Zardo Pauline, Collie Alex, Livingstone Charles
Monash University, Department of Epidemiology and Preventive Medicine, Australia; Institute for Safety, Compensation and Recovery Research, Australia.
Monash University, Department of Epidemiology and Preventive Medicine, Australia; Institute for Safety, Compensation and Recovery Research, Australia.
Soc Sci Med. 2014 May;108:120-7. doi: 10.1016/j.socscimed.2014.02.046. Epub 2014 Mar 1.
This study examined external factors affecting policy and program decision-making in a specific public health policy context: injury prevention and rehabilitation compensation in the Australian state of Victoria. The aim was twofold: identify external factors that affect policy and program decision-making in this specific context; use this evidence to inform targeting of interventions aimed at increasing research use in this context. Qualitative interviews were undertaken from June 2011 to January 2012 with 33 employees from two state government agencies. Key factors identified were stakeholder feedback and action, government and ministerial input, legal feedback and action, injured persons and the media. The identified external factors were able to significantly influence policy and program decision-making processes: acting as both barriers and facilitators, depending on the particular issue at hand. The factors with the most influence were the Minister and government, lawyers, and agency stakeholders, particularly health providers, trade unions and employer groups. This research revealed that interventions aimed at increasing use of research in this context must target and harness the influence of these groups. This research provides critical insights for researchers seeking to design interventions to increase use of research in policy environments and influence decision-making in Victorian injury prevention and rehabilitation compensation.
澳大利亚维多利亚州的伤害预防与康复补偿。目的有两个：确定在此特定背景下影响政策和项目决策的外部因素；利用这些证据为旨在增加此背景下研究成果应用的干预措施提供目标导向。2011年6月至2012年1月，对两个州政府机构的33名员工进行了定性访谈。确定的关键因素包括利益相关者的反馈与行动、政府和部长的投入、法律反馈与行动、伤者及媒体。所确定的外部因素能够显著影响政策和项目决策过程：根据手头的具体问题，既可能成为障碍，也可能起到促进作用。最具影响力的因素是部长和政府、律师以及机构利益相关者，特别是医疗服务提供者、工会和雇主团体。这项研究表明，旨在增加此背景下研究成果应用的干预措施必须针对并利用这些群体的影响力。这项研究为寻求设计干预措施以增加研究成果在政策环境中的应用并影响维多利亚州伤害预防与康复补偿决策的研究人员提供了重要见解。
