COVID-19 research response to immediate demands: setting priorities with key stakeholders to enable health services research in NSW, Australia.
Health services
Priorities
Quantitative techniques
User participation
Journal
Journal of health organization and management
ISSN: 1758-7247
Titre abrégé: J Health Organ Manag
Pays: England
ID NLM: 101179473
Informations de publication
Date de publication:
17 Sep 2024
17 Sep 2024
Historique:
medline:
23
9
2024
pubmed:
23
9
2024
entrez:
23
9
2024
Statut:
epublish
Résumé
COVID-19 has caused unprecedented disruption to health systems. There is much to be gained by capturing what was learned from changes and adaptations made by health services and systems. The Ministry of Health in New South Wales (NSW), Australia, sought to prioritise health services research (HSR) to address critical issues arising from the COVID-19 pandemic. We tested a priority setting methodology to create priorities for a specific funding opportunity and to extract generalisable lessons. A virtual roundtable meeting of key stakeholders was held in June 2020. We used a modified Nominal Group Technique (NGT) for priority setting, with potential items ( We engaged 89 senior policy makers, health service executives, clinicians and researchers in the roundtable. The NGT proved an efficient method with participants reaching consensus on eight priorities. Findings included strong support for learning from the rapid response to COVID-19 and addressing needs of vulnerable populations and the health workforce. Opinions differed about strategic areas investment and where learnings should be via internal evaluation rather than funded research. Three of the eight recommended priorities were included in the funding opportunity. Coronavirus disease 2019 (COVID-19) required unprecedented change and adaptations within health systems, and rapid, applied health services research can help to create, understand and (where relevant) sustain change beyond the immediate impact of the pandemic. While final decisions may be dependent on a wider range of considerations by government, stakeholder enthusiasm for engagement in priority setting exercises may be dampened if they do not perceive their application in decision-making. A modified nominal group technique can be used to set research priorities in constrained conditions by engaging large numbers of stakeholders in rankings and then using an online delivery of a roundtable and to reach consensus on priorities in real time. Recommended priorities for health services research can be readily generated through rapid engagement but does not guarantee their application. Australia's swift response to COVID-19 pandemic in 2020 was perceived as a relative success due to the rapid public health and policy response and a relatively low number of cases. This response was underpinned by systematic knowledge mobilisation including support for targeted and prioritised health services research to fill knowledge gaps. Setting priority processes can provide rich, engaged input to support government funding decisions about HSR. A wide range of dynamic and iterative processes influence decision-making in a rapidly evolving situation in the health system response to COVID-19. It is crucial to consider how major investment decisions will support a value-based healthcare system.
Identifiants
pubmed: 39308089
doi: 10.1108/JHOM-03-2023-0059
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
344-359Informations de copyright
© Nicole M. Rankin, Don Nutbeam, Jean-Frederic Levesque, Henry Ko, Garry Jennings, Adam Walczak and Christine Jorm.
Références
Andrikopoulos, S. and Johnson, G. (2020), “The Australian response to the COVID-19 pandemic and diabetes - lessons learned”, Diabetes Research and Clinical Practice, Vol. 165, 108246, doi: 10.1016/j.diabres.2020.108246.
Asaad, M., Habibullah, N.K. and Butler, C.E. (2020), “The impact of COVID-19 on clinical trials”, Annals of surgery, Vol. 272 No. 3, pp. e222-e223, doi: 10.1097/sla.0000000000004113.
Bryant, J., Sanson-Fisher, R., Walsh, J. and Stewart, J. (2014), “Health research priority setting in selected high income countries: a narrative review of methods used and recommendations for future practice”, Cost Effectiveness and Resource Allocation, Vol. 12 No. 1, p. 23, doi: 10.1186/1478-7547-12-23.
