Trytten Cindy, Wale Martin, Hayes Michael, Holmes Bev
1 Research and Capacity Building Department, Island Health, Victoria, British Columbia, Canada.
2 Martin Wale Consulting, Victoria, British Columbia, Canada.
Healthc Manage Forum. 2019 Sep;32(5):259-265. doi: 10.1177/0840470419849468. Epub 2019 Jul 11.
Health systems worldwide are under pressure to deliver better care to more people with increasingly complex needs within constrained budgets. Research capacity building has been shown to help alleviate these challenges and is underway at hospitals and health authorities across the country; however, approaches vary widely and little exists in the Canadian literature to share experience and best practices. This article describes how a health authority in British Columbia, Canada, implemented and evaluated a 5-year research capacity-building program in partnership with a provincial health research funder. We offer lessons learned for those leading similar innovation-focused change management initiatives, including vision and buy in, complexity thinking, infrastructure, leadership, and coalition development. We suggest that collective learning and building a more robust research capacity-building literature can help health organizations and their partners take significant steps toward integrating research and care for a more effective, efficient, and patient-centred health system.
全球卫生系统面临压力，要在预算有限的情况下，为更多需求日益复杂的人群提供更好的医疗服务。研究能力建设已被证明有助于缓解这些挑战，并且在加拿大各地的医院和卫生当局中正在进行；然而，方法差异很大，加拿大文献中很少有分享经验和最佳实践的内容。本文描述了加拿大不列颠哥伦比亚省的一个卫生当局如何与省级卫生研究资助者合作实施和评估一项为期5年的研究能力建设计划。我们为那些领导类似的以创新为重点的变革管理举措的人提供经验教训，包括愿景与支持、复杂性思维、基础设施、领导力和联盟发展。我们建议，集体学习和建立更强大的研究能力建设文献可以帮助卫生组织及其合作伙伴朝着整合研究与医疗迈出重要步伐，以建立一个更有效、高效和以患者为中心的卫生系统。
