The value of health service-based research to health service organisations: a qualitative study with senior health service executives.
Health care organisations
Health service leaders
Health services research
Research priorities
Research translation
Journal
Health research policy and systems
ISSN: 1478-4505
Titre abrégé: Health Res Policy Syst
Pays: England
ID NLM: 101170481
Informations de publication
Date de publication:
31 May 2024
31 May 2024
Historique:
received:
19
12
2023
accepted:
10
05
2024
medline:
1
6
2024
pubmed:
1
6
2024
entrez:
1
6
2024
Statut:
epublish
Résumé
Research evidence has demonstrably improved health care practices and patient outcomes. However, systemic translation of evidence into practice is far from optimal. The reasons are complex, but often because research is not well aligned with health service priorities. The aim of this study was to explore the experiences and perspectives of senior health service executives on two issues: (1) the alignment between local research activity and the needs and priorities of their health services, and (2) the extent to which research is or can be integrated as part of usual health care practice. In this qualitative study, semi-structured interviews were conducted with senior health leaders from four large health service organisations that are members of Sydney Health Partners (SHP), one of Australia's nationally accredited research translation centres committed to accelerating the translation of research findings into evidence-based health care. The interviews were conducted between November 2022 and January 2023, and were either audio-recorded and transcribed verbatim or recorded in the interviewer field notes. A thematic analysis of the interview data was conducted by two researchers, using the framework method to identify common themes. Seventeen health executives were interviewed, including chief executives, directors of medical services, nursing, allied health, research, and others in executive leadership roles. Responses to issue (1) included themes on re-balancing curiosity- and priority-driven research; providing more support for research activity within health organisations; and helping health professionals and researchers discuss researchable priorities. Responses to issue (2) included identification of elements considered essential for embedding research in health care; and the need to break down silos between research and health care, as well as within health organisations. Health service leaders value research but want more research that aligns with their needs and priorities. Discussions with researchers about those priorities may need some facilitation. Making research a more integrated part of health care will require strong and broad executive leadership, resources and infrastructure, and investing in capacity- and capability-building across health clinicians, managers and executive staff.
Sections du résumé
BACKGROUND
BACKGROUND
Research evidence has demonstrably improved health care practices and patient outcomes. However, systemic translation of evidence into practice is far from optimal. The reasons are complex, but often because research is not well aligned with health service priorities. The aim of this study was to explore the experiences and perspectives of senior health service executives on two issues: (1) the alignment between local research activity and the needs and priorities of their health services, and (2) the extent to which research is or can be integrated as part of usual health care practice.
METHODS
METHODS
In this qualitative study, semi-structured interviews were conducted with senior health leaders from four large health service organisations that are members of Sydney Health Partners (SHP), one of Australia's nationally accredited research translation centres committed to accelerating the translation of research findings into evidence-based health care. The interviews were conducted between November 2022 and January 2023, and were either audio-recorded and transcribed verbatim or recorded in the interviewer field notes. A thematic analysis of the interview data was conducted by two researchers, using the framework method to identify common themes.
RESULTS
RESULTS
Seventeen health executives were interviewed, including chief executives, directors of medical services, nursing, allied health, research, and others in executive leadership roles. Responses to issue (1) included themes on re-balancing curiosity- and priority-driven research; providing more support for research activity within health organisations; and helping health professionals and researchers discuss researchable priorities. Responses to issue (2) included identification of elements considered essential for embedding research in health care; and the need to break down silos between research and health care, as well as within health organisations.
CONCLUSIONS
CONCLUSIONS
Health service leaders value research but want more research that aligns with their needs and priorities. Discussions with researchers about those priorities may need some facilitation. Making research a more integrated part of health care will require strong and broad executive leadership, resources and infrastructure, and investing in capacity- and capability-building across health clinicians, managers and executive staff.
Identifiants
pubmed: 38822374
doi: 10.1186/s12961-024-01149-z
pii: 10.1186/s12961-024-01149-z
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
65Informations de copyright
© 2024. The Author(s).
Références
Hanney SR, González-Block MA. Health research improves healthcare: now we have the evidence and the chance to help the WHO spread such benefits globally. Health Res Policy Syst. 2015;13(1):12.
doi: 10.1186/s12961-015-0006-y
pubmed: 25888723
pmcid: 4351695
Global Commission on Evidence to Address Societal Challenges. The evidence commission report: a wake-up call and path forward for decision-makers, evidence intermediaries, and impact-oriented evidence producer. Hamilton, Canada; 2022. https://www.mcmasterforum.org/docs/default-source/evidence-commission/evidence-commission-report.pdf?sfvrsn=2fb92517_11 . Accessed 28 Nov 2023.
