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Bridging the Divide: An Analysis of Allied Health Quality and Research Projects
Amy M Dennett1, Nicholas F Taylor, Judi Porter
1Dr. Dennett: Research fellow, School of Allied Health, Human Services and Sport, La Trobe University and Allied Health Clinical Research Office, Eastern Health, Victoria, Australia. Mr. Taylor: Professor of Allied Health School of Allied Health, Human Services and Sport, La Trobe University and Allied Health Clinical Research Office, Eastern Health, Victoria, Australia. Ms. Porter: Professor of Dietetics, Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Victoria, Australia. Ms. Evans: Director-Quality, Planning and Innovation, Corporate Services, Performance Excellence & Consumer Engagement, Department of Quality, Planning and Innovation, Eastern Health, Victoria, Australia. Ms. Horne-Thompson: Associate Director-Student Programs, Learning and Teaching Directorate, Department of Learning and Teaching, Eastern Health, Victoria, Australia. Ms. Harding: Senior Research Fellow and Manager Allied Health Clinical Research Office, School of Allied Health, Human Services and Sport, La Trobe University and Allied Health Clinical Research Office, Eastern Health, Victoria, Australia.
Introduction:
A range of activities are conducted in health care settings aiming to improve health care processes and outcomes. In many settings, these activities are classified into two broad domains of "quality improvement" and "health services research" each with its own methods, continuing education, support structures, and governance systems. We aimed to explore differences and similarities in the purpose, methods, and outcomes of approved allied health projects conducted under each of these domains at a large metropolitan health network.
Method:
Using observational methods, we evaluated allied health quality improvement and research projects approved through the relevant governance systems in a single health network during a 12-month reporting period. Project leaders were surveyed, and project documentation was evaluated using the SQUIRE tool.
Results:
Allied health professionals were motivated to undertake both quality improvement (n = 13) and research projects (n = 15) to improve health care. Research projects were more likely to be disseminated externally, but quality improvement projects were more frequently reported to result in internal practice change. Methods were well documented for research projects, but this information was frequently lacking for quality improvement projects. Research projects were also more likely to be supported by external funding than quality improvement projects.
Implications:
Allied health clinicians conducting improvement activities using research and quality improvement projects share common goals. There are likely to be opportunities to enhance value and implementation of findings into practice by bridging the divide between health service research and quality improvement activities in health networks.
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