How the Shenzhen government could become a pioneer in rapid-learning health system

Article type
Authors
Fang Q1, Wu LQ1, Chen YL2, Wang Q3, Zhang JY4, Ma YF2, Wang JJ4, Wu SY2, Lavis J3
1Shenzhen Health Development Research Center
2Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University; WHO Collaborating Centre for Guideline Implementation and Knowledge Translation; Cochrane China Network
3Department of Health Research Methods, Evidence & Impact (HEI), Faculty of Health Sciences, McMaster University; McMaster Health Forum, McMaster University
4School of Public Health, Lanzhou University; Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University; WHO Collaborating Centre for Guideline Implementation and Knowledge Translation; Cochrane China Network
Abstract
Background:As China’s first special economic zone (SEZ) that being set up in 1978 and a comprehensive reform pilot city, Shenzhen ranked fifth in Asia in terms of economic power. On 18 August 2019, China issued a guideline on supporting Shenzhen in building a pioneering demonstration zone for socialism with Chinese characteristics. Shenzhen is visioned to be a “global benchmark city” that excels in competition, innovation and influence by the middle of this century, including become a pioneer in health systems. In the aspect of strengthening health systems, it is important to learn successful experiences, approaches, and mechanisms from other settings, and pilot and refine them in an iterative process. Based on the rapid growth development in Shenzhen (i.e. “Shenzhen Speed”), the development of a “rapid-learning and improvement” (RL + I) health system is suitable and will facilitate achieving Shenzhen’s goal as a pioneer city especially in health systems.

Objectives:To explore how the Shenzhen government could become a pioneer in RL + I health system, in order to strengthen the health systems and promote evidence-informed policymaking (EIP).

Methods:A rapid synthesis will be conducted in a 60-business-day timeframe, including four steps: 1) proposing a question after the consultations with policymakers; 2) searching, selecting, assessing and synthesizing research evidence related to the question; 3) presenting findings of rapid synthesis; 4) finalizing synthesis with the input of reviewers. Medline, Web of Science, Chinese Biomedical Literature Database (CBM), Health Systems Evidence and grey literature will be searched.

Results:The rapid synthesis will cover a Shenzhen-appropriate definition of a RL + I health system, its characteristics, the assets that can be leveraged and the gaps that need to be addressed, and the potential “windows of opportunity” for promoting the development of a RL + I health system in Shenzhen. For example, the expected characteristics of a RL + I health system in Shenzhen might be patient-centred, evidence and data-driven, Evidence-Informed Policy Network (EVIPNet) supported and so on. We will present the detailed and comprehensive findings of a RL + I health system in Shenzhen on the conference.

Conclusions:The development of a RL + I health system in Shenzhen will help to strengthen institutional capacities, create a municipality-level ecosystem of policy-supporting organizations, and collaboratively establish a community of practice to support evidence-informed policymaking about health system. Shenzhen government as a pioneer in RL + I health system will achieve better population health and more sustainable development.

Patient or healthcare consumer involvement:One of expected characteristics of a RL + I health system in Shenzhen is patient-engaged or empowered, which will put patient and public needs, preferences and perspectives at the center. We will embed patient and public involvement in everything we do.