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National learning systems to sustain and scale up delivery of quality healthcare: a conceptual framework
All around the world, health systems fail to provide good quality of care (QoC). By developing learning systems, health systems are able to better identify good practices and to explain how to sustain and scale these good practices. To facilitate the operationalisation of national learning systems,...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9344983/ https://www.ncbi.nlm.nih.gov/pubmed/35914831 http://dx.doi.org/10.1136/bmjgh-2022-008664 |
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author | Lattof, Samantha R Maliqi, Blerta Livesley, Nigel Yaqub, Nuhu Naimy, Zainab Muzigaba, Moise Chowdhury, Minara Waiswa, Peter Were, Wilson M |
author_facet | Lattof, Samantha R Maliqi, Blerta Livesley, Nigel Yaqub, Nuhu Naimy, Zainab Muzigaba, Moise Chowdhury, Minara Waiswa, Peter Were, Wilson M |
author_sort | Lattof, Samantha R |
collection | PubMed |
description | All around the world, health systems fail to provide good quality of care (QoC). By developing learning systems, health systems are able to better identify good practices and to explain how to sustain and scale these good practices. To facilitate the operationalisation of national learning systems, the Network for Improving Quality of Care for Maternal Newborn and Child Health (the Network) developed a conceptual framework for national learning systems to support QoC at scale. The Network facilitated an iterative process to reach consensus on a conceptual framework for national learning systems to sustain and scale up delivery of quality healthcare. Following a landscape analysis, the Network Secretariat and WHO convened two consultative meetings with country partners, technical experts and stakeholders. Based on these inputs, we developed a conceptual framework for national learning systems to support QoC at scale. National learning systems use a variety of approaches to identify practices that have improved QoC at the patient and provider levels. They also facilitate scale up and sustain strategies used successfully to support quality improvement. Despite growing consensus on the importance of learning for QoC, no one has yet detailed how this learning should be operationalised nationally. Our conceptual framework is the first to facilitate the operationalisation of national learning systems so that health systems can begin to develop, adapt and implement mechanisms to learn about what works or fails and to scale up and sustain this learning for QoC. |
format | Online Article Text |
id | pubmed-9344983 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-93449832022-08-19 National learning systems to sustain and scale up delivery of quality healthcare: a conceptual framework Lattof, Samantha R Maliqi, Blerta Livesley, Nigel Yaqub, Nuhu Naimy, Zainab Muzigaba, Moise Chowdhury, Minara Waiswa, Peter Were, Wilson M BMJ Glob Health Practice All around the world, health systems fail to provide good quality of care (QoC). By developing learning systems, health systems are able to better identify good practices and to explain how to sustain and scale these good practices. To facilitate the operationalisation of national learning systems, the Network for Improving Quality of Care for Maternal Newborn and Child Health (the Network) developed a conceptual framework for national learning systems to support QoC at scale. The Network facilitated an iterative process to reach consensus on a conceptual framework for national learning systems to sustain and scale up delivery of quality healthcare. Following a landscape analysis, the Network Secretariat and WHO convened two consultative meetings with country partners, technical experts and stakeholders. Based on these inputs, we developed a conceptual framework for national learning systems to support QoC at scale. National learning systems use a variety of approaches to identify practices that have improved QoC at the patient and provider levels. They also facilitate scale up and sustain strategies used successfully to support quality improvement. Despite growing consensus on the importance of learning for QoC, no one has yet detailed how this learning should be operationalised nationally. Our conceptual framework is the first to facilitate the operationalisation of national learning systems so that health systems can begin to develop, adapt and implement mechanisms to learn about what works or fails and to scale up and sustain this learning for QoC. BMJ Publishing Group 2022-08-01 /pmc/articles/PMC9344983/ /pubmed/35914831 http://dx.doi.org/10.1136/bmjgh-2022-008664 Text en © World Health Organization 2022. Licensee BMJ. https://creativecommons.org/licenses/by-nc/3.0/igo/This is an open access article distributed under the terms of the Creative Commons Attribution IGO License (CC BY NC 3.0 IGO (https://creativecommons.org/licenses/by-nc/3.0/igo/) ), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited. In any reproduction of this article there should not be any suggestion that WHO or this article endorse any specific organization or products. The use of the WHO logo is not permitted. This notice should be preserved along with the article’s original URL. Disclaimer: The author is a staff member of the World Health Organization. The author alone is responsible for the views expressed in this publication and they do not necessarily represent the views, decisions or policies of the World Health Organization. |
spellingShingle | Practice Lattof, Samantha R Maliqi, Blerta Livesley, Nigel Yaqub, Nuhu Naimy, Zainab Muzigaba, Moise Chowdhury, Minara Waiswa, Peter Were, Wilson M National learning systems to sustain and scale up delivery of quality healthcare: a conceptual framework |
title | National learning systems to sustain and scale up delivery of quality healthcare: a conceptual framework |
title_full | National learning systems to sustain and scale up delivery of quality healthcare: a conceptual framework |
title_fullStr | National learning systems to sustain and scale up delivery of quality healthcare: a conceptual framework |
title_full_unstemmed | National learning systems to sustain and scale up delivery of quality healthcare: a conceptual framework |
title_short | National learning systems to sustain and scale up delivery of quality healthcare: a conceptual framework |
title_sort | national learning systems to sustain and scale up delivery of quality healthcare: a conceptual framework |
topic | Practice |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9344983/ https://www.ncbi.nlm.nih.gov/pubmed/35914831 http://dx.doi.org/10.1136/bmjgh-2022-008664 |
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