Strengthening the Workforce for Equity-Centered Learning Health Systems: Reflections on Embedded Research and Research Generalism; Comment on “Early Career Outcomes of Embedded Research Fellows: An Analysis of the Health System Impact Fellowship Program”
As embedded researchers in Northern Ontario, Canada, we offer our reflections on Kasaai and colleagues’ 2023 “Early Career Outcomes of Embedded Research Fellows: An Analysis of the Health System Impact Fellowship Program.” In our commentary, we draw on our experiences and what is known about embedded research training to examine how to build and strengthen the workforce for equity-centered learning health systems. Does our narrow understanding of outcomes and impacts of embedded research training in Canada affect who benefits and which systems can realize the potential of learning health systems? We identify three areas for deeper analysis: outcomes and impacts at the individual, partnership, and system level, knowledge on the social identities and needs of individuals in embedded research partnerships, and research generalism as a complement to embedded research. Our recommendations suggest tailored approaches to strengthen the workforce capacity for equity-centered learning health systems in Canada.
Kasaai B, Thompson E, Glazier RH, McMahon M. Early career outcomes of embedded research fellows: an analysis of the health system impact fellowship program. Int J Health Policy Manag. 2023;12:7333. doi:34172/ijhpm.2023.7333
Petrie S, Cheng I, McMahon M, Lavis JN. Future leaders in a learning health system: exploring the Health System Impact Fellowship. Healthc Manage Forum. 2024;37(3):151-155. doi:1177/08404704231216951
McMahon M, Bornstein S, Johnson S, Dubois CA, Thompson E, Brown A. How do we build the human capital for a true learning healthcare system? Healthc Pap. 2022;20(3):44-52. doi:12927/hcpap.2022.26844
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
Chukwu OA, Nadigel J, Kasaai B, Boateng R, Glazier RH, McMahon M. Understanding the training, mentorship, and professional development priorities of early career embedded researchers. Int J Health Plann Manage. 2024. doi:1002/hpm.3800
Wood B, Fitzgerald M, Kendall C, Cameron E. Integrating socially accountable health professional education and learning health systems to transform community health and health systems. Learn Health Syst. 2021;5(3):e10277. doi:10.1002/lrh2.10277
Kneale D, Stansfield C, Goldman R, Lester S, Edwards RC, Thomas J. The implementation of embedded researchers in policy, public services, and commercial settings: a systematic evidence and gap map. Implement Sci Commun. 2024;5(1):41. doi:1186/s43058-024-00570-3
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
Mrklas KJ, Merali S, Khan M, et al. How are health research partnerships assessed? A systematic review of outcomes, impacts, terminology and the use of theories, models and frameworks. Health Res Policy Syst. 2022;20(1):133. doi:1186/s12961-022-00938-8
Milligan C, Berta W. Reimagining community relationships for organizational learning: a scoping review with implications for a learning health system. BMC Health Serv Res. 2021;21(1):603. doi:1186/s12913-021-06640-9
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
Ransdell LB, Lane TS, Schwartz AL, Wayment HA, Baldwin JA. Mentoring new and early-stage investigators and underrepresented minority faculty for research success in health-related fields: an integrative literature review (2010-2020). Int J Environ Res Public Health. 2021;18(2):432. doi:3390/ijerph18020432
Archibald MM. 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.” Int J Health Policy Manag. 2023;12:7694. doi:34172/ijhpm.2023.7694
Lynch JM, Dowrick C, Meredith P, McGregor SL, van Driel M. Transdisciplinary Generalism: naming the epistemology and philosophy of the generalist. J Eval Clin Pract. 2021;27(3):638-647. doi:1111/jep.13446
Wood, B., & Daneshmand, R. (2024). Strengthening the Workforce for Equity-Centered Learning Health Systems: Reflections on Embedded Research and Research Generalism; Comment on “Early Career Outcomes of Embedded Research Fellows: An Analysis of the Health System Impact Fellowship Program”. International Journal of Health Policy and Management, 13(1), 1-4. doi: 10.34172/ijhpm.8611
MLA
Brianne Wood; Roya Daneshmand. "Strengthening the Workforce for Equity-Centered Learning Health Systems: Reflections on Embedded Research and Research Generalism; Comment on “Early Career Outcomes of Embedded Research Fellows: An Analysis of the Health System Impact Fellowship Program”", International Journal of Health Policy and Management, 13, 1, 2024, 1-4. doi: 10.34172/ijhpm.8611
HARVARD
Wood, B., Daneshmand, R. (2024). 'Strengthening the Workforce for Equity-Centered Learning Health Systems: Reflections on Embedded Research and Research Generalism; Comment on “Early Career Outcomes of Embedded Research Fellows: An Analysis of the Health System Impact Fellowship Program”', International Journal of Health Policy and Management, 13(1), pp. 1-4. doi: 10.34172/ijhpm.8611
VANCOUVER
Wood, B., Daneshmand, R. Strengthening the Workforce for Equity-Centered Learning Health Systems: Reflections on Embedded Research and Research Generalism; Comment on “Early Career Outcomes of Embedded Research Fellows: An Analysis of the Health System Impact Fellowship Program”. International Journal of Health Policy and Management, 2024; 13(1): 1-4. doi: 10.34172/ijhpm.8611