Peninsula Collaboration for Leadership in Applied Health Research and Care (PenCLAHRC), University of Exeter, Exeter.
Health Expect. 2015 Feb;18(1):8-21. doi: 10.1111/hex.12029. Epub 2012 Dec 6.
AIM/BACKGROUND: To describe the two-stage prioritization process being used by the UK National Institute for Health Research's Collaboration for Leadership in Applied Health Research and Care for the South-West Peninsula (or PenCLAHRC) - a joint health service and university partnership and reflect on implications for the wider context of priority setting in health-care research.
PenCLAHRC's process establishes the priorities of Stakeholders including service users across a regional health system for locally relevant health services research and implementation. Health research questions are collected from clinicians, academics and service users in Devon and Cornwall (UK) using a web-based question formulation tool. There is a two-stage prioritization process which uses explicit criteria and a wide Stakeholder group, including service users to identify important research questions relevant to the south-west peninsula locality.
To date, a wide variety of health research topics have been prioritized by the PenCLAHRC Stakeholders. The research agenda reflects the interests of academics, clinicians and service users in the local area. Potential challenges to implementation of the process include time constraints, variable quality of questions (including the language of research) and initiating and maintaining engagement in the process. Shared prioritization of local health research needs can be achieved between Stakeholders from a wide range of perspectives.
The processes developed have been successful and, with minor changes, will continue to be used during subsequent rounds of prioritization. Engagement of Stakeholders in establishing a research agenda encourages the most relevant health questions to be asked and may improve implementation of research findings and take up by service users.
目的/背景：描述英国国家卫生研究院合作应用健康研究与护理（PenCLAHRC）在南德文郡的两阶段优先排序过程 - 这是一个联合卫生服务和大学的合作伙伴关系，并反映了在更广泛的医疗保健研究优先排序背景下的意义。
PenCLAHRC 的流程确定了利益相关者（包括整个区域卫生系统的服务使用者）的优先事项，以开展当地相关的健康服务研究和实施。使用基于网络的问题制定工具，从德文郡和康沃尔郡（英国）的临床医生、学者和服务使用者那里收集健康研究问题。该流程有两阶段的优先排序过程，使用明确的标准和广泛的利益相关者群体，包括服务使用者，以确定与西南半岛地区相关的重要研究问题。
迄今为止，PenCLAHRC 的利益相关者已经对各种健康研究主题进行了优先排序。研究议程反映了该地区学者、临床医生和服务使用者的兴趣。实施该过程的潜在挑战包括时间限制、问题质量的差异（包括研究的语言）以及在该过程中的启动和维持参与。来自广泛视角的利益相关者可以共同确定当地健康研究需求的优先排序。
所开发的流程是成功的，并且在随后的优先排序轮次中，只需进行微小的更改即可继续使用。利益相关者参与制定研究议程可以鼓励提出最相关的健康问题，并可能提高研究结果的实施和服务使用者的采纳。
