International Journal of Health Policy and Management

International Journal of Health Policy and Management

Fostering Experiential Learning and Evidence-Informed Impact in Health Systems: Reflections From a Canadian Health System Impact Fellow

Document Type : Viewpoint

Authors
Jawad Chishtie 1, 2
Peter Kellett 3
Mohammed Imran 4
Meaghan Sim 5
Shawna Cronin 6
Christopher Collins 7
Beverley Catharine Craven 8, 9, 10
Sara Guilcher 11, 12, 1
Susan Jaglal 13
1 Rehabilitation Sciences Institute, University of Toronto, Toronto, ON, Canada
2 Alberta Health Services, Edmonton, AB, Canada
3 Faculty of Health Sciences, University of Lethbridge, Lethbridge, AB, Canada
4 Allama Iqbal Open University, Islamabad, Pakistan
5 Nova Scotia Health Innovation Hub, Halifax, NS, Canada
6 University of Toronto, Toronto, ON, Canada
7 Faculty of Science, Ontario Tech University, Oshawa, ON, Canada
8 KITE Research Institute, Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada
9 Division of Physical Medicine and Rehabilitation, Department of Medicine, University of Toronto, Toronto, ON, Canada
10 Rehabilitation Sciences Institute, Faculty of Medicine, University of Toronto, Toronto, ON, Canada
11 Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON, Canada
12 Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada
13 Department of Physical Therapy, University of Toronto, Toronto, ON, Canada
10.34172/ijhpm.8074
Abstract
Fostering Experiential Learning and Evidence-Informed Impact in Health Systems: Reflections From a Canadian Health System Impact Fellow
Keywords
Embedded Research
Canadian Institutes of Health Research
Integrated Knowledge Translation
Interactive Visualization
Dashboard

Background


Classically, the concept of an embedded scholar is of a team member who maintains an academic affiliation in a health system organization, which is lately being viewed as a pragmatic shift towards creating evidence-informed impact.1,2 Towards this goal, the Health System Impact (HSI) Fellowship is one of the Canadian Institutes for Health Research’s (CIHR’s) flagship programs, that cultivates academic and health system organization partnerships, while catalyzing development of learning health systems (LHS). ...(Read more...)

