Nedjat Saharnaz, Gholami Jaleh, Yazdizadeh Bahareh, Nedjat Sima, Maleki Katayoun, Majdzadeh Reza
1. Dept. of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran ; 2. Knowledge Utilization Research Center (KURC), Tehran University of Medical Sciences, Tehran, Iran.
2. Knowledge Utilization Research Center (KURC), Tehran University of Medical Sciences, Tehran, Iran.
Iran J Public Health. 2014 Jul;43(7):968-80.
Knowledge Translation is a process that includes synthesis, dissemination, exchange and application of knowledge to improve the health, services and products In this study we have attempted to examine the knowledge translation practice and its perceived barriers on the universalities and research institutes (research sector) in Iran.
Both qualitative and quantitative approaches were used. In the quantitative section, a questionnaire had prepared for this study was completed by 88 authors country wide from randomly selected papers. In the qualitative section 13 in-depth interviews and 6 focus group discussions were held with managers and policy makers, clinical and health service providers, and researchers.
Twenty four percent of the authors had no interaction whatsoever with the target audience. Lack of expectation toward creating change in the target audience, researchers' incentives, low level of trust among researchers and decision makers, absence of a predefined mechanism for delivery of research results and inappropriate research priorities were among the most important barriers identified in the qualitative section.
Translation of research findings into some concrete outputs which can affect health of people is not in mandate of researchers and subsequently they are not prepared for this as well. Based on the barriers identified, it seems that the following interventions are necessary: cooperation among policy makers at macro and meso (organizational) level and the research sector; establishing networks for researchers and decision makers in choosing the research topic, priority setting, and building trust among researchers and policy makers.
知识转化是一个包括知识的综合、传播、交流和应用以改善健康、服务和产品的过程。在本研究中,我们试图考察伊朗大学和研究机构(研究部门)的知识转化实践及其感知到的障碍。
采用了定性和定量两种方法。在定量部分,由来自全国的88位作者根据随机抽取的论文完成了为本研究准备的一份问卷。在定性部分,与管理人员、政策制定者、临床和卫生服务提供者以及研究人员进行了13次深入访谈和6次焦点小组讨论。
24%的作者与目标受众没有任何互动。对在目标受众中产生变化缺乏期望、研究人员的激励措施、研究人员与决策者之间的信任度低、缺乏预定义的研究结果传递机制以及不适当的研究重点是定性部分确定的最重要障碍。
将研究结果转化为能够影响人们健康的具体成果并非研究人员的职责,因此他们也没有为此做好准备。基于所确定的障碍,似乎有必要采取以下干预措施:宏观和中观(组织)层面的政策制定者与研究部门之间开展合作;建立研究人员和决策者网络,以选择研究课题、确定优先事项,并在研究人员和政策制定者之间建立信任。