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As our nation enters a new era of medical science that offers the real prospect of personalized health care, we will be confronted by an increasingly complex array of healthcare options and decisions. The Learning Healthcare System series of publications considers how health care is structured to develop and to apply evidence—from health professions training and infrastructure development to advances in research methodology, patient engagement, payment schemes, and measurement—and highlights opportunities for the creation of a sustainable, learning healthcare system that gets the right care to patients when they need it and then captures the results for improvement.
Released and anticipated publications are below:
The most pressing needs for change that were identified in The Learning Healthcare System are those related to:
- Adaptation to the pace of change
- Stronger synchrony of efforts
- New clinical research paradigm
- Clinical decision support systems
- Tools for database linkage, mining, and use
- Notion of clinical data as a public good
- Incentives aligned for practice-based evidence
- Public engagement
- Trusted scientific broker
- Leadership
Some common themes--issues, challenges, and opportunities--that emerged from discussion at the IOM Annual Meeting include:
- Increasing complexity of health care
- Unjustified discrepancies in care patterns
- Importance of better value from health care
- Uncertainty exposed by the information environment
- Pressing need for evidence development
- Promise of health information technology
- Need for more practice-based research
- Shift to a culture of care that learns
- New model of the patient-provider partnership
- Leadership that stems from every quarter
The series publications with anticipated release in 2008 and early 2009:
Leadership Commitments to Improve Value in Health Care: Finding Common Ground (July 2007)
Redesigning the Clinical Effectiveness Research Paradigm: Innovation and Practice-Based Approaches (Dec 2007)
Clinical Data as the Basic Staple of Health Learning: Creating and Protecting a Public Good (Feb 2008)
Engineering a Learning Healthcare System: A Look at the Future (April 2008)
Learning What Works: Infrastructure Required to Learn Which Care Is Best (July 2008)
The Learning Healthcare System (July 2006)
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Judging the Evidence: Standards for Determining Clinical Effectiveness (Feb 2007)
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Leadership Commitments to Improve Value in Health Care: Finding Common Ground (July 2007)
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Evidence-Based Medicine and the Changing Nature of Health Care (IOM Annual Meeting, Oct 2007)
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Redesigning the Clinical Effectiveness Research Paradigm: Innovation and Practice-Based Approaches (Dec 2007)
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Clinical Data as the Basic Staple of Health Learning: Creating and Protecting a Public Good (Feb 2008)
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Engineering a Learning Healthcare System: A Look at the Future (April 2008)
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Learning What Works: Infrastructure Required to Learn Which Care Is Best (July 2008)
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Best Practices in Patient-Provider Partnerships for Evidence-Driven Health Care (Fall 2008)•
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