Translating Health Services Research into Practice in the Safety Net
Translating Health Services Research into Practice in the Safety Net
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DOI：
10.1111/1475-6773.12341
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发表时间：
2016-02-01
影响因子：
3.4
通讯作者：
Havranek, Edward P.
中科院分区：
文献类型：
--
作者：
Moore, Susan L.;Fischer, Ilana;Havranek, Edward P.
目的通过对安全网系统的文献分析和案例研究，总结与安全网中卫生服务研究翻译相关的研究。数据来源/研究设置综合安全网医院的文献综述和关键信息者访谈。研究设计本文描述了对应用于医疗保健的转化科学文献进行全面文献综述的结果，并结合对丹佛卫生和医院管理局高层管理人员进行的五次关键信息者访谈的定性分析。主要发现文献结果表明，实施 innovation may be more difficult in the safety net due to multiple factors, including financial and organizational constraints.关键知情人访谈的结果证实了创新实施面临财务障碍的现实，但也暗示了机构对数据的尊重、组织态度和领导支持等因素可以弥补劣势。结论将研究转化为实践对于安全网提供者至关重要，他们面临着改善患者护理和满意度的压力越来越大。结果表明，在安全网中进行的转化研究可以更好地阐明这一环境的特殊挑战；需要更多这样的研究。
ObjectiveTo summarize research relating to health services research translation in the safety net through analysis of the literature and case study of a safety net system.Data Sources/Study SettingLiterature review and key informant interviews at an integrated safety net hospital.Study DesignThis paper describes the results of a comprehensive literature review of translational science literature as applied to health care paired with qualitative analysis of five key informant interviews conducted with senior-level management at Denver Health and Hospital Authority.Principal FindingsResults from the literature suggest that implementing innovation may be more difficult in the safety net due to multiple factors, including financial and organizational constraints. Results from key informant interviews confirmed the reality of financial barriers to innovation implementation but also implied that factors, including institutional respect for data, organizational attitudes, and leadership support, could compensate for disadvantages.ConclusionsTranslating research into practice is of critical importance to safety net providers, which are under increased pressure to improve patient care and satisfaction. Results suggest that translational research done in the safety net can better illuminate the special challenges of this setting; more such research is needed.