Health and Wellbeing Queensland, Queensland Government, The State of Queensland, 139 Coronation Drive, Milton, QLD, 4064, Australia.
School of Human Movement and Nutrition Sciences, Faculty of Health and Behavioural Sciences, The University of Queensland, St Lucia, QLD, 4067, Australia.
BMC Health Serv Res. 2020 Jun 29;20(1):589. doi: 10.1186/s12913-020-05267-6.
Health services and systems research (HSSR) strategies dedicated to paediatric health care and service delivery are limited. Strategies are available but are outdated and yet to be optimised for use in a paediatric health system. We aim to describe the development and integration of a Children's Health Service and System Research Strategy (CHSSR-S) in Children's Health Queensland (CHQ), a large specialist quaternary hospital and health service caring for children and young people in Queensland and northern New South Wales, Australia.
The CHSSR-S was developed using an inductive, bottom-up, participatory systems approach across three phases: (1) Identifying local HSSR capacity; (2) Development; (3) Integration. A HSSR "Champion" was appointed to lead all phases. Clinical, research and system-based stakeholders (n = 14) were individually identified, contacted and participated in dedicated meetings and a workshop to iteratively design the CHSSR-S. A health system-wide CHSSR-S governance committee was established to drive phase three. Health system integration was achieved by multicomponent, action-based strategies.
The final CHSSR-S comprised ten Research Priorities and three Research Enablers, and was successfully integrated within CHQ via a range of platforms. Research Priorities included: (1) Population Health; (2) Adolescent and Young Adult (AYA) Cancer; (3) Indigenous Health; (4); Mental Health; (5) Nutrition and Obesity; (6) Rare Neurodevelopmental Disorders; (7) Sepsis; (8) Screening, surveillance and monitoring; (9) Innovation; and (10) Electronic Medical Record (EMR). Research Priorities were supported by three Research Enablers: (1) Data; (2); Evaluation and Health Economics; and (3) Policy.
The CHSSR-S is the first known paediatric HSSR strategy developed and integrated within a large dedicated paediatric health system. The CHSSR-S may be used to guide global paediatric healthcare systems to prioritise HSSR in their local setting to optimise health service delivery and patient outcomes.
专门针对儿科医疗保健和服务提供的卫生服务和系统研究（HSSR）战略有限。虽然有一些策略可用，但已经过时，尚未针对儿科卫生系统进行优化。我们旨在描述昆士兰儿童健康（CHQ）中儿童健康服务和系统研究战略（CHSSR-S）的制定和整合，CHQ 是一家大型专科四级医院和卫生服务机构，为澳大利亚昆士兰州和新南威尔士州北部的儿童和年轻人提供服务。
CHSSR-S 是使用一种归纳性、自下而上、参与性的系统方法，分三个阶段制定的：（1）确定当地 HSSR 能力；（2）制定；（3）整合。任命一名 HSSR“冠军”来领导所有阶段。临床、研究和基于系统的利益相关者（n=14）被单独确定、联系，并参加专门的会议和研讨会，以迭代设计 CHSSR-S。成立了一个全卫生系统的 CHSSR-S 治理委员会来推动第三阶段。通过多方面的、基于行动的策略实现了卫生系统的整合。
最终的 CHSSR-S 由十个研究重点和三个研究推动者组成，并通过一系列平台成功整合到 CHQ 中。研究重点包括：（1）人口健康；（2）青少年和青年癌症；（3）原住民健康；（4）心理健康；（5）营养和肥胖；（6）罕见神经发育障碍；（7）败血症；（8）筛查、监测和监测；（9）创新；（10）电子病历（EMR）。研究重点由三个研究推动者支持：（1）数据；（2）评估和卫生经济学；（3）政策。
CHSSR-S 是第一个在大型专门儿科卫生系统中制定和整合的儿科 HSSR 战略。CHSSR-S 可用于指导全球儿科医疗保健系统在其当地环境中优先考虑 HSSR，以优化卫生服务提供和患者结果。