Clay-Williams, R., Rapport, F. and Braithwaite, J. (2020), “The Australian health system response to COVID-19 from a resilient health care perspective: what have we learned?”, Public Health Research and Practice, Vol. 30 No. 4, 3042025, doi: 10.17061/phrp3042025.
Cooke, J., Ariss, S., Smith, C. and Read, J. (2015), “On-going collaborative priority-setting for research activity: a method of capacity building to reduce the research-practice translational gap”, Health Res Policy Syst, Vol. 13 No. 1, p. 25, doi: 10.1186/s12961-015-0014-y.
DeCosta, D., Simpson, L., Luf, H.S. and Savitz, L.A. (2020), Health Systems Respond to COVID-19: Priorities for Rapid-Cycle Evaluations, Academy Health, Washington, DC.
Department of Health and Ageing (2013), “Strategic review of health and medical research - better health through research”, Reportno. Report Number|, Date. Place Published|: Institution|.
Dickson, H.G. (2020), “Hospital in the home: needed now more than ever”, The Medical journal of Australia, Vol. 213 No. 1, pp. 14-15, doi: 10.5694/mja2.50662.
Dragovic, M., Pascu, V., Hall, T., Ingram, J. and Waters, F. (2020), “Emergency department mental health presentations before and during the COVID-19 outbreak in Western Australia”, Australas Psychiatry, Vol. 28 No. 6, pp. 627-631, doi: 10.1177/1039856220960673.
Glasgow, R.E. and Chambers, D. (2012), “Developing robust, sustainable, implementation systems using rigorous, rapid and relevant science”, Clin Transl Sci, Vol. 5 No. 1, pp. 48-55, doi: 10.1111/j.1752-8062.2011.00383.x.
Glasziou, P.P., Sanders, S. and Hoffmann, T. (2020), “Waste in Covid-19 research”, British Medical Journal, Vol. 369, m1847, doi: 10.1136/bmj.m1847.
Hall, T., Honisett, S., Paton, K., Loftus, H., Constable, L. and Hiscock, H. (2021), “Prioritising interventions for preventing mental health problems for children experiencing adversity: a modified nominal group technique Australian consensus study”, BMC Psychology, Vol. 9 No. 1, p. 165, doi: 10.1186/s40359-021-00652-0.
Hanefeld, J., Mayhew, S., Legido-Quigley, H., Martineau, F., Karanikolos, M., Blanchet, K., Liverani, M., Yei Mokuwa, E., McKay, G. and Balabanova, D. (2018), “Towards an understanding of resilience: responding to health systems shocks”, Health Policy Plan, Vol. 33 No. 3, pp. 355-367, doi: 10.1093/heapol/czx183.
Harvey, N. and Holmes, C.A. (2012), “Nominal group technique: an effective method for obtaining group consensus”, International Journal of Nursing Practice, Vol. 18 No. 2, pp. 188-194, doi: 10.1111/j.1440-172x.2012.02017.x.
Hawwash, D., Pinxten, W., Raneri, J.E., Kolsteren, P. and Lachat, C. (2020), “Uptake and impact of priority setting exercises in nutrition research publications”, European Journal of Clinical Nutrition, Vol. 75, pp. 1-11, doi: 10.1038/s41430-020-00729-w.
Health Services Research Association of Australia and New Zealand (2022), “What is health services research?”, available at: https://www.hsraanz.org/about-hsraanz/
Hodgins, M., van Leeuwen, D., Braithwaite, J., Hanefeld, J., Wolfe, I., Lau, C., Dickins, E., McSweeney, J., McCaskill, M. and Lingam, R. (2021), “The COVID-19 system shock Framework: capturing health system innovation during the COVID-19 pandemic”, International Journal of Health Policy and Management, Vol. 11 No. 10, pp. 2155-2165, doi: 10.34172/ijhpm.2021.130.
