"'Academic' is a dirty word": Intended impact pathways of an emerging academic health centre in tropical regional Australia.
Australia
academic health centre
health systems
regional
research translation
Journal
The International journal of health planning and management
ISSN: 1099-1751
Titre abrégé: Int J Health Plann Manage
Pays: England
ID NLM: 8605825
Informations de publication
Date de publication:
Jan 2019
Jan 2019
Historique:
received:
06
09
2018
accepted:
10
09
2018
pubmed:
13
10
2018
medline:
29
8
2019
entrez:
13
10
2018
Statut:
ppublish
Résumé
The Tropical Australian Academic Health Centre (TAAHC) is being established in northern Queensland across a vast rural geography. The study aim is to identify intended impact pathways and beneficiaries of TAAHC as well as experienced and anticipated challenges. The study is an empirical case study nested within a comparative multi-case study on academic health centres (AHCs). Data were collected from documents, observation, and interviews with 24 health system and university stakeholders. Intended impact pathways were identified abductively from analysis of aspirations and challenges. Aspirations of TAAHC reflect an ultimate aim to improve the health of the northern Queensland population. Challenges were trust and communication, understanding value and return on investment, health system receptiveness to building a research culture, prioritising and influencing the research agenda, and structure of the health system. The study identifies three interdependent transitions that comprise the main intended impact pathway in TAAHC. Stakeholders expected TAAHC to effect health systems change and improvement rather than drive discovery-oriented academic research associated with AHCs elsewhere. The findings contribute to the empirical evidence base on the role of AHCs internationally and to ongoing initiatives to establish and resource AHCs in Australia.
Sections du résumé
BACKGROUND
BACKGROUND
The Tropical Australian Academic Health Centre (TAAHC) is being established in northern Queensland across a vast rural geography. The study aim is to identify intended impact pathways and beneficiaries of TAAHC as well as experienced and anticipated challenges.
METHODOLOGY
METHODS
The study is an empirical case study nested within a comparative multi-case study on academic health centres (AHCs). Data were collected from documents, observation, and interviews with 24 health system and university stakeholders. Intended impact pathways were identified abductively from analysis of aspirations and challenges.
RESULTS
RESULTS
Aspirations of TAAHC reflect an ultimate aim to improve the health of the northern Queensland population. Challenges were trust and communication, understanding value and return on investment, health system receptiveness to building a research culture, prioritising and influencing the research agenda, and structure of the health system.
DISCUSSION
CONCLUSIONS
The study identifies three interdependent transitions that comprise the main intended impact pathway in TAAHC. Stakeholders expected TAAHC to effect health systems change and improvement rather than drive discovery-oriented academic research associated with AHCs elsewhere.
CONCLUSION
CONCLUSIONS
The findings contribute to the empirical evidence base on the role of AHCs internationally and to ongoing initiatives to establish and resource AHCs in Australia.
Identifiants
pubmed: 30311953
doi: 10.1002/hpm.2681
pmc: PMC6559162
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e661-e678Subventions
Organisme : National Institute for Health Research (NIHR) Biomedical Research Centre, Oxford
Organisme : James Cook University
ID : Postgraduate Scholarship
Informations de copyright
© 2018 The Authors The International Journal of Health Planning and Management Published by John Wiley & Sons Ltd.
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