Determining research knowledge infrastructure for healthcare systems: a qualitative study
Determining research knowledge infrastructure for healthcare systems: a qualitative study
复制标题
DOI：
10.1186/1748-5908-6-60
复制
发表时间：
2011-06-06
影响因子：
7.2
通讯作者：
Bedard, Pierre-Olivier
中科院分区：
文献类型：
--
作者：
Ellen, Moriah E.;Lavis, John N.;Bedard, Pierre-Olivier
背景：本研究考察了卫生系统中的研究知识基础设施（RKI）。RKI被定义为任何工具（即，方案、干预措施、工具），以促进医疗保健组织中证据的获取、传播、交换和/或使用。基于环境扫描（17个关键的知情人访谈）和范围审查（26项研究），我们发现支持我们开发的框架，该框架概述了卫生系统可以在其RKI中拥有的组件。广泛的领域是研究使用的气候，研究成果，用于将研究与行动联系起来的活动，以及评估。本研究的目的是在加拿大的两个省对三种类型的卫生系统组织--区域卫生当局、初级保健实践和医院--的RKI进行分析，以确定这些组织在其RKI中的组件的当前组合、这些组件的经验以及他们对未来RKI倡议的看法。方法：这项研究将包括半结构化的电话采访的一个有目的的样本地区的高级管理团队成员，图书馆/资源中心经理，和“知识经纪人”在三个地区卫生当局，五个或六个有目的的抽样医院，以及安大略和魁北克的五到六个初级保健实践，最多有71名受访者。访谈将探讨（一）RKI组件已被证明是有帮助的，（B）在实施RKI组件的障碍和促进因素，以及（c）在RKIs.Discussion进一步发展的下一步的意见：这是第一次定性检查潜在的RKI的努力，可以增加使用的研究证据在卫生系统的决策。我们期望能够确定关于构建有效RKI的重要后续步骤的广泛适用的见解。一些已确定的RKI组成部分可能会增加决策者对研究证据的使用，这可能会导致更明智的决策。
Background: This study examines research knowledge infrastructures (RKIs) found in health systems. An RKI is defined as any instrument (i.e., programs, interventions, tools) implemented in order to facilitate access, dissemination, exchange, and/or use of evidence in healthcare organisations. Based on an environmental scan (17 key informant interviews) and scoping review (26 studies), we found support for a framework that we developed that outlines components that a health system can have in its RKI. The broad domains are climate for research use, research production, activities used to link research to action, and evaluation. The objective of the current study is to profile the RKI of three types of health system organisations-regional health authorities, primary care practices, and hospitals-in two Canadian provinces to determine the current mix of components these organisations have in their RKI, their experience with these components, and their views about future RKI initiatives.Methods: This study will include semistructured telephone interviews with a purposive sample region of a senior management team member, library/resource centre manager, and a 'knowledge broker' in three regional health authorities, five or six purposively sampled hospitals, and five or six primary care practices in Ontario and Quebec, for a maximum of 71 interviewees. The interviews will explore (a) which RKI components have proven helpful, (b) barriers and facilitators in implementing RKI components, and (c) views about next steps in further development of RKIs.Discussion: This is the first qualitative examination of potential RKI efforts that can increase the use of research evidence in health system decision making. We anticipate being able to identify broadly applicable insights about important next steps in building effective RKIs. Some of the identified RKI components may increase the use of research evidence by decision makers, which may then lead to more informed decisions.