Hunter, D.J., Kieslich, K., Littlejohns, P., Staniszewska, S., Tumilty, E., Weale, A. and Williams, I. (2016), “Public involvement in health priority setting: future challenges for policy, research and society”, Journal of Health Organization and Management, Vol. 30 No. 5, pp. 796-808, doi: 10.1108/jhom-04-2016-0057.
Hyland-Wood, B., Gardner, J., Leask, J. and Ecker, U.K.H. (2021), “Toward effective government communication strategies in the era of COVID-19”, Humanities and Social Sciences Communications, Vol. 8 No. 1, p. 30, doi: 10.1057/s41599-020-00701-w.
Jorm, C., Banks, M. and Twohill, S. (2008), “The dynamic of policy and practice”, in Sorenson, R. and Iedema, R. (Eds), Managing Clinical Processes in the Health Services, Elsevier, Sydney, London, pp. 193-210.
Levesque, J.-F. and Harris, M. (2020), “Extreme events: how do public health systems learn and adapt?”, Public Health Research and Practice, Vol. 30 No. 4, 3042024, doi: 10.17061/phrp3042024.
Levesque, J.-F., Sutherland, K., Watson, D.E., Currow, D.C., Bolevich, Z. and Koff, E. (2020), “Learning systems in times of crisis: the covid-19 critical intelligence unit in New South Wales, Australia”, NEJM Catalyst, doi: 10.1056/CAT.20.0542.
Mason, S., Ling, J., Mosoiu, D., Arantzamendi, M., Tserkezoglou, A.J., Predoiu, O. and Payne, S. (2021), “Undertaking research using online nominal group technique: lessons from an international study (RESPACC)”, Journal of Palliative Medicine, Vol. 24 No. 12, pp. 1867-1871, doi: 10.1089/jpm.2021.0216.
Monaghesh, E. and Hajizadeh, A. (2020), “The role of telehealth during COVID-19 outbreak: a systematic review based on current evidence”, BMC Public Health, Vol. 20 No. 1, p. 1193, doi: 10.1186/s12889-020-09301-4.
Montalto, M., McElduff, P. and Hardy, K. (2020), “Home ward bound: features of hospital in the home use by major Australian hospitals, 2011-2017”, Medical Journal of Australia, Vol. 213 No. 1, pp. 22-27, doi: 10.5694/mja2.50599.
Moynihan, R., Sanders, S., Michaleff, Z.A., Scott, A.M., Clark, J., To, E.J., Jones, M., Kitchener, E., Fox, M., Johansson, M., Lang, E., Duggan, A., Scott, I. and Albarqouni, L. (2021), “Impact of COVID-19 pandemic on utilisation of healthcare services: a systematic review”, BMJ Open, Vol. 11 No. 3, e045343, doi: 10.1136/bmjopen-2020-045343.
Neil-Sztramko, S.E., Belita, E., Traynor, R.L., Clark, E., Hagerman, L. and Dobbins, M. (2021), “Methods to support evidence-informed decision-making in the midst of COVID-19: creation and evolution of a rapid review service from the National Collaborating Centre for Methods and Tools”, BMC Medical Research Methodology, Vol. 21 No. 1, p. 231, doi: 10.1186/s12874-021-01436-1.
NSW Health (2012), “NSW health and medical research strategic review”, in Reportno. Report Number|, Date. Place Published|: Institution|.
NSW Health (2017), “What is health reform?”, available at: https://www.health.nsw.gov.au/healthreform/Pages/healthreform.aspx#:∼:text=A%20new%20streamlined%20NSW%20Ministry,Clinical%20Excellence%20Commission&text=Health%20Education%20and%20Training%20Institute,Bureau%20of%20Health%20Information%20and (accessed 4 May 2021).
NSW Health (2020), “COVID-19 research grants: round two guidelines”, available at: https://www.medicalresearch.nsw.gov.au/covid-19-research/ (accessed 5 November 2020).
