Ruiz-Burga Elisa, Flowers Paul, Fry Zoe, Slator Mike, Hague Lauren, Green Martin, Gordon Adam Lee, Towers Ann-Marie, Knapp Martin, Surr Claire, Shallcross Laura
Institute of Health Informatics, University College London, London, United Kingdom of Great Britain and Northern Ireland.
Department of Psychological Sciences and Health, University of Strathclyde-School of Psychological Sciences and Health, Glasgow, Scotland, United Kingdom of Great Britain and Northern Ireland.
Age Ageing. 2025 Aug 1;54(8). doi: 10.1093/ageing/afaf211.
As the care home sector expands over time, the health and social care needs of both residents and staff intensify and diversify. These sector-wide changes call for significant growth in research capacity to deliver useful, pertinent and timely evidence. In this paper we highlight growing pressures in the care home sector, and the major and enduring barriers to conducting research across that sector, within homes and amongst staff, drawing primarily on our experiences conducting public health research in England. These obstacles include a lack of national infrastructure, tradition and culture, and underdeveloped systems to reimburse providers for the staff and other costs associated with research delivery. Finally, we detail short, medium and long-term actions that could enable the growth of research capacity across the sector. These include leveraging political will, remunerating and crediting research champions, and establishing a feedback loop to showcase the contribution of research in improving both quality of care and resident outcomes. Our suggested actions focus on what would be required to build research capacity in care homes in England; although these also have relevance in other countries where there is a need and wish to build research capacity in adult long-term care facilities.
随着养老院行业的不断发展，居民和工作人员的健康及社会护理需求日益增加且趋于多样化。这些全行业的变化要求研究能力大幅提升，以提供有用、相关且及时的证据。在本文中，我们主要依据在英国开展公共卫生研究的经验，着重阐述了养老院行业面临的日益增长的压力，以及在该行业、养老院内部和工作人员中开展研究的主要且长期存在的障碍。这些障碍包括缺乏国家基础设施、传统和文化，以及用于补偿提供者与研究实施相关的人员和其他成本的不发达系统。最后，我们详细说明了可促进该行业研究能力增长的短期、中期和长期行动。这些行动包括利用政治意愿、对研究倡导者给予报酬和认可，以及建立反馈机制以展示研究在改善护理质量和居民结局方面的贡献。我们建议的行动侧重于在英国养老院建立研究能力所需的条件；尽管这些行动在其他有需求且希望在成人长期护理机构建立研究能力的国家也具有相关性。
