Unit for Health Promotion Research, University of Southern Denmark, Niels Bohrs Vej 9, DK-6700, Esbjerg, Denmark.
Department of Sports Science and Clinical Biomechanics, Research and Innovation Centre for Human Movement and Learning and Research Unit for Active Living, University of Southern Denmark, Campusvej 55, DK-5230, Odense M, Denmark.
Health Res Policy Syst. 2019 Nov 21;17(1):90. doi: 10.1186/s12961-019-0490-6.
Although important syntheses and theoretical works exist in relation to understanding the organisational factors that facilitate research use, these contributions differ in their scope and object of study as well as their theoretical underpinnings. Therefore, from an exploratory angle, it may be useful to map out the current literature on organisational factors of research use in public health policy-making when revisiting existing theories and frameworks to gain further theoretical insights.
Herein, a scoping review technique and thematic content analysis were used to bring together findings from both synthesised and empirical studies of different types to map out the organisational factors that facilitate research use in public health policy-making.
A total of 14 reviews and 40 empirical studies were included in the analysis. These were thematically coded and the intra-organisational factors reported as enabling research use were examined. Five main categories of organisational factors that advance research use in policy organisations - (1) individual factors, (2) the management of research integration, (3) organisational systems and infrastructures of research use, (4) institutional structures and rules for policy-making, and (5) organisational characteristics - were derived as well as 18 subcategories and a total of 64 specific factors, where 27 factors were well supported by research.
Using a scoping review methodology, the intra-organisational factors influencing research use in policy-making (including individual factors) were systematically mapped and the theories applied in this area of research were assessed. The review findings confirm the importance of an intra-organisational perspective when exploring research use, showing that many organisational factors are critical facilitators of research use but also that many factors and mechanisms are understudied. The synthesis shows a lack of studies on politicians and the need for more theoretically founded research. Despite increased efforts to update the existing evidential and theoretical basis of research use, we still need frameworks that combine different approaches and theories to help us grasp the complex organisational mechanisms that facilitate research use in policy settings.
尽管有许多重要的综合和理论著作有助于理解促进研究应用的组织因素,但这些贡献在范围和研究对象以及理论基础上存在差异。因此,从探索性的角度来看,当重新审视现有的理论和框架以获得进一步的理论见解时,梳理公共卫生政策制定中研究应用的组织因素的现有文献可能会很有用。
在此,使用范围综述技术和主题内容分析将不同类型的综合研究和实证研究的结果结合起来,以绘制促进公共卫生政策制定中研究应用的组织因素图。
共纳入 14 项综述和 40 项实证研究。对这些研究进行了主题编码,并对报告的促进研究应用的内部组织因素进行了检查。得出了推进政策组织中研究应用的五个主要组织因素类别——(1)个体因素,(2)研究整合管理,(3)研究应用的组织系统和基础设施,(4)政策制定的制度结构和规则,以及(5)组织特征——以及 18 个子类别和总共 64 个具体因素,其中 27 个因素得到了充分的研究支持。
使用范围综述方法,系统地绘制了影响决策中研究应用的组织内部因素(包括个体因素),并评估了该领域应用的理论。综述结果证实了在探索研究应用时关注组织内部视角的重要性,表明许多组织因素是研究应用的关键促进因素,但也有许多因素和机制研究不足。该综述表明,缺乏关于政治家的研究,需要更多基于理论的研究。尽管为更新研究应用的现有证据和理论基础做出了更多努力,但我们仍需要结合不同方法和理论的框架,以帮助我们理解促进政策制定中研究应用的复杂组织机制。