Nygaard, A., Halvorsrud, L., Linnerud, S., Grov, E.K. and Bergland, A. (2019), “The James Lind Alliance process approach: scoping review”, BMJ Open, Vol. 9 No. 8, e027473, doi: 10.1136/bmjopen-2018-027473.
Rankin, N.M., McGregor, D., Butow, P.N., White, K., Phillips, J.L., Young, J.M., Pearson, S.A., York, S. and Shaw, T. (2016), “Adapting the nominal group technique for priority setting of evidence-practice gaps in implementation science”, BMC Medical Research Methodology, Vol. 16 No. 1, p. 110, doi: 10.1186/s12874-016-0210-7.
Redman, S., Turner, T., Davies, H., Williamson, A., Haynes, A., Brennan, S., Milat, A., O'Connor, D., Blyth, F., Jorm, L. and Green, S. (2015), “The SPIRIT Action Framework: a structured approach to selecting and testing strategies to increase the use of research in policy”, Social Science and Medicine, Vols 136-137, pp. 147-155, doi: 10.1016/j.socscimed.2015.05.009.
Richardson, S.J., Carroll, C.B., Close, J., Gordon, A.L., O'Brien, J., Quinn, T.J., Rochester, L., Sayer, A.A., Shenkin, S.D., van der Velde, N., Woo, J. and Witham, M.D. (2020), “Research with older people in a world with COVID-19: identification of current and future priorities, challenges and opportunities”, Age and Ageing, Vol. 49 No. 6, pp. 901-906, doi: 10.1093/ageing/afaa149.
Riley, W.T., Glasgow, R.E., Etheredge, L. and Abernethy, A.P. (2013), “Rapid, responsive, relevant (R3) research: a call for a rapid learning health research enterprise”, Clinical and Translational Medicine, Vol. 2 No. 1, p. 10, doi: 10.1186/2001-1326-2-10.
Robinson, T., Bailey, C., Morris, H., Burns, P., Melder, A., Croft, C., Spyridonidis, D., Bismantara, H., Skouteris, H. and Teede, H. (2020), “Bridging the research–practice gap in healthcare: a rapid review of research translation centres in England and Australia”, Health Research Policy and Systems, Vol. 18 No. 1, pp. 1-17, doi: 10.1186/s12961-020-00621-w.
Smallwood, N., Karimi, L., Bismark, M., Putland, M., Johnson, D., Dharmage, S.C., Barson, E., Atkin, N., Long, C., Holland, A., Munro, J.E., Thevarajan, I., Moore, C., McGillion, A., Sandford, D. and Willis, K. (2021), “High levels of psychosocial distress among Australian frontline healthcare workers during the COVID-19 pandemic: a cross-sectional survey”, Gen Psychiatr, Vol. 34 No. 5, e100577, doi: 10.1136/gpsych-2021-100577.
Smith, G., Long, J., Wallace, T., Carradice, D., Chetter, I.C., Atkin, L., Beard, D., Bown, M., Bradbury, A., Cook, A., Coughlin, P., Handa, A., Hinchliffe, R., Imray, C., Jenkins, M., Lathan, R., McCaslin, J., Modarai, B., Rashid, T., Richards, T., Rogers, C., Russell, D., Sayers, R., Sharples, L., Sidloff, D., Simpson, R., Stansby, G., Stather, P., Torgerson, D. and Vallabhaneni, S.R. (2020), “Identifying the research priorities of healthcare professionals in UK vascular surgery: modified Delphi approach”, BJS Open, Vol. 5 No. 2, zraa025, doi: 10.1093/bjsopen/zraa025.
Soltany, A., Hamouda, M., Ghzawi, A., Sharaqi, A., Negida, A., Soliman, S. and Benmelouka, A.Y. (2020), “A scoping review of the impact of COVID-19 pandemic on surgical practice”, Annals of Medicine and Surgery, Vol. 57, pp. 24-36, doi: 10.1016/j.amsu.2020.07.003.
