Newfoundland and Labrador Centre for Applied Health Research, 95 Bonaventure Avenue, Suite 300, St. John's, NL, A1B 2X5, Canada.
Syst Rev. 2017 Nov 2;6(1):218. doi: 10.1186/s13643-017-0606-4.
The Contextualized Health Research Synthesis Program (CHRSP), developed in 2007 by the Newfoundland and Labrador Centre for Applied Health Research, produces contextualized knowledge syntheses for health-system decision makers. The program provides timely, relevant, and easy-to-understand scientific evidence; optimizes evidence uptake; and, most importantly, attunes research questions and evidence to the specific context in which knowledge users must apply the findings.
As an integrated knowledge translation (KT) method, CHRSP: Involves intensive partnerships with senior healthcare decision makers who propose priority research topics and participate on research teams; Considers local context both in framing the research question and in reporting the findings; Makes economical use of resources by utilizing a limited number of staff; Uses a combination of external and local experts; and Works quickly by synthesizing high-level systematic review evidence rather than primary studies. Although it was developed in the Canadian province of Newfoundland and Labrador, the CHRSP methodology is adaptable to a variety of settings with distinctive features, such as those in rural, remote, and small-town locations.
CHRSP has published 25 syntheses on priority topics chosen by the provincial healthcare system, including: Clinical and cost-effectiveness: telehealth, rural renal dialysis, point-of-care testing; Community-based health services: helping seniors age in place, supporting seniors with dementia, residential treatment centers for at-risk youth; Healthcare organization/service delivery: reducing acute-care length of stay, promoting flu vaccination among health workers, safe patient handling, age-friendly acute care; and Health promotion: diabetes prevention, promoting healthy dietary habits. These studies have been used by decision makers to inform local policy and practice decisions.
By asking the health system to identify its own priorities and to participate directly in the research process, CHRSP fully integrates KT among researchers and knowledge users in healthcare in Newfoundland and Labrador. This high level of decision-maker buy-in has resulted in a corresponding level of uptake. CHRSP studies have directly informed a number of policy and practice directions, including the design of youth residential treatment centers, a provincial policy on single-use medical devices, and most recently, the opening of the province's first Acute Care for the Elderly hospital unit.
语境化健康研究综合计划（CHRSP）于 2007 年由纽芬兰和拉布拉多应用健康研究中心开发，为卫生系统决策者提供语境化知识综合服务。该计划提供及时、相关和易于理解的科学证据；优化证据的采用；最重要的是，使研究问题和证据适应知识使用者必须应用研究结果的具体背景。
作为一种综合知识转化（KT）方法，CHRSP：与高级医疗保健决策者建立密集的合作伙伴关系，他们提出优先研究课题并参与研究团队；在提出研究问题和报告研究结果时考虑当地情况；通过利用有限数量的工作人员来经济地利用资源；利用外部和本地专家的组合；通过综合高级系统评价证据而不是初级研究来快速工作。尽管它是在加拿大纽芬兰和拉布拉多省开发的，但 CHRSP 方法适用于具有独特特征的各种环境，例如农村、偏远和小镇环境。
CHRSP 已经就省级医疗系统选择的优先主题发布了 25 项综合研究，包括：临床和成本效益：远程医疗、农村肾脏透析、即时检测；基于社区的卫生服务：帮助老年人在家中安度晚年、支持痴呆症老年人、有风险的青年住宅治疗中心；医疗保健组织/服务提供：缩短急性护理住院时间、促进卫生工作者接种流感疫苗、安全患者搬运、老年人友好型急性护理；以及健康促进：糖尿病预防、促进健康饮食习惯。这些研究已被决策者用于为当地政策和实践决策提供信息。
通过要求卫生系统确定自己的优先事项并直接参与研究过程，CHRSP 在纽芬兰和拉布拉多的研究人员和医疗保健知识使用者之间充分整合了 KT。这种高水平的决策者参与导致了相应水平的采用。CHRSP 研究直接为一些政策和实践方向提供了信息，包括青年住宅治疗中心的设计、省级一次性医疗器械政策，以及最近纽芬兰省第一家急性老年病医院病房的开设。
