{"id":"https://openalex.org/W4411627239","doi":"https://doi.org/10.1056/nejmsb2507600","title":"Transforming Health Care \u2014 Shared Commitments for a Learning Health System","display_name":"Transforming Health Care \u2014 Shared Commitments for a Learning Health System","publication_year":2025,"publication_date":"2025-06-25","ids":{"openalex":"https://openalex.org/W4411627239","doi":"https://doi.org/10.1056/nejmsb2507600","pmid":"https://pubmed.ncbi.nlm.nih.gov/40561191"},"language":"en","primary_location":{"id":"doi:10.1056/nejmsb2507600","doi":"https://doi.org/10.1056/nejmsb2507600","is_oa":false,"landing_page_url":"https://doi.org/10.1056/nejmsb2507600","pdf_url":null,"source":{"id":"https://openalex.org/S62468778","display_name":"New England Journal of Medicine","issn_l":"0028-4793","issn":["0028-4793","0096-6762","1533-4406","2331-4710"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320239","host_organization_name":"Massachusetts Medical Society","host_organization_lineage":["https://openalex.org/P4310320239"],"host_organization_lineage_names":["Massachusetts Medical Society"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"New England Journal of Medicine","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5109841136","display_name":"James Madara","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I173654999","display_name":"American Medical Association","ror":"https://ror.org/03p6gt485","country_code":"US","type":"other","lineage":["https://openalex.org/I173654999"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"James L. Madara","raw_affiliation_strings":["American Medical Association, Chicago"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"American Medical Association, Chicago","institution_ids":["https://openalex.org/I173654999"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5083419561","display_name":"Suzanne Miyamoto","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800842511","display_name":"American Academy of Nursing","ror":"https://ror.org/0196eae03","country_code":"US","type":"other","lineage":["https://openalex.org/I2800842511"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Suzanne Miyamoto","raw_affiliation_strings":["American Academy of Nursing, Washington, DC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"American Academy of Nursing, Washington, DC","institution_ids":["https://openalex.org/I2800842511"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5066146057","display_name":"Sean Christopher Dowdy","orcid":"https://orcid.org/0000-0003-2092-7551","observed_orcids":["https://orcid.org/0000-0003-2092-7551"]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sean C. Dowdy","raw_affiliation_strings":["Robert D. and Patricia E. Kern Center for the Science of Healthcare Delivery, Mayo Clinic, Rochester, MN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Robert D. and Patricia E. Kern Center for the Science of Healthcare Delivery, Mayo Clinic, Rochester, MN","institution_ids":["https://openalex.org/I1330342723"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103262458","display_name":"Sarah M. Greene","orcid":"https://orcid.org/0009-0004-4531-6575","observed_orcids":["https://orcid.org/0009-0004-4531-6575"]},"institutions":[{"id":"https://openalex.org/I1282927378","display_name":"National Academy of Medicine","ror":"https://ror.org/05bts0a67","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I1282927378","https://openalex.org/I197604219"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sarah M. Greene","raw_affiliation_strings":["National Academy of Medicine, Washington, DC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"National Academy of Medicine, Washington, DC","institution_ids":["https://openalex.org/I1282927378"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Julie Tarrant","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1282927378","display_name":"National Academy of Medicine","ror":"https://ror.org/05bts0a67","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I1282927378","https://openalex.org/I197604219"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Julie Tarrant","raw_affiliation_strings":["National Academy of Medicine, Washington, DC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"National Academy of Medicine, Washington, DC","institution_ids":["https://openalex.org/I1282927378"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5041400870","display_name":"Peter A. Margolis","orcid":"https://orcid.org/0000-0002-2585-4630","observed_orcids":["https://orcid.org/0000-0002-2585-4630"]},"institutions":[{"id":"https://openalex.org/I1285204247","display_name":"Cincinnati Children's Hospital Medical Center","ror":"https://ror.org/01hcyya48","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1285204247"]},{"id":"https://openalex.org/I63135867","display_name":"University of Cincinnati","ror":"https://ror.org/01e3m7079","country_code":"US","type":"education","lineage":["https://openalex.org/I63135867"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Peter