Søreide, K., Hallet, J., Matthews, J.B., Schnitzbauer, A.A., Line, P.D., Lai, P.B.S., Otero, J., Callegaro, D., Warner, S.G., Baxter, N.N., Teh, C.S.C., Ng-Kamstra, J., Meara, J.G., Hagander, L. and Lorenzon, L. (2020), “Immediate and long-term impact of the COVID-19 pandemic on delivery of surgical services”, British Journal of Surgery, Vol. 107 No. 10, pp. 1250-1261, doi: 10.1002/bjs.11670.
Straiton, N., McKenzie, A., Bowden, J., Nichol, A., Murphy, R., Snelling, T., Zalcberg, J., Clements, J., Stubbs, J., Economides, A., Kent, D., Ansell, J. and Symons, T. (2020), “Facing the ethical challenges: consumer involvement in COVID-19 pandemic research”, Journal of bioethical inquiry, Vol. 17 No. 4, pp. 743-748, doi: 10.1007/s11673-020-10060-5.
Sutherland, K., Chessman, J., Zhao, J., Levesque, J.F., Sara, G., Went, A., Dyson, S. and Levesque, J.F. (2020), “Impact of COVID-19 on healthcare activity in NSW, Australia”, Public Health Res Pract, Vol. 30 No. 4, 3042030, doi: 10.17061/phrp3042030.
Synnot, A.J., Tong, A., Bragge, P., Lowe, D., Nunn, J.S., O'Sullivan, M., Horvat, L., Kay, D., Ghersi, D., McDonald, S., Poole, N., Bourke, N., Lannin, N.A., Vadasz, D., Oliver, S., Carey, K. and Hill, S.J. (2019), “Selecting, refining and identifying priority Cochrane Reviews in health communication and participation in partnership with consumers and other stakeholders”, Health Research Policy and Systems, Vol. 17 No. 1, pp. 1-14, doi: 10.1186/s12961-019-0444-z.
Tong, A., Synnot, A., Crowe, S., Hill, S., Matus, A., Scholes-Robertson, N., Oliver, S., Cowan, K., Nasser, M., Bhaumik, S., Gutman, T., Baumgart, A. and Craig, J.C. (2019), “Reporting guideline for priority setting of health research (REPRISE)”, BMC Medical Research Methodology, Vol. 19 No. 1, p. 243, doi: 10.1186/s12874-019-0889-3.
Viergever, R.F., Olifson, S., Ghaffar, A. and Terry, R.F. (2010), “A checklist for health research priority setting: nine common themes of good practice”, Health Research Policy and Systems, Vol. 8 No. 1, p. 36, doi: 10.1186/1478-4505-8-36.
Vindrola-Padros, C., Chisnall, G., Cooper, S., Dowrick, A., Djellouli, N., Symmons, S.M., Martin, S., Singleton, G., Vanderslott, S., Vera, N. and Johnson, G.A. (2020), “Carrying out rapid qualitative research during a pandemic: emerging lessons from COVID-19”, Qualitative Health Research, Vol. 30 No. 14, pp. 2192-2204, doi: 10.1177/1049732320951526.
Wanzer, D.L. (2020), “What is evaluation?: perspectives of how evaluation differs (or not) from research”, American Journal of Evaluation, Vol. 42 No. 1, pp. 28-46, doi: 10.1177/1098214020920710.
Yoshida, S. (2016), “Approaches, tools and methods used for setting priorities in health research in the 21st century”, Journal of global health, Vol. 6 No. 1, 010507, doi: 10.7189/jogh.06.010507.
Zucco, L., Levy, N., Li, Y., Golen, T., Shainker, S.A., Hess, P.E. and Ramachandran, S.K. (2021), “Rapid cycle implementation and retrospective evaluation of a SARS-CoV-2 checklist in labor and delivery”, BMC Health Services Research, Vol. 21 No. 1, p. 775, doi: 10.1186/s12913-021-06787-5.