Centre for Health Research & Psycho-oncology (CHeRP), Cancer Council NSW, The University of Newcastle & Hunter Medical Research Institute, Callaghan NSW, Australia, 2308.
Health Res Policy Syst. 2010 Nov 18;8:34. doi: 10.1186/1478-4505-8-34.
The emergent international practice of involving consumers in health research is driven, in part, by the growing share of health research that can only be applied in and emerge from knowledge that is shaped by human values and societal contexts. This is the first investigation of its kind to identify the current prevalence, challenges, enabling factors and range of approaches to consumer involvement in health and medical research in Australia.
A nation-wide survey of research funding organisations and organisations that conduct research was performed during 2008-2009.
Marked variation in consumer involvement experience and perceptions exists between research funders and researchers. Research funders were over eight times more likely than organisations conducting research to involve consumers in identifying research needs and prioritising research topics. Across both groups, practical and time constraints were reported as key challenges to involving consumers, while guidelines on consumer involvement and evidence of effect were the most important potential enablers. More than a third of research organisations indicated that when consumer involvement was a condition of research funding, it was an important facilitator of involvement.
It is no longer simply enough to keep society informed of important scientific breakthroughs. If Australian health research is to take into account important social contexts and consequences, it must involve consumers. A set of minimum consumer involvement standards and associated guidelines, that are agreed and routinely adopted, could ensure that consumers and the Australian community they represent, are given an opportunity to shed light on experiences and local circumstance, and express views and concerns relevant to health research.
消费者参与健康研究的新兴国际实践部分是由以下原因驱动的,即越来越多的健康研究只能应用于并源于受人类价值观和社会背景影响的知识。这是首次对澳大利亚消费者参与健康和医学研究的当前流行程度、挑战、促成因素和方法范围进行的调查。
在 2008-2009 年期间,对研究资助机构和开展研究的组织进行了全国范围的调查。
研究资助者和研究人员在消费者参与经验和看法方面存在明显差异。研究资助者比开展研究的组织更有可能让消费者参与确定研究需求和优先考虑研究课题,其可能性是后者的八倍多。在这两个群体中,报告的主要挑战是实际和时间限制,而消费者参与指南和效果证据是最重要的潜在促成因素。超过三分之一的研究组织表示,当消费者参与是研究资金的条件时,它是促进参与的重要因素。
仅仅让社会了解重要的科学突破已经不够了。如果澳大利亚的健康研究要考虑到重要的社会背景和后果,就必须让消费者参与进来。一套经过同意并常规采用的最低限度消费者参与标准和相关指南,可以确保消费者和他们所代表的澳大利亚社区有机会阐明经验和当地情况,并就健康研究表达相关意见和关切。