Evidence map›Paper›PMID 40677612›Full record

ArticleLearning health systems2025

The learning health system imperative in low-resource contexts.

Patrick Lewicki, Alim Swarray-Deen, Cheryl A Moyer

Abstract read
In one paragraph

Article in Learning health systems, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Patrick LewickiDepartment of Urology University of Michigan Ann Arbor Michigan USA.ORCID https://orcid.org/0000-0002-0692-2909
Alim Swarray-DeenDepartment of Obstetrics and Gynaecology, College of Health Sciences, Korle Bu University of Ghana Medical School Accra Ghana.
Cheryl A MoyerDepartment of Learning Health Sciences University of Michigan Medical School Ann Arbor Michigan USA.ORCID https://orcid.org/0000-0002-5796-157X

Funding

Advanced Training in Urologic OncologyT32CA180984 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Ganesh S Palapattu, VAHAKN B SHAHINIAN · 2014 to 2026
$3.4M
NCI NIH HHS T32 CA180984
6 · The paper itself

Abstract

Introduction: Learning health system (LHS) development has been described in the highest resource settings, which could suggest that resources are a precondition to LHS formation. Method: We reviewed literature surrounding LHSs in low-resource contexts and used this to inform an argument that LHS activity is critically important in these circumstances. Results: We focus on three key points. First, when resources are scarce, they should not be squandered. Second, local knowledge artifacts have advantages. Finally, LHS emphasis on lasting sociotechnical infrastructure addresses sustainability concerns. Conclusion: We believe LHS formation and activity is more important in low-resource contexts than in their higher resource counterparts. Less path dependence in many low-resource contexts forecasts that LHSs may see their greatest success there.

Indexed as

Ghanaglobal healthimplementation scienceKenyalearning health systemslow‐ and middle‐income countries

Identifiers

PMID40677612
PMCPMC12264386

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.