

关键词: bibliometrics;    healthcare;    learning health systems;    learning healthcare systems;   

DOI  :  10.1002/lrh2.10265

来源: DOAJ

【 摘 要 】

Abstract Introduction The emergent field of learning health systems (LHSs) has been rapidly evolving as the concept continues to be embraced by researchers, managers, and clinicians. This paper reports on a scoping review and bibliometric analysis of the LHS literature to identify key topic areas and examine the influence and spread of recent research. Methods We conducted a scoping review of LHS literature published between January 2016 and May 2020. The authors extracted publication data (eg, journal, country, authors, citation count, keywords) and reviewed full‐texts to identify: type of study (empirical, non‐empirical, or review), degree of focus (general or specific), and the reference used when defining LHSs. Results A total of 272 publications were included in this review. Almost two thirds (65.1%) of the included articles were non‐empirical and over two‐thirds (68.4%) were from authors in the United States. More than half of the publications focused on specific areas, for example: oncology, cardiovascular care, and genomic medicine. Other key topic areas included: ethics, research, quality improvement, and electronic health records. We identified that definitions of the LHS concept are converging; however, many papers focused on data platforms and analytical processes rather than organisational and behavioural factors to support change and learning activities. Conclusions The literature on LHSs remains largely theoretical with definitions of LHSs focusing on technical processes to reuse data collected during the clinical process and embedding analysed data back into the system. A shift in the literature to empirical LHS studies with consideration of organisational and human factors is warranted.

【 授权许可】

Unknown