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. 2024 Oct 15;8(4):e10466.
doi: 10.1002/lrh2.10466. eCollection 2024 Oct.

Learning health systems to implement chronic disease prevention programs: A novel framework and perspectives from an Australian health service

Luke Wolfenden  1   2   3   4 , John Wiggers  1   2   3   4 , Courtney Barnes  2   3   4 , Cassandra Lane  2   3   4 , Daniel Groombridge  1 , Katie Robertson  1 , Jannah Jones  1   2   3   4 , Sam McCrabb  2   3   4 , Rebecca K Hodder  1   2   3   4 , Adam Shoesmith  2   3   4 , Nayerra Hudson  1 , Nicole McCarthy  1   2   3   4 , Melanie Kingsland  1   2   4 , Emma Doherty  1   2   4 , Emily Princehorn  2   3   4 , Meghan Finch  2   3   4 , Nicole Nathan  1   2   3   4 , Rachel Sutherland  1   2   3   4
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Learning health systems to implement chronic disease prevention programs: A novel framework and perspectives from an Australian health service

Luke Wolfenden et al. Learn Health Syst. .

Abstract

Background: Chronic diseases are a considerable burden to health systems, communities, and patients. Much of this burden, however, could be prevented if interventions effective in reducing chronic disease risks were routinely implemented.

Aims: The aim of this paper is to discuss the role of public health agencies in preventing chronic disease through the application of learning health system (LHS) approaches to improve the implementation of evidence-based interventions.

Materials and methods: We draw on the literature and our experience operating a local LHS in Australia that has achieved rapid improvements in the implementation of chronic disease prevention interventions.

Results: The proposed LHS framework has been adapted to be both implementation and chronic disease prevention focused. The framework describes both broad improvement processes, and the infrastructure and other support (pillars) recommended to support its core functions.

Conclusion: The framework serves as a basis for further exploration of the potentially transformative role LHS's may have in addressing the chronic disease health crisis.

Keywords: chronic disease; implementation; learning health system; prevention; public health.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

FIGURE 1
FIGURE 1
The proposed learning health system framework for prevention.
See this image and copyright information in PMC

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References

    1. Executive Office of the President CoEA . The Economic Case for Health Reform. The White House; 2009.
    1. Australian Health Ministers' Advisory Council . National Strategic Framework for Chronic Conditions. Australian Government; 2017.
    1. Colditz GA, Wolin KY, Gehlert S. Applying what we know to accelerate cancer prevention. Sci Transl Med. 2012;4(127):127rv4. - PMC - PubMed
    1. Emmons KM, Colditz GA. Realizing the potential of cancer prevention—the role of implementation science. N Engl J Med. 2017;376(10):986‐990. - PMC - PubMed
    1. Lane C, McCrabb S, Nathan N, et al. How effective are physical activity interventions when they are scaled‐up: a systematic review. Int J Behav Nutr Phys Act. 2021;18(1):16. - PMC - PubMed

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