中国工程科学2025，Vol.27Issue(6)：106-115,10.DOI:10.15302/J-SSCAE-2025.06.023
我国学习型卫生健康体系构建研究
Research on the Construction of Learning Health System in China
摘要
Abstract
The health system in China has progressed to a new phase of development;however,it continues to face challenges such as uneven distribution of resources and insufficient coordination among service sectors.It is imperative to enhance the health system's intrinsic capacity to identify and address problems.The research and implementation of the learning health system(LHS)concept are expected to play a pivotal role in promoting evidence-based policy formulation and implementation,as well as improving preventive services and clinical care.This study offers a comprehensive overview of the conceptual characteristics and application contexts of LHS.It outlines both domestic and international advancements in refining data analysis and the evidence application cycle,and reviews progress in practical applications,including quality measurement and improvement of care.Drawing upon the features and current status of China's health system,the study discusses foundational components and implementation strategies for establishing an LHS.These strategies emphasize strengthening the research capacity of leading institutions and the application capacity of professionals;enhancing data resources from hospitals,health administration,and health insurance;developing technological platforms for data acquisition,governance,utilization,and sharing;and conducting outcomes research and implementation research.Furthermore,the study evaluates the practical outcomes of two initiatives:the use of administrative data for quality measurement of care and the integration of Internet Plus in quality improvement of care.Looking ahead,the development of LHSs can be further advanced through the application of novel technologies and expansion into new domains.Such progress is anticipated to enhance the quality and efficiency of data governance,analysis,decision-making,evidence dissemination,and feedback monitoring,as well as to strengthen policy development and implementation,as exemplified by learning-based disease surveillance.关键词
学习型卫生健康体系/医疗质量评价/医疗质量改进/医疗数据/疾病监测Key words
learning health system/quality measurement of care/quality improvement of care/medical data/disease surveillance分类
医药卫生引用本文复制引用
李希,杨阳,苏明明,高仕君,金博林,胡盛寿..我国学习型卫生健康体系构建研究[J].中国工程科学,2025,27(6):106-115,10.基金项目
中国工程院咨询项目"中国老龄化过程中慢病发病现状、趋势和应对策略研究"(2022-ZCQ-10) Chinese Academy of Engineering project"Research on the Current Status,Trends,and Response Strategies for Chronic Disease Incidence during China's Ageing Process"(2022-ZCQ-10) （2022-ZCQ-10）
