Academic Collaborative Centre for Public Health Limburg, Regional Public Health Service, PO Box 2022, Geleen, HA 6160, The Netherlands.
Health Res Policy Syst. 2012 Oct 17;10:33. doi: 10.1186/1478-4505-10-33.
Joining the domains of practice, research and policy is an important aspect of boosting the quality performance required to tackle complex public health problems. "Joining domains" implies a departure from the linear and technocratic knowledge-translation approach. Integrating the practice, research and policy triangle means knowing its elements, appreciating the barriers, identifying possible cooperation strategies and studying strategy effectiveness under specified conditions.This article examines the dynamic process of developing an Academic Collaborative Centre for Public Health in the Netherlands, with the objective of achieving that the three domains of policy, practice and research become working partners on an equal footing.
An interpretative hermeneutic approach was used to interpret the phenomenon of collaboration at the nexus between the three domains. The project was explicitly grounded in current organizational culture and routines, applied to nexus action. In the process of examination, we used both quantitative (e.g. records) and qualitative data (e.g., interviews and observations). The data were interpreted using the Actor-Network, Institutional Re-Design and Blurring the Boundaries theories.
Results show commitment at strategic level. At the tactical level, however, managers were inclined to prioritize daily routine, while the policy domain remained absent. At the operational level, practitioners learned to do PhD research in real-life practice and researchers became acquainted with problems of practice and policy, resulting in new research initiatives.
We conclude that working at the nexus is an ongoing process of formation and reformation. Strategies based on Institutional Re-Design theories in particular might help to more actively stimulate managers' involvement to establish mutually supportive networks.
将实践、研究和政策领域结合起来，是提高解决复杂公共卫生问题所需质量绩效的一个重要方面。“领域结合”意味着摒弃线性和技术官僚主义的知识转化方法。整合实践、研究和政策三角意味着了解其要素，认识到障碍，确定可能的合作策略，并在特定条件下研究策略的有效性。本文考察了在荷兰建立公共卫生学术合作中心的动态过程，目的是实现政策、实践和研究三个领域成为平等的工作伙伴。
采用解释性诠释学方法来解释三个领域交汇处的合作现象。该项目明确立足于当前的组织文化和常规，应用于衔接行动。在审查过程中，我们同时使用了定量数据（如记录）和定性数据（如访谈和观察）。使用行动者网络、制度再设计和模糊边界理论对数据进行解释。
结果显示在战略层面上的承诺。然而，在战术层面上，管理者倾向于优先考虑日常事务，而政策领域则缺席。在业务层面上，从业者学会在实际工作中进行博士研究，研究人员也熟悉了实践和政策问题，从而产生了新的研究倡议。
我们的结论是，在衔接处工作是一个不断形成和改革的过程。特别是基于制度再设计理论的策略可能有助于更积极地激发管理者的参与，建立相互支持的网络。
