The Veterans Health Administration (VHA) Innovators Network: Evaluation design, methods and lessons learned through an embedded research approach.

The Veterans Health Administration (VHA) Innovators Network: Evaluation design, methods and lessons learned through an embedded research approach.
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退伍军人健康管理局(VHA)创新者网络:通过嵌入式研究方法进行评估的设计、方法和经验教训。

DOI:
10.1016/j.hjdsi.2020.100477
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发表时间:
2021-06
期刊:
Healthcare (Amsterdam, Netherlands)
影响因子:
--
通讯作者:
Cutrona SL
Cutrona SL
中科院分区:
其他
文献类型:
--
作者:
Vashi AA;Orvek EA;Tuepker A;Jackson GL;Amrhein A;Cole B;Asch SM;Gifford AL;Lindquist J;Marshall NJ;Newell S;Smigelsky MA;White BS;White LK;Cutrona SL

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研究人员、实施者和政策制定者之间的合作可提高卫生系统研究的利用率。 2018 年,研究人员和 VHA 创新者网络 (iNET) 领导层使用嵌入式研究模型对 iNET 进行了评估。我们描述了我们的评估设计、早期结果和经验教训。这种混合方法评估结合了通过电子调查收集的主要数据、使用现有 VA 数据集的描述性分析(检查设施特征和 iNET 参与之间的关联)以及定性访谈,以支持实时计划实施并探讨参与的感知影响、好处和挑战。我们开发了报告工具并收集了有关现场参与的数据,使 iNET 领导层能够快速访问项目所需的信息(例如,达到的目标人群、实现的里程碑和遇到的障碍)。二次数据分析表明,在规模更大、更复杂的退伍军人事务部设施中,iNET 成员人数更多。在 37 个 iNET 会员站点中,超过一半 (n=22) 没有六种主要类型的 VA 研究中心;因此,iNET 正在支持传统上不由研究创新途径提供服务的 VA 站点。定性研究结果强调了社交和信息网络的参与度和感知价值的增强。我们与 iNET 合作伙伴合作,通过嵌入式评估的初步结果支持和影响 iNET 的发展。我们还提供了旨在培养 iNET 参与者能力的培训和指导。嵌入式研究可以在研究人员和合作伙伴之间产生成功的协作成果。嵌入式研究团队可以帮助项目转向,以确保有限资源的有效利用。这些模型为项目的开发和扩展提供信息,支持战略规划并展示价值。
Collaboration between researchers, implementers and policymakers improves uptake of health systems research. In 2018, researchers and VHA Innovators Network (iNET) leadership used an embedded research model to conduct an evaluation of iNET. We describe our evaluation design, early results, and lessons learned. This mixed-methods evaluation incorporated primary data collection via electronic survey, descriptive analysis using existing VA datasets (examining associations between facility characteristics and iNET participation), and qualitative interviews to support real-time program implementation and to probe perceived impacts, benefits and challenges of participation. We developed reporting tools and collected data regarding site participation, providing iNET leadership rapid access to needed information on projects (e.g., target populations reached, milestones achieved, and barriers encountered). Secondary data analyses indicated iNET membership was greater among larger, more complex VA facilities. Of the 37 iNET member sites, over half (n=22) did not have any of the six major types of VA research centers; thus iNET is supporting VA sites not traditionally served by research innovation pathways. Qualitative findings highlighted enhanced engagement and perceived value of social and informational networks. Working alongside our iNET partners, we supported and influenced iNET’s development through our embedded evaluation’s preliminary findings. We also provided training and guidance aimed at building capacity among iNET participants. Embedded research can yield successful collaborative efforts between researchers and partners. An embedded research team can help programs pivot to ensure effective use of limited resources. Such models inform program development and expansion, supporting strategic planning and demonstrating value.
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