Embedded Research: Possibilities for Learning Health Systems; Comment on “‘We’re Not Providing the Best Care if We are Not on the Cutting Edge of Research’: A Research Impact Evaluation at a Regional Australian Hospital and Health Service”

Document Type : Commentary


College of Nursing, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada


Brown et al show that research investments in an organization with a research and translation mandate can make important gains for research impact across domains, including quality of care and patient outcomes. Their multistage mixed methods evaluation provides insight into research capacity development in rural health systems in Australia and draws attention towards persistent geographic inequities. In extension of this important contribution, here, a focus on the “what and the why” of embedded research is offered. Specific attention is paid to the sustainability potentials of systematized data capture systems, funding-operational mandate alignments, researcher-scientist career pathways, and networked approaches to mentorship.


  1. Brown A, Edelman A, Pain T, Larkins S, Harvey G. "We're not providing the best care if we are not on the cutting edge of research": a research impact evaluation at a regional Australian hospital and health service. Int J Health Policy Manag. 2022;11(12):3000-3011. doi:34172/ijhpm.2022.6529
  2. Richesson RL. Learning health systems, embedded research, and data standards-recommendations for healthcare system leaders. JAMIA Open. 2020;3(4):488-491. doi:1093/jamiaopen/ooaa046
  3. Platt R, Simon GE, Hernandez AF. Is learning worth the trouble? - Improving health care system participation in embedded research. N Engl J Med. 2021;385(1):5-7. doi:1056/NEJMp2101700
  4. Greenhalgh T, Fisman D, Cane DJ, Oliver M, Macintyre CR. Adapt or die: how the pandemic made the shift from EBM to EBM+ more urgent. BMJ Evid Based Med. 2022;27(5):253-260. doi:1136/bmjebm-2022-111952
  5. Kitson A, Brook A, Harvey G, et al. Using complexity and network concepts to inform healthcare knowledge translation. Int J Health Policy Manag. 2018;7(3):231-243. doi:15171/ijhpm.2017.79
  6. Matus J, Walker A, Mickan S. Research capacity building frameworks for allied health professionals - a systematic review. BMC Health Serv Res. 2018;18(1):716. doi:1186/s12913-018-3518-7
  7. Rosenblum ND, Kluijtmans M, Ten Cate O. Professional identity formation and the clinician-scientist: a paradigm for a clinical career combining two distinct disciplines. Acad Med. 2016;91(12):1612-1617. doi:1097/acm.0000000000001252
  8. Boaz A, Hanney S, Jones T, Soper B. Does the engagement of clinicians and organisations in research improve healthcare performance: a three-stage review. BMJ Open. 2015;5(12):e009415. doi:1136/bmjopen-2015-009415
  9. National Institutes of Health. Physician-Scientist Workforce Working Group Report. June 2014. https://acd.od.nih.gov/documents/reports/PSW_Report_ACD_06042014.pdf. Accessed September 15, 2022.
  10. DeCastro R, Sambuco D, Ubel PA, Stewart A, Jagsi R. Mentor networks in academic medicine: moving beyond a dyadic conception of mentoring for junior faculty researchers. Acad Med. 2013;88(4):488-496. doi:1097/ACM.0b013e318285d302
  11. Halvorson MA, Finney JW, Bi X, et al. The changing faces of mentorship: application of a developmental network framework in a health services research career development program. Clin Transl Sci. 2015;8(6):824-829. doi:1111/cts.12355
  12. Munce SE, Archibald MM. “The future of mixed methods: a five year projection to 2020” an early career perspective. J Mix Methods Res. 2017;11(1):11-4. doi:1177/1558689816676659
  13. Zheng DX. The need for horizontal mentorship networks to facilitate medical students' engagement in research. Acad Med. 2022;97(2):167-169. doi:1097/acm.0000000000004493
  14. Marchildon GP, Tuohy CH. Expanding health care coverage in Canada: a dramatic shift in the debate. Health Econ Policy Law. 2021;16(3):371-377. doi:1017/s1744133121000062
  15. Higgins C. Health research saves lives. Eur J Public Health. 2020;30(Suppl 5):ckaa166.1262. doi:1093/eurpub/ckaa166.1262