Linking dissemination and implementation science to Learning Health Systems: Opportunities for Clinical and Translational Science Award institutions

Journal of Clinical and Translational Science
Nancy M BennettPaul Meissner

Abstract

Learning Health Systems (LHS) iteratively implement and evaluate health improvement projects. Dissemination and implementation (D&I) science is the study of evidence-based practices in real-world settings, a critical tool for LHS. This paper explores intersections between LHS and D&I science in Clinical and Translational Science Awards (CTSAs) institutions and identifies critical components of collaboration. We conducted website scans of 34 CTSAs and their home institutions that had Dissemination, Implementation, and Knowledge Translation (DIKT) Workgroup members. We identified linkages between CTSAs and their institutions' LHS. We interviewed six CTSA leaders experienced in LHS and D&I sciences. Nearly half of CTSAs identified an LHS structure on their websites, but only one-third indicates CTSA involvement in these efforts. Interviewees identified key components for successful integration of LHS and D&I sciences: leadership, infrastructure, balance between rigor and efficiency, and aligned incentives. The need for research integration in LHS, to improve evaluation and increase knowledge, is an emerging opportunity for D&I scientists and CTSAs. CTSAs that are engaged in D&I science can introduce and/or expand the role of D&I s...Continue Reading

References

Sep 19, 2019·The New England Journal of Medicine·Leora I HorwitzSimon A Jones

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Citations

Jul 23, 2020·Journal of Clinical and Translational Science·Kathleen R Stevens, Jonathan N Tobin

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Software Mentioned

DIKT

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