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跨部门公共卫生网络的多案例研究:利用研究的经验与益处

A multiple case study of intersectoral public health networks: experiences and benefits of using research.

作者信息

Kothari Anita, McPherson Charmaine, Gore Dana, Cohen Benita, MacDonald Marjorie, Sibbald Shannon L

机构信息

School of Health Studies, The University of Western Ontario, Labatt Health Sciences Building, Room 222, London, ON, N6A 5B9, Canada.

School of Nursing, St. Francis Xavier University, Antigonish, Box 5000, NS, B2G 2W5, Canada.

出版信息

Health Res Policy Syst. 2016 Feb 11;14:11. doi: 10.1186/s12961-016-0082-7.

Abstract

BACKGROUND

Network partnerships between public health and third sector organisations are being used to address the complexities of population level social determinants of health and health equity. An understanding of how these networks use research and knowledge is crucial to effective network design and outcome evaluation. There is, however, a gap in the literature regarding how public health networks use research and knowledge. The purpose of this paper is to report on the qualitative findings from a larger study that explored (1) the experiences of public health networks with using research and knowledge, and (2) the perceived benefits of using research and knowledge.

METHODS

A multiple case study approach framed this study. Focus group data were collected from participants through a purposive sample of four public health networks. Data were analyzed using Framework Analysis and Nvivo software supported data management. Each network had the opportunity to participate in data interpretation.

RESULTS

All networks used published research studies and other types of knowledge to accomplish their work, although in each network research and knowledge played different but complementary roles. Neither research nor other types of knowledge were privileged, and an approach that blended varied knowledge types was typically used. Network experiences with research and knowledge produced individual and collective benefits. A novel finding was that research and knowledge were both important in shaping network function.

CONCLUSIONS

This study shifts the focus in the current literature from public health departments to the community setting where public health collaborates with a broader spectrum of actors to ameliorate health inequities. Both formal research and informal knowledge were found to be important for collaborative public health networks. Examining the benefits of research and knowledge use within public health networks may help us to better understand the relationships among process (the collaborative use of research and knowledge), structure (networks) and outcomes (benefits).

摘要

背景

公共卫生部门与第三部门组织之间的网络伙伴关系正被用于应对人群层面健康的社会决定因素和健康公平性的复杂性。了解这些网络如何利用研究和知识对于有效的网络设计和结果评估至关重要。然而,关于公共卫生网络如何利用研究和知识的文献存在空白。本文的目的是报告一项更大规模研究的定性结果,该研究探讨了:(1)公共卫生网络利用研究和知识的经验;(2)利用研究和知识的感知益处。

方法

本研究采用多案例研究方法。通过对四个公共卫生网络的目的抽样,从参与者那里收集焦点小组数据。使用框架分析和Nvivo软件支持的数据管理对数据进行分析。每个网络都有机会参与数据解读。

结果

所有网络都利用已发表的研究和其他类型的知识来完成其工作,尽管在每个网络中,研究和知识发挥着不同但互补的作用。研究和其他类型的知识都没有特权,通常采用一种融合多种知识类型的方法。网络在研究和知识方面积累的经验产生了个体和集体的益处。一个新发现是,研究和知识在塑造网络功能方面都很重要。

结论

本研究将当前文献中的重点从公共卫生部门转移到了社区环境,在该环境中,公共卫生与更广泛的行为者合作以改善健康不平等。正式研究和非正式知识对于协作性公共卫生网络都很重要。审视公共卫生网络中研究和知识利用的益处可能有助于我们更好地理解过程(研究和知识的协作利用)、结构(网络)和结果(益处)之间的关系。

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