Fox Amanda, Gardner Glenn, Osborne Sonya
Queensland University of Technology, School of Nursing, Victoria Park Road, Kelvin Grove, Qld 4059, Australia. Email:.
Aust Health Rev. 2015 Feb;39(1):70-75. doi: 10.1071/AH14031.
Health service managers and policy makers are increasingly concerned about the sustainability of innovations implemented in health care settings. The increasing demand on health services requires that innovations are both effective and sustainable; however, research in this field is limited, with multiple disciplines, approaches and paradigms influencing the field. These variations prevent a cohesive approach, and therefore the accumulation of research findings, in the development of a body of knowledge. The purpose of this paper is to provide a thorough examination of the research findings and provide an appropriate theoretical framework to examine sustainability of health service innovation.
This paper presents an integrative review of the literature available in relation to sustainability of health service innovation and provides the development of a theoretical framework based on integration and synthesis of the literature.
A theoretical framework serves to guide research, determine variables, influence data analysis and is central to the quest for ongoing knowledge development. This research outlines the sustainability of innovation framework; a theoretical framework suitable for examining the sustainability of health service innovation.
If left unaddressed, health services research will continue in an ad hoc manner, preventing full utilisation of outcomes, recommendations and knowledge for effective provision of health services. The sustainability of innovation theoretical framework provides an operational basis upon which reliable future research can be conducted.
卫生服务管理者和政策制定者越来越关注在卫生保健环境中实施的创新的可持续性。对卫生服务的需求不断增加,这就要求创新既有效又可持续;然而,该领域的研究有限,多个学科、方法和范式影响着这一领域。这些差异阻碍了一种连贯的方法,从而也阻碍了在知识体系发展过程中研究成果的积累。本文的目的是对研究结果进行全面审视,并提供一个合适的理论框架来审视卫生服务创新的可持续性。
本文对与卫生服务创新可持续性相关的现有文献进行了综合综述,并在文献整合与综合的基础上构建了一个理论框架。
一个理论框架有助于指导研究、确定变量、影响数据分析,并且对于持续的知识发展探索至关重要。本研究概述了创新可持续性框架;这是一个适用于审视卫生服务创新可持续性的理论框架。
如果不加以解决,卫生服务研究将继续以临时的方式进行,阻碍对成果、建议和知识的充分利用,以有效提供卫生服务。创新可持续性理论框架提供了一个操作基础,在此基础上可以开展可靠的未来研究。