The Learning Healthcare System and Cardiovascular Care: A Scientific Statement From the American Heart Association

作者：Thomas M. Maddox, Nancy M. Albert, William B. Borden, Lesley H. Curtis, T. Bruce Ferguson, David Kao, Gregory M. Marcus, Eric D. Peterson, Rita F. Redberg, John S. Rumsfeld, Nilay D. Shah, James E. Tcheng · 发表于：Circulation · 年份：2017 · DOI：10.1161/cir.0000000000000480 · 被引用次数：123 · 研究领域：Electronic Health Records Systems、Chronic Disease Management Strategies、Primary Care and Health Outcomes

The learning healthcare system uses health information technology and the health data infrastructure to apply scientific evidence at the point of clinical care while simultaneously collecting insights from that care to promote innovation in optimal healthcare delivery and to fuel new scientific discovery. To achieve these goals, the learning healthcare system requires systematic redesign of the current healthcare system, focusing on 4 major domains: science and informatics, patient-clinician partnerships, incentives, and development of a continuous learning culture. This scientific statement provides an overview of how these learning healthcare system domains can be realized in cardiovascular disease care. Current cardiovascular disease care innovations in informatics, data uses, patient engagement, continuous learning culture, and incentives are profiled. In addition, recommendations for next steps for the development of a learning healthcare system in cardiovascular care are presented.