Morris ZS, Wooding S, Grant J. The answer is 17 years, what is the question: understanding time lags in translational research. J R Soc Med. 2011;104(12):510–20.
doi: 10.1258/jrsm.2011.110180
pubmed: 22179294
pmcid: 3241518
Braithwaite J, Glasziou P, Westbrook J. The three numbers you need to know about healthcare: the 60-30-10 Challenge. BMC Med. 2020;18(1):102.
doi: 10.1186/s12916-020-01563-4
pubmed: 32362273
pmcid: 7197142
Reed JE, Howe C, Doyle C, Bell D. Simple rules for evidence translation in complex systems: a qualitative study. BMC Med. 2018;16(1):92.
doi: 10.1186/s12916-018-1076-9
pubmed: 29921274
pmcid: 6009041
Greenhalgh T, Papoutsi C. Studying complexity in health services research: desperately seeking an overdue paradigm shift. BMC Med. 2018;16(1):95.
doi: 10.1186/s12916-018-1089-4
pubmed: 29921272
pmcid: 6009054
Braithwaite J, Churruca K, Long JC, Ellis LA, Herkes J. When complexity science meets implementation science: a theoretical and empirical analysis of systems change. BMC Med. 2018;16(1):63.
doi: 10.1186/s12916-018-1057-z
pubmed: 29706132
pmcid: 5925847
Robinson T, Bailey C, Morris H, Burns P, Melder A, Croft C, et al. Bridging the research–practice gap in healthcare: a rapid review of research translation centres in England and Australia. Health Res Policy Syst. 2020;18(1):117.
doi: 10.1186/s12961-020-00621-w
pubmed: 33036634
pmcid: 7545838
Oborn E, Barrett M, Racko G. Knowledge translation in healthcare: incorporating theories of learning and knowledge from the management literature. J Health Organ Manag. 2013;27(4):412–31.
doi: 10.1108/JHOM-01-2012-0004
pubmed: 24003630
Chalmers I, Glasziou P. Avoidable waste in the production and reporting of research evidence. Lancet. 2009;374(9683):86–9.
doi: 10.1016/S0140-6736(09)60329-9
pubmed: 19525005
Lomas J, Fulop N, Gagnon D, Allen P. On being a good listener: setting priorities for applied health services research. Milbank Q. 2003;81(3):363–88.
doi: 10.1111/1468-0009.t01-1-00060
pubmed: 12941000
pmcid: 2690239
Figueroa CA, Harrison R, Chauhan A, Meyer L. Priorities and challenges for health leadership and workforce management globally: a rapid review. BMC Health Serv Res. 2019;19(1):239.
doi: 10.1186/s12913-019-4080-7
pubmed: 31014349
pmcid: 6480808
Toh CH, Haynes R. The health and care act 2022: challenges and priorities for embedding research in the NHS. Lancet. 2022;400(10349):343–5.
doi: 10.1016/S0140-6736(22)01195-3
pubmed: 35809580
pmcid: 9398193
Anderson S, Allen P, Peckham S, Goodwin N. Asking the right questions: scoping studies in the commissioning of research on the organisation and delivery of health services. Health Res Policy Syst. 2008;6(1):7.
doi: 10.1186/1478-4505-6-7
pubmed: 18613961
pmcid: 2500008
Greenhalgh T, Jackson C, Shaw S, Janamian T. Achieving research impact through co-creation in community-based health services: literature review and case study. Milbank Q. 2016;94(2):392–429.
doi: 10.1111/1468-0009.12197
pubmed: 27265562
pmcid: 4911728
Rycroft-Malone J, Burton CR, Bucknall T, Graham ID, Hutchinson AM, Stacey D. Collaboration and co-production of knowledge in healthcare: opportunities and challenges. Int J Health Policy Manag. 2016;5(4):221–3.
doi: 10.15171/ijhpm.2016.08
pubmed: 27239867
pmcid: 4818986
McKeon S. Strategic review of health and medical research in Australia—better health through research. Canberra; 2013. https://cheba.unsw.edu.au/sites/cheba2/files/blog/pdf/Strategic_Review_of_Health_and_Medical_Research_Feb_2013-Summary_Report.pdf . Accessed 28 Nov 2023.
