Iliffe Steve, Manthorpe Jill, Drennan Vari, Goodman Claire, Warner James
Professor of Primary Care for Older People, Research Department of Primary Care and Population Health, University College London, UK.
Professor of Social Work, Social Care Workforce Research Unit, King's College London, UK.
London J Prim Care (Abingdon). 2008;1(2):69-73. doi: 10.1080/17571472.2008.11493211.
The emphasis in NHS Research and Development is shifting towards the 'D' component, and primary care is better placed than traditional academia to use the opportunities that this shift will create.Multidisciplinary working and collaboration between institutions that are competitive are possible, and may even be easier to achieve through primary care because of its collaborative traditions.The fragmentary nature of London's health and social services, and the diversity of the population, are a challenge to all research and development work.The bureaucracy of research governance, and the risk aversion that it contains, are a problem for research and development.
This paper matters to me for two reasons, one to do with applied research and the other to do with ageing and neurodegenerative diseases.
英国国家医疗服务体系(NHS)研发的重点正转向“发展”部分,与传统学术界相比,初级医疗更有条件利用这一转变所带来的机遇。多学科合作以及竞争性机构之间的协作是可行的,而且由于初级医疗的协作传统,通过它可能更容易实现。伦敦卫生与社会服务的碎片化性质以及人口的多样性,对所有研发工作都是一项挑战。研究治理的官僚作风及其所包含的规避风险态度,是研发工作面临的一个问题。
本文对我有两方面重要意义,一方面与应用研究有关,另一方面与衰老和神经退行性疾病有关。