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. 2025 Aug 22;14(3):e003455.
doi: 10.1136/bmjoq-2025-003455.

What should a learning health system look like?

Robbie Foy  1 , Paul Carder  2 , Stella Johnson  3 , Bethan Copsey  4 , Sarah Alderson  5
Affiliations

What should a learning health system look like?

Robbie Foy et al. BMJ Open Qual. .
No abstract available

Keywords: PRIMARY CARE; Quality improvement; Randomised controlled trial.

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Conflict of interest statement

Competing interests: This paper includes independent research funded by the UK National Institute for Health and Care Research (NIHR) under its Programme Grants for Applied Research scheme (Grant Reference Number RP-PG-1209-10040). The views expressed are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health and Social Care.

Figures

Figure 1
Figure 1. Timeline summarising sequencing and evolution of quality improvement activities (in blue) and evaluations (in green).
See this image and copyright information in PMC

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References

    1. Hardie T, Horton T, Thornton N, et al. Developing learning health systems in the UK: priorities for action. London: The Health Foundation; 2022.
    1. Foley T, Horwitz LI. Learning health systems. Cambridge: Cambridge University Press; 2025.
    1. Foley T, Vale L. A framework for understanding, designing, developing and evaluating learning health systems. Learn Health Syst . 2023;7:e10315. doi: 10.1002/lrh2.10315. - DOI - PMC - PubMed
    1. Reid RJ, Wodchis WP, Kuluski K, et al. Actioning the Learning Health System: An applied framework for integrating research into health systems. SSM - Health Systems . 2024;2:100010. doi: 10.1016/j.ssmhs.2024.100010. - DOI
    1. Glasziou P, Straus S, Brownlee S, et al. Evidence for underuse of effective medical services around the world. Lancet. 2017;390:169–77. doi: 10.1016/S0140-6736(16)30946-1. - DOI - PubMed

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