Hilverda Femke, van der Wouden Puck, van der Heijden Geert J M G, Pittens Carina A C M
Athena Institute, Faculty of Science, VU University Amsterdam, Amsterdam, The Netherlands.
Department of Socio-Medical Sciences, Erasmus School of Health Policy and Management, Erasmus University Rotterdam, Rotterdam, The Netherlands.
Health Expect. 2021 Oct;24(5):1701-1712. doi: 10.1111/hex.13310. Epub 2021 Jul 27.
A research agenda for oral health care was established in the Netherlands using the Dialogue Model. This project served as a case study in which we applied boundary-work theory as a framework to understand boundaries (ie demarcations) between and within groups, and how these boundaries can be overcome.
To gain insights into the boundaries encountered when setting a research agenda, we analysed how this agenda served as a boundary object (ie circumstances, situations or material that connect actor groups and allow boundary crossing) that facilitated crossing boundaries and uniting the perspectives of patients and practitioners.
We used a thematic approach to analyse researchers' observations, meeting materials, emails, interviews with patients (n = 11) and a survey among patients and practitioners (n = 18).
Setting the research agenda helped to cross boundaries in oral health care, which demonstrates its role as a boundary object. First, this made it possible to integrate research topics representing the perspectives and priorities of all patients and also to unite those perspectives. It was essential to involve practitioners at an early stage of the project so that they could better accept the patients' perspectives. This resulted in support for an integrated research agenda, which facilitated the crossing of boundaries.
The research agenda-setting project was found to serve as a boundary object in uniting the perspectives and priorities of patients and practitioners.
Patient involvement in this case study was structured in the process of research agenda setting using the Dialogue Model.
荷兰采用对话模型制定了口腔保健研究议程。本项目作为一个案例研究，我们将边界工作理论作为一个框架，以理解不同群体之间以及群体内部的边界（即划分），以及如何跨越这些边界。
为了深入了解制定研究议程时遇到的边界，我们分析了该议程如何作为一个边界对象（即连接行动者群体并允许跨越边界的环境、情况或材料），促进跨越边界并统一患者和从业者的观点。
我们采用主题分析法，分析研究人员的观察结果、会议材料、电子邮件、对患者的访谈（n = 11）以及对患者和从业者的调查（n = 18）。
制定研究议程有助于跨越口腔保健中的边界，这表明了其作为边界对象的作用。首先，这使得整合代表所有患者观点和优先事项的研究主题成为可能，并统一了这些观点。在项目早期让从业者参与至关重要，这样他们就能更好地接受患者的观点。这导致对综合研究议程的支持，促进了边界的跨越。
研究议程设定项目被发现是一个边界对象，能够统一患者和从业者的观点及优先事项。
在本案例研究中，患者通过使用对话模型参与研究议程的设定过程。