A. Margolis","raw_affiliation_strings":["Cincinnati Children\u2019s Hospital Medical Center, Cincinnati","University of Cincinnati College of Medicine, Cincinnati"],"raw_orcid":"https://orcid.org/0000-0002-2585-4630","affiliations":[{"raw_affiliation_string":"Cincinnati Children\u2019s Hospital Medical Center, Cincinnati","institution_ids":["https://openalex.org/I1285204247"]},{"raw_affiliation_string":"University of Cincinnati College of Medicine, Cincinnati","institution_ids":["https://openalex.org/I63135867"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":6,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":16.2785,"has_fulltext":false,"cited_by_count":13,"citation_normalized_percentile":{"value":0.99403087,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":97,"max":99},"biblio":{"volume":"393","issue":"2","first_page":"192","last_page":"197"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.6215999722480774,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.6215999722480774,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12168","display_name":"Health and Medical Research Impacts","score":0.1103999987244606,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.04879999905824661,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/learning-health-systems","display_name":"learning health systems","score":0.9359999895095825},{"id":"https://openalex.org/keywords/joint-commitment","display_name":"joint commitment","score":0.753000020980835},{"id":"https://openalex.org/keywords/healthcare-transformation","display_name":"healthcare transformation","score":0.656000018119812},{"id":"https://openalex.org/keywords/continuous-improvement","display_name":"continuous improvement","score":0.875},{"id":"https://openalex.org/keywords/quality-of-care","display_name":"quality of care","score":0.4790000021457672},{"id":"https://openalex.org/keywords/health-care-incentives","display_name":"health care incentives","score":0.5849999785423279},{"id":"https://openalex.org/keywords/organizational-culture","display_name":"organizational culture","score":0.8069999814033508}],"concepts":[{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5783263444900513},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.3818899691104889},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.34089821577072144},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.32935234904289246},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.29020702838897705},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.263475239276886},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.2525867223739624},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1056/nejmsb2507600","doi":"https://doi.org/10.1056/nejmsb2507600","is_oa":false,"landing_page_url":"https://doi.org/10.1056/nejmsb2507600","pdf_url":null,"source":{"id":"https://openalex.org/S62468778","display_name":"New England Journal of Medicine","issn_l":"0028-4793","issn":["0028-4793","0096-6762","1533-4406","2331-4710"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320239","host_organization_name":"Massachusetts Medical Society","host_organization_lineage":["https://openalex.org/P4310320239"],"host_organization_lineage_names":["Massachusetts Medical Society"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"New England Journal of Medicine","raw_type":"journal-article"},{"id":"pmid:40561191","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40561191","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The New England journal of medicine","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":9,"referenced_works":["https://openalex.org/W2047805825","https://openalex.org/W2049487316","https://openalex.org/W2416991732","https://openalex.org/W2474213459","https://openalex.org/W2793439598","https://openalex.org/W3089441656","https://openalex.org/W4255411484","https://openalex.org/W4391231723","https://openalex.org/W7028456792"],"related_works":["https://openalex.org/W3182909047","https://openalex.org/W4293105546","https://openalex.org/W4409337691","https://openalex.org/W3164474791","https://openalex.org/W4367041923","https://openalex.org/W4391231723","https://openalex.org/W4405446293","https://openalex.org/W4389033336","https://openalex.org/W2558113454","https://openalex.org/W4401726523"],"abstract_inverted_index":{"The":[0],"National":[1],"Academy":[2],"of":[3,14],"Medicine":[4],"Shared":[5],"Commitments":[6],"provide":[7],"common-ground":[8],"expectations":[9],"for":[10],"the":[11],"integrative":[12],"benefits":[13],"learning":[15],"health":[16],"systems,":[17],"which":[18],"align":[19],"science,":[20],"incentives,":[21],"and":[22],"culture":[23],"to":[24],"facilitate":[25],"continuous":[26],"improvement.":[27]},"counts_by_year":[{"year":2026,"cited_by_count":9},{"year":2025,"cited_by_count":4}],"updated_date":"2026-11-01T11:40:01.658920","created_date":"2025-10-10T00:00:00"}
