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昆士兰急诊医疗研究支持网络。

A Queensland research support network in emergency healthcare.

机构信息

Emergency Department, Gold Coast University Hospital , Southport, Australia.

Emergency Medicine Foundation Ltd, Brisbane, Australia.

出版信息

J Health Organ Manag. 2019 Mar 18;33(1):93-109. doi: 10.1108/JHOM-02-2018-0068. Epub 2019 Jan 10.

DOI:10.1108/JHOM-02-2018-0068
PMID:30859915
Abstract

PURPOSE

The purpose of this paper is to describe the structure and impact of a Queensland Research Support Network (RSN) in emergency medicine (EM).

DESIGN/METHODOLOGY/APPROACH: This paper presents a descriptive summary of EM networks, network evaluations and the structure and development of the Emergency Medicine Foundation's (EMF) RSN in Queensland, including an observational pre- and post-study of research metrics.

FINDINGS

In two years, the RSN supported 33 Queensland emergency departments (EDs), of which 14 developed research strategies. There was an increase in research active clinicians, from 23 in 2015 to 181 in 2017. Collaborator engagement increased from 9 in 2015 to 276 in 2017 as did the number of research presentations, from 6 in 2015 to 61 in 2017. EMF experienced a growth in new researchers, with new investigators submitting approximately 60 per cent of grant applications in 2016 and 2017. EMF also received new applications from a further three HHS (taking EMF-funded research activity from 8 to 11 HHS).

RESEARCH LIMITATIONS/IMPLICATIONS: This paper describes changes in KPIs and research metrics, which the authors attribute to the establishment of the RSN. However, it is possible that attribution bias plays a role in the KPI improvements.

SOCIAL IMPLICATIONS

This network has actively boosted and expanded EM research capacity and capability in Queensland. It provides services, in the form of on-the-ground managers, to develop novice clinician-researchers, new projects and engage entire EDs. This model may be replicated nationwide but requires funding commitment.

ORIGINALITY/VALUE: The RSN improves front-line clinician research capacity and capability and increases research activity and collaborations with clear community outcomes. Collaborations were extended to community, primary health networks, non-government organisations, national and international researchers and academic institutions. Evaluating and measuring a network's benefits are difficult, but it is likely that evaluations will help networks obtain funding.

摘要

目的

本文旨在描述昆士兰研究支持网络(RSN)在急诊医学(EM)中的结构和影响。

设计/方法/方法:本文介绍了 EM 网络、网络评估以及昆士兰紧急医学基金会(EMF)RSN 的结构和发展的描述性总结,包括对研究指标的前瞻性和回顾性研究。

发现

在两年内,RSN 支持了昆士兰的 33 个急诊部门(ED),其中 14 个制定了研究策略。研究活跃的临床医生从 2015 年的 23 人增加到 2017 年的 181 人。合作方的参与度从 2015 年的 9 人增加到 2017 年的 276 人,研究报告的数量也从 2015 年的 6 份增加到 2017 年的 61 份。EMF 也迎来了新的研究人员的增长,新的研究人员提交了大约 60%的 2016 年和 2017 年的资助申请。EMF 还收到了另外三个 HHS(将 EMF 资助的研究活动从 8 个增加到 11 个)的新申请。

研究限制/影响:本文描述了关键绩效指标(KPI)和研究指标的变化,作者认为这归因于 RSN 的建立。然而,归因偏差可能在 KPI 的改善中发挥了作用。

社会影响

该网络积极促进和扩大了昆士兰的急诊医学研究能力和实力。它通过实地管理人员提供服务,培养新手临床研究人员、新项目并使整个 ED 参与进来。这种模式可能在全国范围内复制,但需要资金承诺。

原创性/价值:RSN 提高了一线临床医生的研究能力和能力,增加了研究活动和与明确的社区成果的合作。合作关系已经扩展到社区、初级保健网络、非政府组织、国家和国际研究人员以及学术机构。评估和衡量网络的效益是困难的,但评估可能有助于网络获得资金。

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