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与卫生经济学家合作以推进实施科学:一项定性研究。

Collaborating with health economists to advance implementation science: a qualitative study.

作者信息

Barnett Miya L, Dopp Alex R, Klein Corinna, Ettner Susan L, Powell Byron J, Saldana Lisa

机构信息

Department of Counseling, Clinical, & School Psychology, University of California, Santa Barbara, Santa Barbara, California, 93106-9490 USA.

Department of Behavioral and Policy Sciences, RAND Corporation, 1776 Main Street, Santa Monica, CA 90401 USA.

出版信息

Implement Sci Commun. 2020 Sep 29;1:82. doi: 10.1186/s43058-020-00074-w. eCollection 2020.

Abstract

BACKGROUND

Implementation research infrequently addresses economic factors, despite the importance of understanding the costs of implementing evidence-based practices (EBPs). Though partnerships with health economists have the potential to increase attention to economic factors within implementation science, barriers to forming these collaborations have been noted. This study investigated the experiences of health economists and implementation researchers who have partnered across disciplines to inform strategies to increase such collaborations.

METHODS

A purposeful sampling approach was used to identify eight health economists and eight implementation researchers with experience participating in cross-disciplinary research. We used semi-structured interviews to gather information about participants' experiences with collaborative research. Thematic analysis was conducted to identify core themes related to facilitators and barriers to collaborations.

RESULTS

Health economists and implementation researchers voiced different perspectives on collaborative research, highlighting the importance of increasing cross-disciplinary understanding. Implementation researchers described a need to measure costs in implementation studies, whereas many health economists described that they seek to collaborate on projects that extend beyond conducting cost analyses. Researchers in both disciplines articulated motivations for collaborative research and identified strategies that promote successful collaboration, with varying degrees of convergence across these themes. Shared motivations included improving methodological rigor of research and making a real-world impact. Strategies to improve collaboration included starting partnerships early in the study design period, having a shared interest, and including health economists in the larger scope of the research.

CONCLUSIONS

Health economists and implementation researchers both conduct research with significant policy implications and have the potential to inform one another's work in ways that might more rapidly advance the uptake of EBPs. Collaborative research between health economists and implementation science has the potential to advance the field; however, researchers will need to work to bridge disciplinary differences. By beginning to develop strong working relationships; increasing their understanding of one another's disciplinary culture, methodology, and language; and increasing the role economists have within research design and execution, both implementation researchers and health economists can support successful collaborations and robust and informative research.

摘要

背景

尽管了解实施循证实践(EBP)的成本非常重要,但实施研究很少涉及经济因素。虽然与卫生经济学家建立伙伴关系有可能增加实施科学领域对经济因素的关注,但已注意到形成这些合作存在障碍。本研究调查了跨学科合作的卫生经济学家和实施研究人员的经验,以确定增加此类合作的策略。

方法

采用目的抽样法,确定了八位有跨学科研究经验的卫生经济学家和八位实施研究人员。我们通过半结构化访谈收集有关参与者合作研究经验的信息。进行主题分析以确定与合作促进因素和障碍相关的核心主题。

结果

卫生经济学家和实施研究人员对合作研究表达了不同的观点,强调了增进跨学科理解的重要性。实施研究人员描述了在实施研究中衡量成本的必要性,而许多卫生经济学家表示,他们寻求在开展成本分析之外的项目上进行合作。两个学科的研究人员都阐述了合作研究的动机,并确定了促进成功合作的策略,这些主题在不同程度上存在趋同。共同的动机包括提高研究的方法严谨性和产生实际影响。改善合作的策略包括在研究设计阶段尽早建立伙伴关系、有共同兴趣以及将卫生经济学家纳入更大范围的研究中。

结论

卫生经济学家和实施研究人员都进行具有重大政策影响的研究,并且有可能以更快推进循证实践应用的方式为彼此的工作提供信息。卫生经济学家和实施科学之间的合作研究有可能推动该领域的发展;然而,研究人员需要努力弥合学科差异。通过开始建立牢固的工作关系;增进对彼此学科文化、方法和语言的理解;以及增加经济学家在研究设计和执行中的作用,实施研究人员和卫生经济学家都可以支持成功的合作以及进行有力且信息丰富的研究。

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