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健康政策与管理知识交流的前景:制度和认识论边界。

Prospects for knowledge exchange in health policy and management: institutional and epistemic boundaries.

机构信息

Department of Health Sciences, University of Leicester, Leicester.

出版信息

J Health Serv Res Policy. 2011 Oct;16(4):211-7. doi: 10.1258/jhsrp.2011.010132. Epub 2011 Sep 2.

DOI:10.1258/jhsrp.2011.010132
PMID:21890684
Abstract

OBJECTIVES

There have been calls for greater exchange between research and practice in health care policy and management, but little empirical research on what commissioners of research and researchers themselves consider appropriate, good quality research knowledge. This paper addresses this gap, considering the views of commissioners and producers of policy and management research in health care and other fields.

METHODS

Qualitative semi-structured interviews with 18 commissioners and producers of research, in central government, the NHS and other commissioning organizations, and in universities and independent sector providers.

RESULTS

Commissioners and producers agreed that research often fails to fulfil policy-makers' and managers' needs, and that greater interaction is required to improve this relationship. However, they offered differing accounts of the nature of research knowledge (as a 'product' or a 'mindset'), and of what constitutes value, validity and originality in research, reflecting the differing priorities and pressures faced by the two groups.

CONCLUSIONS

Efforts to promote greater interaction between research, policy and practice, and more critical, reflexive engagement between policy-makers, managers and researchers, are likely to face significant obstacles given these competing constructions of research knowledge and their reinforcement by divergent priorities.

摘要

目的

人们呼吁加强医疗保健政策和管理领域的研究与实践之间的交流,但对于研究委托人和研究人员本身认为适当的、高质量的研究知识,几乎没有实证研究。本文针对这一差距,考虑了卫生保健和其他领域的政策和管理研究的委托人和生产者的观点。

方法

对中央政府、NHS 和其他委托组织中的 18 名研究委托人和生产者进行了定性半结构式访谈,这些人来自大学和独立部门的提供者。

结果

委托人和生产者一致认为,研究往往不能满足政策制定者和管理者的需求,需要加强互动,以改善这种关系。然而,他们对研究知识的性质(作为“产品”或“思维模式”)以及研究的价值、有效性和创新性构成因素的看法存在差异,这反映了两组人不同的优先事项和压力。

结论

鉴于对研究知识的这种相互竞争的构建以及通过不同的优先事项对其进行的强化,促进研究、政策和实践之间更紧密的互动,以及促进政策制定者、管理者和研究人员之间更具批判性和反思性的互动的努力,可能会面临重大障碍。

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