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应用研究的政策和实践影响:以新南威尔士州健康促进示范研究资助计划(2000-2006 年)为例的分析。

Policy and practice impacts of applied research: a case study analysis of the New South Wales Health Promotion Demonstration Research Grants Scheme 2000-2006.

机构信息

Centre for Epidemiology and Evidence, NSW Ministry of Health, Locked Mail Bag 961, North Sydney, NSW 2059, Australia.

出版信息

Health Res Policy Syst. 2013 Feb 2;11:5. doi: 10.1186/1478-4505-11-5.

Abstract

BACKGROUND

Intervention research provides important information regarding feasible and effective interventions for health policy makers, but few empirical studies have explored the mechanisms by which these studies influence policy and practice. This study provides an exploratory case series analysis of the policy, practice and other related impacts of the 15 research projects funded through the New South Wales Health Promotion Demonstration Research Grants Scheme during the period 2000 to 2006, and explored the factors mediating impacts.

METHODS

Data collection included semi-structured interviews with the chief investigators (n = 17) and end-users (n = 29) of each of the 15 projects to explore if, how and under what circumstances the findings had been used, as well as bibliometric analysis and verification using documentary evidence. Data analysis involved thematic coding of interview data and triangulation with other data sources to produce case summaries of impacts for each project. Case summaries were then individually assessed against four impact criteria and discussed at a verification panel meeting where final group assessments of the impact of research projects were made and key influences of research impact identified.

RESULTS

Funded projects had variable impacts on policy and practice. Project findings were used for agenda setting (raising awareness of issues), identifying areas and target groups for interventions, informing new policies, and supporting and justifying existing policies and programs across sectors. Reported factors influencing the use of findings were: i) nature of the intervention; ii) leadership and champions; iii) research quality; iv) effective partnerships; v) dissemination strategies used; and, vi) contextual factors.

CONCLUSIONS

The case series analysis provides new insights into how and under what circumstances intervention research is used to influence real world policy and practice. The findings highlight that intervention research projects can achieve the greatest policy and practice impacts if they address proximal needs of the policy context by engaging end-users from the inception of projects and utilizing existing policy networks and structures, and using a range of strategies to disseminate findings that go beyond traditional peer review publications.

摘要

背景

干预研究为卫生政策制定者提供了关于可行和有效的干预措施的重要信息,但很少有实证研究探讨这些研究如何影响政策和实践。本研究对 2000 年至 2006 年期间通过新南威尔士州健康促进示范研究资助计划资助的 15 个研究项目的政策、实践和其他相关影响进行了探索性案例系列分析,并探讨了影响的中介因素。

方法

数据收集包括对每个项目的首席研究员(n=17)和最终用户(n=29)进行半结构化访谈,以探讨研究结果是否、如何以及在何种情况下被使用,同时还进行了文献计量分析和使用文件证据进行验证。数据分析包括对访谈数据的主题编码以及与其他数据源的三角分析,以生成每个项目影响的案例摘要。然后,根据四项影响标准对案例摘要进行单独评估,并在验证小组会议上进行讨论,会上对研究项目的影响进行最终小组评估,并确定研究影响的关键因素。

结果

资助的项目对政策和实践有不同的影响。项目研究结果用于:i)确定议程(提高对问题的认识);ii)确定干预措施的领域和目标群体;iii)为新政策提供信息;iv)支持和证明各部门现有政策和计划。报告的影响研究结果使用的因素包括:i)干预措施的性质;ii)领导和拥护者;iii)研究质量;iv)有效的伙伴关系;v)使用的传播策略;以及 vi)背景因素。

结论

案例系列分析为干预研究如何以及在何种情况下用于影响现实世界的政策和实践提供了新的见解。研究结果表明,如果干预研究项目从项目开始时就与最终用户合作,并利用现有的政策网络和结构,以及使用一系列超越传统同行评审出版物的传播策略来满足政策背景的近期需求,那么这些项目可以实现最大的政策和实践影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad6c/3621590/e67ad1a6e8a6/1478-4505-11-5-1.jpg

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