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[将研究融入拉丁美洲和加勒比地区卫生服务:技术支持中心的经验与挑战 拉丁美洲和加勒比地区技术支持中心在综合研究融入服务方面的经验与挑战]

[Embedding research into health services in Latin America and the Caribbean: experiences and challenges of the Technical Support CenterExperiências e desafios do Centro de Apoio Técnico na pesquisa integrada aos serviços na América Latina e Caribe].

作者信息

Becerril-Montekio Víctor, Torres-Pereda Pilar, García-Bello Luis Alberto, Alcalde-Rabanal Jacqueline

机构信息

Centro de Investigación en Sistemas de Salud, Instituto Nacional de Salud Pública CuernavacaMorelos México Centro de Investigación en Sistemas de Salud, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.

出版信息

Rev Panam Salud Publica. 2021 Feb 22;45:e19. doi: 10.26633/RPSP.2021.19. eCollection 2021.

Abstract

This article describes the main models for embedding research and the successful experiences and challenges faced in joint work by researchers and decisionmakers who participated in the Embedding Research for the Sustainable Development Goals (ER-SDG) initiative, and the experience of the Technical Support Center. In June 2018, funding was granted to 13 pre-selected research projects from 11 middle- and low-income countries in Latin America and the Caribbean (Argentina, Bolivia, Brazil, Colombia, Dominican Republic, Ecuador, Guatemala, Guyana, Haiti, Paraguay, and Peru). The projects focused on the system-, policy-, or program-level changes required to improve health and build on the joint work of researchers and decisionmakers, with a view to bringing together evidence production and decision-making in health systems and services. The Technical Support Center supported and guided the production of quality results useful for decision-making. This experience confirmed the value of initiatives such as ER-SDG in consolidating bridges between research on the implementation of health policies, programs, and systems, and the officials responsible for operating health-related programs, services, and interventions. It highlighted the importance of both respecting and taking advantage of each context-and the specific arrangements and patterns in the relationships between researchers and decisionmakers-through incentives for embedded research.

摘要

本文介绍了将研究融入其中的主要模式,以及参与“为可持续发展目标融入研究”(ER-SDG)倡议的研究人员和决策者在联合工作中所面临的成功经验与挑战,还介绍了技术支持中心的经验。2018年6月,来自拉丁美洲和加勒比地区11个中低收入国家(阿根廷、玻利维亚、巴西、哥伦比亚、多米尼加共和国、厄瓜多尔、危地马拉、圭亚那、海地、巴拉圭和秘鲁)的13个预先选定的研究项目获得了资助。这些项目聚焦于改善健康所需的系统、政策或项目层面的变革,并以研究人员和决策者的联合工作为基础,旨在将卫生系统和服务中的证据生成与决策结合起来。技术支持中心支持并指导了有助于决策的高质量成果的产出。这一经验证实了诸如ER-SDG等倡议在巩固卫生政策、项目和系统实施研究与负责运营与卫生相关项目、服务和干预措施的官员之间的桥梁方面的价值。它强调了通过对融入式研究的激励措施,尊重并利用每种背景以及研究人员与决策者之间关系中的具体安排和模式的重要性。

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