Swiss Tropical and Public Health Institute, Socinstrasse Basel, Switzerland.
University of Basel, Petersplatz Basel, Switzerland.
East Mediterr Health J. 2020 Oct 13;26(10):1262-1272. doi: 10.26719/emhj.19.096.
The World Health Organization has proposed a global strategy to build a robust Health Research System Resources and Infrastructural Capacity (HRSRIC). Despite the growing research productivity, HRSRIC in Palestine has rarely been investigated.
To analyse perceptions of health research system performers to understand the status of HRSRIC, identify its gaps, and propose policy solutions to strengthen HRSRIC.
This qualitative study targeted 3 health sectors: government, academia, and local and international organizations. Fifty-two in-depth interviews and 6 focus group discussions were conducted with key informants who were selected purposively. Data were analysed using MAXQDA 12.
Despite the availability of competent personnel, the overall HRSRIC, such as human and financial resources, and facilities, forms a central challenge. HR financing is limited, unsustainable, and flows from external and individual sources. The public and private funds are largely in shortage with resources misallocation and donors' conditionality. HR quality is moderate while knowledge transfer and translation are not well conceptualized and inappropriately performed. Lack of governance, coordination, HRSRIC strategy, resource allocation, systematic and reliable data, evidence-informed culture, and environmental impacts are the main common gaps.
The overall status of HRSRIC in Palestine is still lacking and major challenges persist where the pace of strengthening efforts is steady. There is an emphasis that strengthening HRSRIC is an imperative step and real investment opportunity for building a successful health research system. Political commitment, consolidated leadership structure, operational capacity building strengthening strategy, resources mobilization, and sovereignty are key requirements.
世界卫生组织提出了一项建立强大卫生研究系统资源和基础设施能力（HRSRIC）的全球战略。尽管研究成果不断增加，但巴勒斯坦的 HRSRIC 很少受到关注。
分析卫生研究系统执行者的看法，了解 HRSRIC 的现状，确定其差距，并提出加强 HRSRIC 的政策解决方案。
这项定性研究针对政府、学术界以及地方和国际组织这 3 个卫生部门。通过有针对性地选择关键信息提供者，进行了 52 次深入访谈和 6 次焦点小组讨论。使用 MAXQDA 12 对数据进行分析。
尽管有能力的人员，但总体 HRSRIC，如人力和财力资源以及设施，构成了一个核心挑战。人力资源融资有限、不可持续，并且来自外部和个人来源。公共和私人资金大部分短缺，资源配置不当，且受到捐助者的条件限制。人力资源质量中等，而知识转移和转化尚未得到很好的概念化和不当执行。缺乏治理、协调、HRSRIC 战略、资源分配、系统和可靠的数据、循证文化以及环境影响是主要的共同差距。
巴勒斯坦的 HRSRIC 整体状况仍然不足，主要挑战仍然存在，加强努力的步伐仍在稳步推进。强调加强 HRSRIC 是建立成功卫生研究系统的必要步骤和真正的投资机会。政治承诺、巩固的领导结构、运营能力建设加强战略、资源动员和主权是关键要求。
