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How has health services research made a difference?

Steven Lewis1

  • 1President, Access Consulting Ltd., Saskatoon, SK, Adjunct Professor, University of Calgary & Simon Fraser University.

Healthcare Policy = Politiques De Sante
|June 17, 2014
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Summary
This summary is machine-generated.

Health services research (HSR) should prioritize seeking truth over immediate practical impact. Defining "useful" broadly, from a long-term perspective, maximizes return on investment in HSR.

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Area of Science:

  • Health Services Research (HSR)
  • Policy Analysis
  • Research Impact Studies

Background:

  • Health services research (HSR) is often evaluated by its immediate impact on policy and practice.
  • Canadian initiatives have focused on engaging decision-makers in research agenda setting.
  • The HSR community has limited control over the adoption and application of its findings.

Purpose of the Study:

  • To examine the relationship between HSR and its tangible impact on policy and practice.
  • To challenge the narrow definition of utility in HSR.
  • To advocate for a broader, long-term perspective on the value of HSR.

Main Methods:

  • Analysis of the disposition of HSR work.
  • Examination of conditions necessary for research application.
  • Review of widely recognized HSR studies and their impact.

Main Results:

  • Timely and significant impact from HSR is infrequent.
  • Research that fundamentally shifts perspectives has a long-term impact, often beyond immediate applicability.
  • Observed changes may occur independently of specific research findings.

Conclusions:

  • The primary obligation of HSR is to pursue truth.
  • Funding and decision-making bodies should adopt a broad, long-term definition of "useful" for HSR.
  • A long-term, comprehensive view of HSR yields greater returns than a focus on short-term concerns.