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开展跨学科研究的促进因素和挑战。

Facilitators and challenges to conducting interdisciplinary research.

机构信息

Washington State University College of Nursing, Spokane, WA 99210-1495, USA.

出版信息

Med Care. 2013 Apr;51(4 Suppl 2):S23-31. doi: 10.1097/MLR.0b013e31827dc3c9.

Abstract

BACKGROUND

Complex, interconnected issues challenge the United States health care system and the patients and families it serves. System fragmentation, limited resources, rigid disciplinary boundaries, institutional culture, ineffective communication, and uncertainty surrounding health policy legislation are contributing to suboptimal care delivery and patient outcomes.

METHODS

These problems are too complex to be solved by a single discipline. Interdisciplinary research affords the opportunity to examine and solve some of these problems from a more integrative perspective using innovative and rigorous methodological designs.

RESULTS

In this paper, we explore lessons learned from exemplars funded by the Robert Wood Johnson Foundation's Interdisciplinary Nursing Quality Research Initiative.

DISCUSSION

The discussion is framed using an adaptation of the Interdisciplinary Research Model to evaluate improvements in individual health outcomes, health systems, and health policy. Barriers and facilitators to designing, conducting, and translating interdisciplinary research are discussed. Implications for health system and policy changes, including the need to provide funding mechanisms to implement interdisciplinary processes in both research and clinical practice, are provided.

摘要

背景

复杂且相互关联的问题给美国的医疗体系及其服务的患者和家庭带来了挑战。系统碎片化、资源有限、僵化的学科界限、机构文化、沟通不畅以及围绕医疗政策立法的不确定性,导致医疗服务的提供和患者的治疗效果欠佳。

方法

这些问题过于复杂,无法通过单一学科解决。跨学科研究提供了机会,可采用创新和严格的方法设计,从更综合的角度来检查和解决其中的一些问题。

结果

本文探讨了罗伯特伍德约翰逊基金会跨学科护理质量研究倡议资助的范例中所获得的经验教训。

讨论

讨论采用了跨学科研究模型的改编版,以评估个体健康结果、卫生系统和卫生政策的改善情况。本文讨论了设计、进行和转化跨学科研究的障碍和促进因素。本文还探讨了对卫生系统和政策变化的影响,包括提供资金机制以在研究和临床实践中实施跨学科流程的必要性。

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