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Public Health Research and Practice Public Health Research and Practice Society
The peer-reviewed journal of the Sax Institute
RESEARCH ARTICLE (Open Access)

Learning healthcare systems: a perspective from the US

Andrew Bindman A *
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A Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, US

* Correspondence to: andrew.bindman@ucsf.edu

Public Health Research and Practice 29, e2931920 https://doi.org/10.17061/phrp2931920
Published: 25 September 2019

Abstract

Changes under way in the healthcare environment have the potential to accelerate the pace at which evidence is incorporated into practice. Motivated by new payment models that hold clinicians accountable for cost and quality, healthcare organisations in the US are developing their capacity to become learning healthcare systems that are able to generate, adopt and apply evidence to support quality improvement and high-value care. The pace at which healthcare organisations will make progress will depend on whether they perceive a return on their investments, the availability of internal and external resources to help them make this transformation, and the external pressures on them to be accountable for managing the cost and quality of their patient care.

2019 © Bindman et al. This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International Licence, which allows others to redistribute, adapt and share this work non-commercially provided they attribute the work and any adapted version of it is distributed under the same Creative Commons licence terms.