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. 2021 Jun 22;5(3):e10279.
doi: 10.1002/lrh2.10279. eCollection 2021 Jul.

Seven practices for pursuing equity through learning health systems: Notes from the field

Allison Parsons  1   2 , Ndidi I Unaka  2   3 , Constance Stewart  4 , Jennifer Foster  5 , Valerie Perez  6 , Nana-Hawa Yayah Jones  2   7 , Robert Kahn  2   8 , Andrew F Beck  2   3   8 , Carley Riley  1   2
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Seven practices for pursuing equity through learning health systems: Notes from the field

Allison Parsons et al. Learn Health Syst. .

Abstract

Introduction: Despite learning health systems' focus on improvement in health outcomes, inequities in outcomes remain deep and persistent. To achieve and sustain health equity, it is critical that learning health systems (LHS) adapt and function in ways that directly prioritize equity.

Methods: We present guidance, including seven core practices, borne from theory, evidence, and experience, for actors within LHS pursuing equity.

Results: We provide a foundational definition of equity. We then offer seven core practices for how LHS may effectively pursue equity in health: establish principle, measure for equity, lead from lived experience, co-produce, redistribute power, practice a growth mindset, and engage beyond the healthcare system. We include three use cases that illustrate ways in which we have begun to center equity in the work of our own LHS.

Conclusion: The achievement of equity requires real transformation at individual, institutional, and structural levels and requires sustained and persistent effort.

Keywords: co‐production; health equity; improvement science; learning networks; population health; social determinants of health.

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Conflict of interest statement

Dr. Riley has received funding from the Institute for Healthcare Improvement and Heluna Health to support her effort in developing and implementing the measurement framework for the 100 Million Healthier Lives initiative and Wellbeing in the Nation. None of the other authors have a conflict of interest.

Figures

FIGURE 1
FIGURE 1
The elements of equity‐centered improvement work in a learning health system
FIGURE 2
FIGURE 2
Example key driver diagram for health equity work
FIGURE 3
FIGURE 3
Example key driver diagram for antiracism work
See this image and copyright information in PMC

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