  1. Cheetham M, Wiseman A, Khazaeli B, et al. Embedded research: a promising way to create evidence-informed impact in public health? J Public Health (Oxf). 2018;40(suppl_1):i64-i70. doi:1093/pubmed/fdx125
  2. Vindrola-Padros C, Pape T, Utley M, Fulop NJ. The role of embedded research in quality improvement: a narrative review. BMJ Qual Saf. 2017;26(1):70-80. doi:1136/bmjqs-2015-004877
  3. McMahon M, Bornstein S, Brown A, Simpson LA, Savitz L, Tamblyn R. Training for health system improvement: emerging lessons from Canadian and US approaches to embedded fellowships. Healthc Policy. 2019;15(SP):34-48. doi:12927/hcpol.2019.25981
  4. Weijs C, McConnell-Nzunga J, Prince SA, Sim SM. Strengthening the health system through novel population and public health fellowships in Canada. Can J Public Health. 2019;110(3):323-326. doi:17269/s41997-019-00195-3
  5. Sim SM, Lai J, Aubrecht K, et al. CIHR health system impact fellows: reflections on "driving change" within the health system. Int J Health Policy Manag. 2019;8(6):325-328. doi:15171/ijhpm.2018.124
  6. Canadian Institute for Health Information. 2020. https://www.cihi.ca/en/about-cihi. Accessed July 31, 2020.
  7. Canadian Institute for Health Information. CIHI’s Population Grouping Methodology 1.2 - Methodology Notes. Ottawa, ON: CIHI; 2020.
  8. Chishtie J, Bielska IA, Barrera A, et al. Interactive visualization applications in population health and health services research: systematic scoping review. J Med Internet Res. 2022;24(2):e27534. doi:2196/27534
  9. Tate AR, Williams T, Puri S, Beloff N, Van Staa T. Developing quality scores for electronic health records for clinical research: a study using the general practice research database. In: Proceedings of the First International Workshop on Managing Interoperability and Complexity in Health Systems. New York, NY: Association for Computing Machinery; 2011. doi:1145/2064747.2064756
  10. Börner K. Atlas of Knowledge: Anyone Can Map. MIT Press; 2015.
  11. Spinuzzi C. The methodology of participatory design. Tech Commun. 2005;52(2):163-174.
  12. Creswell JW, Creswell JD. Research Design: Qualitative, Quantitative, and Mixed Methods Approaches. SAGE Publications; 2017.
  13. Zamenopoulos T, Alexiou K. Co-design as Collaborative Research. Bristol University, AHRC Connected Communities Programme; 2018.
  14. Minhas S. A Prototype is Worth 1000 Meetings. Prototypr; 2018. https://blog.prototypr.io/a-prototype-is-worth-1000-meetings-b9ec8107befc?gi=52f44f4548cf.
  15. Brown T. Design Thinking. Harvard Business Review; 2008.
  16. Langley J, Wolstenholme D, Cooke J. 'Collective making' as knowledge mobilisation: the contribution of participatory design in the co-creation of knowledge in healthcare. BMC Health Serv Res. 2018;18(1):585. doi:1186/s12913-018-3397-y
  17. Srivastava P, Hopwood N. A practical iterative framework for qualitative data analysis. Int J Qual Methods. 2009;8(1):76-84. doi:1177/160940690900800107
  18. Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15(9):1277-1288. doi:1177/1049732305276687
  19. De Croon R, Klerkx J, Duval E. Design and evaluation of an interactive proof-of-concept dashboard for general practitioners. In: 2015 International Conference on Healthcare Informatics. Dallas, TX: IEEE; 2015. doi:1109/ichi.2015.25
  20. De Croon R, Klerkx J, Duval E. A proof-of-concept visualization to increase comprehension of personal medication schemes. In: PervasiveHealth; 2016.
  21. Chishtie JA, Marchand JS, Turcotte LA, et al. Visual analytic tools and techniques in population health and health services research: scoping review. J Med Internet Res. 2020;22(12):e17892. doi:2196/17892
  22. Parsons P, Sedig K. Common visualizations: their cognitive utility. In: Huang W, ed. Handbook of Human Centric Visualization. New York, NY: Springer; 2014:671-691. doi:1007/978-1-4614-7485-2_27
  23. Reid RJ, Wodchis WP, Kuluski K, et al. Actioning the learning health system: an applied framework for integrating research into health systems. SSM Health Syst. 2024;2:100010. doi:1016/j.ssmhs.2024.100010
  24. Fihn SD, Francis J, Clancy C, et al. Insights from advanced analytics at the Veterans Health Administration. Health Aff (Millwood). 2014;33(7):1203-1211. doi:1377/hlthaff.2014.0054
  25. Cassidy CE, Burgess S, Graham ID. It's all about the IKT approach: three perspectives on an embedded research fellowship: Comment on "CIHR health system impact fellows: reflections on 'driving change' within the health system". Int J Health Policy Manag. 2019;8(7):455-458. doi:15171/ijhpm.2019.31
  26. Marshall M, Pagel C, French C, et al. Moving improvement research closer to practice: the Researcher-in-Residence model. BMJ Qual Saf. 2014;23(10):801-805. doi:1136/bmjqs-2013-002779
  27. Bornstein S, McMahon M, Yiu V, et al. Exploring mentorship as a strategy to build capacity and optimize the embedded scientist workforce. Healthc Policy. 2019;15(SP):73-84. doi:12927/hcpol.2019.25978
  28. Lavis J, Ross S, McLeod C, Gildiner A. Measuring the impact of health research. J Health Serv Res Policy. 2003;8(3):165-170. doi:1258/135581903322029520
  29. Wong S. Tales from the frontline: the experiences of early childhood practitioners working with an 'embedded' research team. Eval Program Plann. 2009;32(2):99-108. doi:1016/j.evalprogplan.2008.10.003
  30. Gould MK, Sharp AL, Nguyen HQ, et al. Embedded research in the learning healthcare system: ongoing challenges and recommendations for researchers, clinicians, and health system leaders. J Gen Intern Med. 2020;35(12):3675-3680. doi:1007/s11606-020-05865-4
International Journal of Health Policy and Management
Volume 13, Issue 1
2024
Pages 1-6

  • Received Date 31 May 2023
  • Revised Date 03 July 2024
  • Accepted Date 27 July 2024
  • First Published Date 04 August 2024
  • Published Date 01 December 2024