The Learning Healthcare System: Workshop Summary - PubMed (original) (raw)
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Washington (DC): National Academies Press (US); 2007.
- PMID: 21452449
- Bookshelf ID: NBK53494
- DOI: 10.17226/11903
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The Learning Healthcare System: Workshop Summary
Institute of Medicine (US) Roundtable on Evidence-Based Medicine.
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The Learning Healthcare System is the first formal product of the Institute of Medicine (IOM) Roundtable on Evidence-Based Medicine. It is a summary of a two-day workshop held in July 2006, convened to consider the broad range of issues important to reengineering clinical research and healthcare delivery so that evidence is available when it is needed, and applied in health care that is both more effective and more efficient than we have today. Embedded in these pages can be found discussions of the myriad issues that must be engaged if we are to transform the way evidence is generated and used to improve health and health care—issues such as the potential for new research methods to enhance the speed and reliability with which evidence is developed, the standards of evidence to be used in making clinical recommendations and decisions, overcoming the technical and regulatory barriers to broader use of clinical data for research insights, and effective communication to providers and the public about the dynamic nature of evidence and how it can be used. Ultimately, our hope and expectation are that the process of generating and applying the best evidence will be natural and seamless components of the process of care itself, as part of a learning healthcare system.
Copyright © 2007, National Academy of Sciences.
Sections
- The National Academies
- Roundtable on Evidence-Based Medicine
- Reviewers
- Institute of Medicine Roundtable on Evidence-Based Medicine
- Foreword
- Preface
- Summary
- 1. Hints of a Different Way—Case Studies in Practice-Based Evidence
- 2. The Evolving Evidence Base—Methodologic and Policy Challenges
- 3. Narrowing the Research-Practice Divide—Systems Considerations
- 4. New Approaches—Learning Systems in Progress
- 5. Developing the Test Bed—Linking Integrated Service Delivery Systems
- 6. The Patient as a Catalyst for Change
- 7. Training the Learning Health Professional
- 8. Structuring the Incentives for Change
- Appendixes
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This project was supported by the contracts between the National Academy of Sciences and Agency for Healthcare Research and Quality, America’s Health Insurance Plans, AstraZeneca, Blue Shield of California Foundation, Burroughs Wellcome Fund, California Health Care Foundation, Centers for Medicare and Medicaid Services, Department of Veterans Affairs, Food and Drug Administration, Johnson & Johnson, sanofi-aventis, and Stryker.
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