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搭建桥梁:在科威特背景下评估政策制定者在卫生决策中的研究能力、参与度和利用度:一项横断面研究。

Building bridges: evaluating policymakers' research capacities, engagement, and utilization in health policymaking within the Kuwaiti context: a cross-sectional study.

机构信息

Ministry of Health, Kuwait City, Kuwait.

General Practice and Primary Care, School of Health and Wellbeing, University of Glasgow, Glasgow, Scotland.

出版信息

Health Res Policy Syst. 2024 Jul 15;22(1):84. doi: 10.1186/s12961-024-01177-9.

Abstract

BACKGROUND

Health policymaking is a critical aspect of governmental decision-making that shapes the well-being of populations. In the Middle East and North Africa, particularly in Kuwait, limited attention has been given to exploring the research capacities, engagement, and utilization among health policymakers. This study aims to bridge this gap by investigating how Kuwaiti health policymakers incorporate evidence-based research into the formulation of health-related policies.

METHODS

This cross-sectional study targeted health policymakers in leadership positions within the Kuwait Ministry of Health (MOH). Using the Seeking, Engaging with and Evaluating Research (SEER) questionnaire, participants' capacities, engagement, and use of research were assessed. The targeted sample was all health policymakers in leadership positions, starting from the head of departments and above. The questionnaire comprises four domains, 14 sections, and 50 questions and utilizes Likert and binary scales, with aggregate scores predicting engagement actions and research use. The data were collected between March and July 2023. All the statistical analyses were performed using SPSS v27, and the numerical and categorical variables were analyzed using appropriate statistical tests, including t-tests, ANOVA, and Pearson's correlation.

RESULTS

Out of 205 policymakers, 88 participated (42.9% response rate): predominantly male (51.1%) and married (78.4%). The mean age was 49.84 ± 7.28 years, with a mean MOH tenure of 24.39 ± 6.80 years. Participants demonstrated high value for research (mean score 4.29 ± 0.55) and expressed confidence in the research utilization. Organizational emphasis on research use exhibited nuanced perceptions, identifying areas where MOH support may be lacking. Access to research resources and processes for policy development guidance were highlighted as challenges.

CONCLUSIONS

This study provides crucial insights into the research capacities and engagement of Kuwaiti health policymakers. It emphasizes the need for targeted interventions to align individual perceptions with organizational expectations, address confidence disparities, and enhance collaborative efforts. Organizational investments are crucial for fostering a dynamic research ecosystem to improve evidence-based policy development in Kuwait's healthcare landscape.

摘要

背景

卫生政策制定是政府决策的一个关键方面,影响着人口的福祉。在中东和北非地区,特别是在科威特,对探索卫生政策制定者的研究能力、参与度和利用度关注有限。本研究旨在通过调查科威特卫生政策制定者如何将循证研究纳入卫生相关政策的制定过程来填补这一空白。

方法

本横断面研究以科威特卫生部(MOH)领导层中的卫生政策制定者为研究对象。使用寻求、参与和评估研究(SEER)问卷评估参与者的能力、参与度和研究的使用情况。目标样本是所有处于领导地位的卫生政策制定者,从部门主管及以上开始。问卷由四个领域、14 个部分和 50 个问题组成,采用李克特量表和二分制量表,总得分预测参与行动和研究使用。数据收集于 2023 年 3 月至 7 月之间进行。所有统计分析均使用 SPSS v27 进行,数值和分类变量使用适当的统计检验进行分析,包括 t 检验、方差分析和 Pearson 相关分析。

结果

在 205 名政策制定者中,有 88 人参与(42.9%的回复率):主要为男性(51.1%)和已婚(78.4%)。平均年龄为 49.84±7.28 岁,在 MOH 的平均任期为 24.39±6.80 年。参与者对研究的重视程度很高(平均得分 4.29±0.55),并对研究的使用表示有信心。组织对研究使用的重视程度表现出细微的差异,确定了 MOH 支持可能不足的领域。获取研究资源和政策制定指导过程方面存在挑战。

结论

本研究深入了解了科威特卫生政策制定者的研究能力和参与度。它强调需要采取有针对性的干预措施,使个人认知与组织期望保持一致,解决信心差距问题,并加强协作努力。组织投资对于在科威特医疗保健领域建立一个充满活力的研究生态系统以改善循证政策制定至关重要。

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