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[卫生服务研究的现状与潜力:巴伐利亚参与者的视角]

[Status quo and potential of health services research: the perspective of Bavarian actors].

作者信息

Hollederer A, Voigtländer S, Wildner M, Zapf A, Zellner A

机构信息

Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit (LGL), Nürnberg.

出版信息

Gesundheitswesen. 2015 Mar;77(3):186-92. doi: 10.1055/s-0034-1367030. Epub 2014 May 6.

DOI:10.1055/s-0034-1367030
PMID:24801565
Abstract

In 2011, the Bavarian Parliament decided to advance health services research (HSR) in Bavaria by bundling scientific competencies in a State Working Group and integrating other actors in it. The establishment of such a State Working Group "Health Services Research" -(LAGeV) together with members from science, health care and politics followed in 2012. The objective of this study is to identify the status quo of HSR in Bavaria including its determinants and potential for development based on the actors' perspective.After the inaugural meeting a semi-structured questionnaire was sent to all 36 members from 28 organisations. Items comprise information on the respondent's background as well as status quo, future topics and potential for development of HSR in Bavaria.27 members took part in the survey, resulting in a response rate of 75.0%. Satisfaction of actors with the status quo of HSR is rather low, especially regarding the effectiveness of policy advice. Researchers and health care providers are also not much satisfied with the HSR environment. For the future of HSR, respondents prioritise the topics interface and networking research, followed by innovative care concepts, care for patients with multiple or chronic conditions as well as evaluation of innovations, processes and technologies. Potential for development and thus improvement of care is primarily seen in the abolishment of existing constraints by an overall HSR concept (including selective research promotion), networking and cooperation, research funding as well as improving the interface between politics and science. Respondents assess the benefit of an increased networking within the LAGeV as high.Status quo of HSR in Bavaria is not very satisfactory. The survey reveals important constraints as well as promoting factors based on the viewpoints of different groups of actors. It also prioritises future HSR topics and identifies potential for development, which are important for the LAGeV. The findings can be used for advancing HSR in Bavaria and beyond.

摘要

2011年,巴伐利亚州议会决定通过将科学能力整合到一个州工作组并吸纳其他相关方参与其中,来推动巴伐利亚州的卫生服务研究(HSR)。2012年,成立了这样一个“卫生服务研究”州工作组(LAGeV),成员包括来自科学界、医疗保健界和政界的代表。本研究的目的是从参与者的角度确定巴伐利亚州卫生服务研究的现状,包括其决定因素和发展潜力。在首次会议之后,向来自28个组织的所有36名成员发送了一份半结构化问卷。问卷内容包括受访者的背景信息,以及巴伐利亚州卫生服务研究的现状、未来主题和发展潜力。27名成员参与了调查,回复率为75.0%。参与者对卫生服务研究现状的满意度相当低,尤其是在政策建议的有效性方面。研究人员和医疗保健提供者对卫生服务研究环境也不太满意。对于卫生服务研究的未来,受访者将主题接口和网络研究列为优先事项,其次是创新护理概念、对患有多种疾病或慢性病患者的护理以及对创新、流程和技术的评估。护理的发展潜力以及改善主要体现在通过整体卫生服务研究概念(包括选择性研究促进)消除现有限制、建立网络和合作、研究资金以及改善政界与科学界之间的接口。受访者认为在LAGeV内部加强网络联系的益处很大。巴伐利亚州卫生服务研究的现状不太令人满意。该调查揭示了基于不同行为者群体观点的重要限制因素和促进因素。它还确定了未来卫生服务研究的主题优先级,并明确了发展潜力,这对LAGeV很重要。这些研究结果可用于推动巴伐利亚州及其他地区的卫生服务研究。

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