West Jane, Wright John, Bridges Sally, Cartwright Chris, Ciesla Kayley, Pickett Kate E, Shore Robert, Witcherley Phil, Flinders Mathew, McEachan Rosemary R C, Mon-Williams Mark, Bird Pippa, Lennon Laura, Cooper Duncan, Muckle Sarah, England Kersten, Sheldon Trevor
Bradford Institute for Health Research, Bradford Hospitals National Health Service Trust, Bradford, BD9 6RJ, UK.
ScHARR, University of Sheffield, Sheffield, S1 4DA, UK.
Wellcome Open Res. 2022 Jun 21;6:276. doi: 10.12688/wellcomeopenres.17195.2. eCollection 2021.
Socio-economic, cultural and environmental conditions strongly affect health across the life course. Local government plays a key role in influencing these wider determinants of health and levels of inequality within their communities. However, they lack the research infrastructure and culture that would enable them to develop an evidence-based approach to tackling the complex drivers of those conditions. We undertook a scoping project using some research methods and some descriptive summaries to explore the potential for, and what would be needed to develop a local authority research system for the City of Bradford, UK. This included identifying the current research landscape and any barriers and enablers to research activity within the local authority using qualitative individual and focus group interviews, a rapid review of existing local research system models, scoping and description of the use of evidence in decision making and training opportunities and existing support for local government research. We identified four key themes important to developing and sustaining a research system: leadership, resource and capacity, culture, partnerships. Some use of research in decision making was evident but research training opportunities within the local authority were limited. Health research funders are slowly adapting to the local government environment, but this remains limited and more work is needed to shift the centre of gravity towards public health, local government and the community more generally. We propose a model for a local authority research system that can guide the development of an exemplar whole system research framework that includes research infrastructure, data sharing, research training and skills, and co-production with local partners, to choose, use, generate, and deliver research in local government.
社会经济、文化和环境状况在整个生命历程中对健康有着强烈影响。地方政府在影响这些更广泛的健康决定因素及其社区内的不平等程度方面发挥着关键作用。然而，它们缺乏能够使其制定基于证据的方法来应对这些状况的复杂驱动因素的研究基础设施和文化氛围。我们开展了一个范围界定项目，运用一些研究方法和一些描述性总结，来探索为英国布拉德福德市建立地方当局研究系统的潜力以及所需条件。这包括通过定性的个人访谈和焦点小组访谈来确定当前的研究状况以及地方当局内部研究活动的任何障碍和促进因素，对现有地方研究系统模型进行快速审查，对决策过程中证据的使用、培训机会以及对地方政府研究的现有支持进行范围界定和描述。我们确定了对建立和维持一个研究系统至关重要的四个关键主题：领导力、资源与能力、文化、伙伴关系。在决策过程中对研究的使用有一些体现，但地方当局内部的研究培训机会有限。健康研究资助者正在慢慢适应地方政府环境，但这仍然有限，需要开展更多工作，以便更广泛地将重心转向公共卫生、地方政府和社区。我们提出了一个地方当局研究系统模型，该模型可指导构建一个典范性的全系统研究框架，其中包括研究基础设施、数据共享、研究培训与技能，以及与地方伙伴共同开展研究，以便在地方政府中选择、使用、生成和提供研究成果。