Australian Academy of Health and Medical Sciences. Research and innovation as core functions in transforming the health system: a vision for the future of health in Australia. 2022. https://cheba.unsw.edu.au/sites/cheba2/files/blog/pdf/Strategic_Review_of_Health_and_Medical_Research_Feb_2013-Summary_Report.pdf . Accessed 28 Nov 2023.
Agency for Healthcare Quality and Research (AHQR). 2023. https://www.ahrq.gov/ . Accessed 28 Nov 2023.
National Institute for Health and Care Research. 2023. https://www.nihr.ac.uk/ . Accessed 28 Nov 2023.
Australian Government. Medical Research Future Fund 2023. https://www.health.gov.au/our-work/medical-research-future-fund . Accessed 28 Nov 2023.
Hoekstra F, Mrklas K, Khan M, McKay R, Vis-Dunbar M, Sibley K, et al. A review of reviews on principles, strategies, outcomes and impacts of research partnerships approaches: a first step in synthesising the research partnership literature. Health Res Policy Syst. 2020;18:51.
doi: 10.1186/s12961-020-0544-9
pubmed: 32450919
pmcid: 7249434
Gagliardi AR, Berta W, Kothari A, Boyko J, Urquhart R. Integrated knowledge translation (IKT) in health care: a scoping review. Implement Sci. 2016;11(1):38.
doi: 10.1186/s13012-016-0399-1
pubmed: 26988000
pmcid: 4797171
Abu-Odah H, Said NB, Nair SC, Allsop MJ, Currow DC, Salah MS, et al. Identifying barriers and facilitators of translating research evidence into clinical practice: a systematic review of reviews. Health Soc Care Community. 2022;30(6):e3265–76.
doi: 10.1111/hsc.13898
pubmed: 35775332
Moore G, Redman S, Rudge S, Haynes A. Do policy-makers find commissioned rapid reviews useful? Health Res Policy Syst. 2018;16:17.
doi: 10.1186/s12961-018-0293-1
pubmed: 29482643
pmcid: 5828139
Black AT, Steinberg M, Chisholm AE, Coldwell K, Hoens AM, Koh JC, et al. Building capacity for implementation-the KT Challenge. Implement Sci Commun. 2021;2(1):84.
doi: 10.1186/s43058-021-00186-x
pubmed: 34321107
pmcid: 8316705
Tait H, Williamson A. A literature review of knowledge translation and partnership research training programs for health researchers. Health Res Policy Syst. 2019;17(1):98.
doi: 10.1186/s12961-019-0497-z
pubmed: 31842896
pmcid: 6916221
Tong A, Synnot A, Crowe S, Hill S, Matus A, Scholes-Robertson N, et al. Reporting guideline for priority setting of health research (REPRISE). BMC Med Res Methodol. 2019;19(1):243.
doi: 10.1186/s12874-019-0889-3
pubmed: 31883517
pmcid: 6935471
Sydney Health Partners. 2023. https://sydneyhealthpartners.org.au/ . Accessed 28 Nov 2023.
Gale NK, Heath G, Cameron E, Rashid S, Redwood S. Using the framework method for the analysis of qualitative data in multi-disciplinary health research. BMC Med Res Methodol. 2013;13(1):117.
doi: 10.1186/1471-2288-13-117
pubmed: 24047204
pmcid: 3848812
Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349–57.
doi: 10.1093/intqhc/mzm042
pubmed: 17872937
Atkins D, Kilbourne AM, Shulkin D. Moving from discovery to system-wide change: the role of research in a learning health care system: experience from three decades of health systems research in the Veterans Health Administration. Annu Rev Public Health. 2017;38:467–87.
doi: 10.1146/annurev-publhealth-031816-044255
pubmed: 28125386
King's Health Partners. 2023. https://www.kingshealthpartners.org/ . Accessed 28 Nov 2023.
Australian Government, Department of Health and Aged Care. Improving alignment and coordination between the Medical Research Future Fund and Medical Research Endowment Account. 2023. https://consultations.health.gov.au/health-economics-and-research-division/improving-alignment-and-coordination-mrff-mrea/ . Accessed 28 Nov 2023.
Ritchie J, Spencer L. Qualitative data analysis for applied policy research. In: Bryman A, Burgess R, editors. Analyzing qualitative data. London: Routledge; 1994. p. 173–94.
doi: 10.4324/9780203413081_chapter_9