The Value and Challenges of Stakeholder Engagement in Rehabilitation Learning Health Systems: A Qualitative Pilot Study of Rehabilitation Directors

IF 2.3 Q2 HEALTH POLICY & SERVICES

Learning Health Systems Pub Date : 2026-06-04 DOI:10.1002/lrh2.70099

Nichole E. Stetten, Kristin Ressel, Linda Resnik, Janet K. Freburger

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Abstract

Introduction

Stakeholder engagement is a core element of a learning health system (LHS). Meaningful engagement of stakeholders can improve learning within a health system by informing program development and service delivery and by increasing buy-in and sustainability of evidence-based practices. While health systems recognize the value of stakeholder engagement, conducting stakeholder engagement activities requires time, resources, and the support of health system leadership. The objective of this pilot study was to obtain preliminary data on the value of stakeholder engagement from the perspective of rehabilitation directors.

Methods

We conducted a general qualitative study utilizing 90-min focus groups. The main outcomes were domains identified from analysis of the focus group transcripts.

Results

Six individuals from 4 health systems participated in one of two focus groups. Seven domains were identified: (1) how stakeholder engagement supports organizational mission and priorities; (2) types of stakeholders working with health systems; (3) past stakeholder engagement experiences; (4) engagement with stakeholders with lived experiences; (5) sustaining stakeholder relationships; (6) challenges with stakeholder engagement; and (7) future stakeholder engagement goals.

Conclusions

This qualitative pilot study of the perspectives of rehabilitation LHS leaders on stakeholder engagement provides preliminary data that can be used to inform future research. While we found consistent themes recognizing the value of stakeholder engagement and participation in stakeholder engagement, respondents noted challenges in engaging stakeholders and using the information gained to effect change.

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利益相关者参与康复学习健康系统的价值和挑战：康复主任的定性试点研究

利益相关者参与是学习型卫生系统（LHS）的核心要素。利益攸关方的有意义参与可以通过为规划制定和服务提供提供信息，以及通过增加对循证实践的认同和可持续性，改善卫生系统内的学习。虽然卫生系统认识到利益攸关方参与的价值，但开展利益攸关方参与活动需要时间、资源和卫生系统领导层的支持。本初步研究的目的是从康复主任的角度获得利益相关者参与价值的初步数据。方法采用90分钟的焦点小组进行一般定性研究。主要结果是从焦点小组记录的分析中确定的域。结果来自4个卫生系统的6个人参加了两个焦点小组中的一个。确定了七个领域：(1)利益相关者参与如何支持组织使命和优先事项；(2)与卫生系统合作的利益攸关方类型；(3)过去的利益相关者参与经验；(4)与有实际经验的利益相关者接触；(5)维持利益相关者关系；(6)利益相关者参与的挑战；(7)未来利益相关者参与目标。结论本研究对LHS康复领导者对利益相关者参与的看法进行了定性试点研究，为未来的研究提供了初步数据。虽然我们发现一致的主题认识到利益相关者参与和参与利益相关者参与的价值，但受访者指出了与利益相关者接触和利用所获得的信息实现变革的挑战。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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