Morgan Steve, Orr Karen, Mah Catherine
Centre for Health Services and Policy Research & School of Population and Public Health, University of British Columbia, Vancouver, BC.
Healthc Policy. 2010 Aug;6(1):64-86.
Our objective was to identify desirable attributes to be developed through graduate training in health services and policy research (HSPR) by identifying the knowledge, skills and abilities thought to be keys to success in HSPR-related careers. We aimed for a framework clear enough to serve as a touchstone for HSPR training programs across Canada yet flexible enough to permit diversity of specialization across and within those programs.
OUR APPROACH INVOLVED SEVERAL STAGES OF DATA COLLECTION AND ANALYSIS: a review of literature; telephone interviews with opinion leaders; online surveys of HSPR students, recent graduates and employers; an invitational workshop; and an interactive panel at a national conference. Our final framework was arrived at through an iterative process of thematic analysis, reflection on invited feedback from consultation participants and triangulation with existing competency frameworks.
Our final result was a framework that identifies traits, knowledge and abilities of master's-level graduates who are capable of fostering health system improvement through planning, management, analysis or monitoring that is informed by credible evidence and relevant theory. These attributes are organized into three levels: generic graduate attributes, knowledge related to health and health systems and, finally, attributes related to the application of knowledge for health system improvement. The HSPR-specific attributes include not only an understanding of HSPR theories and methods but also the skills related to the practical application of knowledge in the complex environments of health system decision-making and healthcare policy.
Master's-level HSPR training programs should prepare students to pose and seek answers to important questions and provide them with the skills necessary to apply their knowledge within complex decision-making environments.
我们的目标是通过确定那些被认为是健康服务与政策研究(HSPR)相关职业成功关键的知识、技能和能力,来明确通过研究生阶段的健康服务与政策研究培训需要培养的理想特质。我们旨在构建一个足够清晰的框架,作为加拿大各地HSPR培训项目的试金石,同时又足够灵活,以允许这些项目在整体及内部存在专业化的多样性。
我们的方法包括几个数据收集和分析阶段:文献综述;与意见领袖进行电话访谈;对HSPR专业的学生、近期毕业生和雇主进行在线调查;举办一次邀请研讨会;以及在一次全国性会议上设立一个互动小组。我们最终的框架是通过主题分析、对咨询参与者的邀请反馈进行反思以及与现有能力框架进行三角互证的迭代过程得出的。
我们最终的成果是一个框架,该框架确定了能够通过基于可靠证据和相关理论的规划、管理、分析或监测来促进卫生系统改善的硕士水平毕业生的特质、知识和能力。这些特质分为三个层次:一般的研究生特质、与健康和卫生系统相关的知识,最后是与将知识应用于卫生系统改善相关的特质。HSPR特有的特质不仅包括对HSPR理论和方法的理解,还包括在卫生系统决策和医疗政策的复杂环境中实际应用知识的相关技能。
硕士水平的HSPR培训项目应使学生能够提出并寻求重要问题的答案,并为他们提供在复杂决策环境中应用知识所需的技能。