Banta H D, Bauman P
J Community Health. 1976 Winter;2(2):121-32. doi: 10.1007/BF01319090.
Health services research (HSR) has the potential to influence the decision-making process in a health services system that is acutelearchers feel, with some truth, that their research has had only a limited effect on health policy. Some reasons for this are described, including the primacy of political, rather than technical, considerations in policy making, the lack of a comprehensive health policy, and the poor quality and irrelevance of much HSR. The role of funding for HSR by the Federal government is described; it is shown that the Federal effort is fragmented, despite the consolidation efforts made in 1968. Increased support for specific targeted, problem-solving health services research is proposed, and some possible methods to achieve this are described.
卫生服务研究（HSR）有潜力影响卫生服务系统中的决策过程，而研究者们真切地感到，他们的研究对卫生政策的影响有限。文中描述了造成这种情况的一些原因，包括在政策制定中政治考量而非技术考量占主导地位、缺乏全面的卫生政策，以及许多卫生服务研究质量差且与实际脱节。文中还描述了联邦政府为卫生服务研究提供资金的作用；结果表明，尽管在1968年进行了整合努力，但联邦政府的工作仍很分散。文中提议增加对特定的、有针对性的、解决问题的卫生服务研究的支持，并描述了一些实现这一目标的可能方法。
