Better outcomes through learning, data, engagement, and research (bolder) – a system for improving evidence and clinical practice in low and middle income countries
Date
2016Author
Mark, Blecher
Akech, Samuel
Bukusi, Elizabeth
Chalkidou, Kalipso
Roma, Chilengi
Susie, Colville
Mike, English
Chris, Forrest
Trish, Groves
Gulmezoglu, Metin
Gupta, Archna
Kathyola, Damson
Makanga, Michael
Oliwa, Jacquie
Sewankambo, Nelson
Smith, Richard
Tunis, Sean
Volmink, Jimmy
Zwarenstein, Merrick
Type
ArticleLanguage
enMetadata
Show full item recordAbstract
Despite the many thousands of research studies published every year, evidence for making clinical decisions is often lacking. The main problem is that the evidence available is generated in conditions very different from those that prevail in routine clinical practice and with patients who are different. This is particularly a problem for low and middle income countries as most evidence is generated in high income countries.
A group of clinicians, researchers, and policy makers met at Bellagio in Italy to consider how more relevant evidence might be generated. One answer is to conduct more pragmatic trials—those undertaken in routine clinical practice. The group thought that this might best be achieved by developing “learning health systems” in low and middle income countries.
Learning health systems develop in communities that include clinicians, patients, researchers, improvement specialists, information technology specialists, managers, and policy makers and have a governance system that gives a voice to all those in the community. The systems focus on improving outcomes for patients, use a common dataset, and promote quality improvement and pragmatic research. Plans have been developed to create at least two learning systems in Africa.
URI
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5089159.1/https://f1000research.com/articles/5-693/v1
http://hdl.handle.net/11295/100727
Citation
BOLDER Research Group. "Better Outcomes through Learning, Data, Engagement, and Research (BOLDER)–a system for improving evidence and clinical practice in low and middle income countries." F1000Research 5 (2016).Publisher
University of Nairobi
Rights
Attribution-NonCommercial-NoDerivs 3.0 United StatesAttribution-NonCommercial-NoDerivs 3.0 United States
Usage Rights
http://creativecommons.org/licenses/by-nc-nd/3.0/us/http://creativecommons.org/licenses/by-nc-nd/3.0/us/
Collections
- Faculty of Health Sciences (FHS) [10387]
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