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“我们的存在不是为了保护自己,而是为了讨论劳动力规划”:一项关于政策对话作为医疗劳动力规划信息来源的机制的定性研究。

"We're not there to protect ourselves, we're there to talk about workforce planning": A qualitative study of policy dialogues as a mechanism to inform medical workforce planning.

机构信息

Division of Population Health Sciences, Royal College of Surgeons in Ireland, 123 St Stephen's Green, Dublin, Ireland.

Department of Epidemiology & Public Health Medicine, Royal College of Surgeons in Ireland, 123 St Stephen's Green, Dublin, Ireland.

出版信息

Health Policy. 2020 Jul;124(7):736-742. doi: 10.1016/j.healthpol.2020.04.001. Epub 2020 May 19.

DOI:10.1016/j.healthpol.2020.04.001
PMID:32493613
Abstract

INTRODUCTION

To address a disjuncture between medical workforce research and policy activities in Ireland, a series of national level policy dialogues were held between policy stakeholders and researchers to promote the use of research evidence in medical workforce planning. This article reports on findings from a qualitative study of four policy dialogues (2013-2016), the aim of which was to analyse policy dialogues as a mechanism for knowledge-sharing and interaction to support medical workforce planning.

METHODS

Descriptive qualitative study design involving in-depth interviews with policy stakeholders and researchers (n = 13) who participated in the policy dialogues; thematic analysis of interview transcripts.

FINDINGS

Periodic policy dialogues, with discussion focused on research evidence, provided an enabling environment for exchange and interaction between policy stakeholders and researchers, and between policy stakeholders themselves. Findings foreground the significance of the policy-making context, in terms of how people interact during policy dialogues, and how research can potentially (or not) inform medical workforce planning.

CONCLUSION

Policy dialogues provide a mechanism for improving knowledge exchange and interaction between policy stakeholders and researchers. Situated within the policy context, policy dialogues also add value to: a) policy-making processes by facilitating interactions between policy stakeholders outside the day-to-day business of formal and sometimes adversarial negotiation; b) research processes, including exposing researchers to the complexity of health workforce planning, and health policy more generally.

摘要

简介

为了解决爱尔兰医疗劳动力研究与政策活动之间的脱节问题,政策利益相关者和研究人员之间举行了一系列国家级政策对话,以促进在医疗劳动力规划中使用研究证据。本文报告了对 2013 年至 2016 年四次政策对话(policy dialogues)的定性研究的结果,目的是分析政策对话作为一种知识共享和互动机制,以支持医疗劳动力规划。

方法

描述性定性研究设计,对参与政策对话的政策利益相关者和研究人员(n=13)进行深入访谈;对访谈记录进行主题分析。

结果

定期的政策对话,重点讨论研究证据,为政策利益相关者和研究人员之间的交流和互动,以及政策利益相关者之间的交流和互动提供了有利的环境。研究结果突出了决策背景的重要性,包括人们在政策对话期间如何互动,以及研究如何潜在地(或不)为医疗劳动力规划提供信息。

结论

政策对话为改善政策利益相关者和研究人员之间的知识交流和互动提供了一种机制。政策对话处于政策背景之下,还为以下方面增加了价值:a)通过促进日常正式和有时敌对谈判之外的政策利益相关者之间的互动,使决策过程受益;b)研究过程,包括使研究人员接触到医疗劳动力规划的复杂性,以及更广泛的卫生政策。

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