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合作研究是否能增强研究、政策和实践的整合?荷兰健康经纪人伙伴关系的案例。

Does collaborative research enhance the integration of research, policy and practice? The case of the Dutch Health Broker Partnership.

机构信息

Department of Public Health, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands.

出版信息

J Health Serv Res Policy. 2012 Oct;17(4):219-26. doi: 10.1258/jhsrp.2012.011135. Epub 2012 Oct 4.

Abstract

OBJECTIVES

A gap between health services research and practice has been identified: research findings often do not find their way into practice. Our objective was to explore the potential of collaborative research to bridge this gap in one specific area, health promotion, and to determine factors that influence the development of theory-based practice and practice-based theory.

METHODS

This was investigated in an exploratory single-case study. First, we designed an analytical framework for collaborative research. Next, we used this framework to analyse developments in the Dutch Health Broker Partnership, which involved researchers, policymakers and practitioners. Data consisted of transcripts of the meetings of the Partnership over an 18-month period, as well as interviews with its 13 members.

RESULTS

The development of theory-based practice and practice-based theory failed to progress beyond the initial stages, although practitioners' actions did become more comprehensive and researchers' thinking became more influenced by practical limitations and local contexts. The heterogeneity of the Partnership facilitated as well as impeded the progress of these developments.

CONCLUSIONS

Although collaborative research may serve as a tool to narrow the gap between research and practice, discussing the collaborative process and partner heterogeneity among the partners at the outset may be a necessary prerequisite to achieving the full potential of any partnership, which is limited by the ambivalent influence of partner heterogeneity. Collaborative research may, therefore, additionally benefit from continuous cross-domain orchestration and boundary work.

摘要

目的

已经发现卫生服务研究与实践之间存在差距:研究结果往往无法付诸实践。我们的目的是探索协作研究在一个特定领域(健康促进)中弥合这一差距的潜力,并确定影响基于理论的实践和基于实践的理论发展的因素。

方法

这在一项探索性的单案例研究中进行了调查。首先,我们设计了一个协作研究的分析框架。其次,我们使用该框架分析了荷兰健康经纪人伙伴关系的发展情况,该关系涉及研究人员、政策制定者和实践者。数据包括伙伴关系会议的记录以及对其 13 名成员的访谈。

结果

尽管实践人员的行动变得更加全面,研究人员的思维受到实践限制和当地背景的影响更大,但基于理论的实践和基于实践的理论的发展都未能超出初始阶段。伙伴关系的异质性促进了这些发展,也阻碍了这些发展。

结论

虽然协作研究可以作为缩小研究与实践之间差距的工具,但在开始时与合作伙伴一起讨论协作过程和合作伙伴的异质性可能是实现任何伙伴关系的全部潜力的必要前提,而这种潜力受到合作伙伴异质性的矛盾影响的限制。因此,协作研究可能还需要不断的跨领域协调和边界工作。

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