Mind the Gap: Putting Evidence into Practice in the Era of Learning Health Systems
- PMID: 30155611
- PMCID: PMC6258636
- DOI: 10.1007/s11606-018-4633-1
Mind the Gap: Putting Evidence into Practice in the Era of Learning Health Systems
Abstract
Due to the increasing amount of available published evidence and the continual need to apply and update evidence in practice, we propose a shift in the way evidence generated by learning health systems can be integrated into more traditional evidence reviews. This paper discusses two main mechanisms to close the evidence-to-practice gap: (1) integrating Learning Health System (LHS) results with existing systematic review evidence and (2) providing this combined evidence in a standardized, computable data format. We believe these efforts will better inform practice, thereby improving individual and population health.
Keywords: evidence-based medicine; health care delivery; health information technology; implementation research; systematic reviews.
Conflict of interest statement
The authors declare that they do not have a conflict of interest.
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Comment in
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Putting FAIR Evidence into Practice.J Gen Intern Med. 2019 Aug;34(8):1369. doi: 10.1007/s11606-019-05021-7. J Gen Intern Med. 2019. PMID: 31062227 Free PMC article. No abstract available.
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References
-
- Olsen L, Aisner D, McGinnis J, Institute of Medicine . The Learning Healthcare System: workshop summary (Insitute of Medicine roundtable on evidence-based medicine) Washington, DC: The National Academies Press; 2007. - PubMed
-
- Timbie JW, Rudin RS, Towe V, et al. National patient-centered clinical research network (PCORnet) phase I. Santa Monica, CA: RAND; 2015.
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