Corluka Adrijana, Hyder Adnan A, Segura Elsa, Winch Peter, McLean Robert K D
Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America.
National Institute of Parasitology "Dr. M. Fatala Chaben", Ministry of Health, Buenos Aires, Argentina.
PLoS One. 2015 Apr 30;10(4):e0125711. doi: 10.1371/journal.pone.0125711. eCollection 2015.
In this study, Argentine health researchers were surveyed regarding their perceptions of facilitators and barriers to evidence-based policymaking in Argentina, as well as their publication activities, and research environment satisfaction.
A self-administered online survey was sent to health researchers in Argentina. The survey questions were based on a preceding qualitative study of Argentine health researchers, as well as the scientific literature.
Of the 647 researchers that were reached, 226 accessed the survey, for a response rate of 34.9%. Over 80% of researchers surveyed had never been involved in or contributed to decision-making, while over 90% of researchers indicated they would like to be involved in the decision-making process. Decision-maker self-interest was perceived to be the driving factor in the development of health and healthcare policies. Research conducted by a research leader was seen to be the most influential factor in influencing health policy, followed by policy relevance of the research. With respect to their occupational environment, researchers rated highest and most favourably the opportunities available to present, discuss and publish research results and their ability to further their education and training. Argentine researchers surveyed demonstrated a strong interest and willingness to contribute their work and expertise to inform Argentine health policy development.
Despite Argentina's long scientific tradition, there are relatively few institutionalized linkages between health research results and health policymaking. Based on the results of this study, the disconnect between political decision-making and the health research system, coupled with fewer opportunities for formalized or informal researcher/decision-maker interaction, contribute to the challenges in evidence informing health policymaking in Argentina. Improving personal contact and the building of relationships between researchers and policymakers in Argentina will require taking into account researcher perceptions of policymakers, as highlighted in this study.
在本研究中,对阿根廷卫生研究人员进行了调查,了解他们对阿根廷循证决策的促进因素和障碍的看法、他们的出版活动以及对研究环境的满意度。
向阿根廷的卫生研究人员发送了一份自行填写的在线调查问卷。调查问卷的问题基于之前对阿根廷卫生研究人员的定性研究以及科学文献。
在联系到的647名研究人员中,226人访问了该调查问卷,回复率为34.9%。超过80%的受访研究人员从未参与过决策或为决策做出贡献,而超过90%的研究人员表示他们希望参与决策过程。决策者的自身利益被认为是卫生和医疗政策制定的驱动因素。由研究负责人进行的研究被视为影响卫生政策的最具影响力因素,其次是研究的政策相关性。关于他们的职业环境,研究人员对展示、讨论和发表研究结果的机会以及他们进一步接受教育和培训的能力评价最高且最为积极。接受调查的阿根廷研究人员表现出强烈的兴趣和意愿,愿意贡献他们的工作和专业知识,为阿根廷卫生政策的制定提供信息。
尽管阿根廷有着悠久的科学传统,但卫生研究结果与卫生政策制定之间的制度化联系相对较少。基于本研究的结果,政治决策与卫生研究系统之间的脱节,以及研究人员/决策者进行正式或非正式互动的机会较少,导致了阿根廷循证卫生决策面临挑战。改善阿根廷研究人员与政策制定者之间的个人联系和关系建设,需要考虑到本研究中强调的研究人员对政策制定者的看法。