Stretton Health Equity, The University of Adelaide, Adelaide, Australia.
College of Medicine and Public Health, Flinders University, Adelaide, Australia.
Int J Soc Determinants Health Health Serv. 2024 Apr;54(2):171-182. doi: 10.1177/27551938231221757. Epub 2023 Dec 25.
Health services research is underpinned by partnerships between researchers and health services. Partnership-based research is increasingly needed to deal with the uncertainty of global pandemics, climate change induced severe weather events, and other disruptions. To date there is very little data on what has happened to health services research during the COVID-19 pandemic. This paper describes the establishment of an Australian multistate Decolonising Practice research project and charts its adaptation in the face of disruptions. The project used cooperative inquiry method, where partner health services contribute as coresearchers. When the COVID-19 pandemic hit, data collection needed to be immediately paused, and when restrictions started to lift, all research plans had to be renegotiated with services. Adapting the research surfaced health service, university, and staffing considerations. Our experience suggests that cooperative inquiry was invaluable in successfully navigating this uncertainty and negotiating the continuance of the research. Flexible, participatory methods such as cooperative inquiry will continue to be vital for successful health services research predicated on partnerships between researchers and health services into the future. They are also crucial for understanding local context and health services priorities and ways of working, and for decolonising Indigenous health research.
卫生服务研究以研究人员和卫生服务之间的伙伴关系为基础。为了应对全球大流行病、气候变化引起的恶劣天气事件和其他干扰带来的不确定性,越来越需要基于伙伴关系的研究。迄今为止,关于在 COVID-19 大流行期间卫生服务研究发生了什么的资料非常有限。本文描述了澳大利亚多州去殖民化实践研究项目的建立,并描述了其在面对干扰时的适应情况。该项目采用合作探究方法,由合作伙伴卫生服务机构作为核心研究人员参与。当 COVID-19 大流行来袭时,需要立即暂停数据收集,而当限制开始放宽时,必须与服务机构重新协商所有研究计划。调整研究凸显了卫生服务、大学和人员配备方面的考虑。我们的经验表明,合作探究在成功应对这种不确定性和协商研究的继续方面非常宝贵。灵活的、参与性的方法,如合作探究,将继续成为未来研究人员和卫生服务机构之间基于伙伴关系的成功卫生服务研究的关键,对于理解当地背景和卫生服务的重点和工作方式,以及对土著健康研究去殖民化也是至关重要的。