从公共参与到卫生服务设计中评估结果的障碍和支持者:一个解释性描述
Nicola Lloyd1, Nerida Hyett1,2, Amanda Kenny1,3
1Violet Vines Marshman Centre for Rural Health Research, La Trobe Rural Health School, La Trobe University, Bendigo, VIC, Australia.
Qualitative health research
|August 7, 2023
概括
评估公众参与医疗服务设计是具有挑战性的. 由于实践,方法和承诺问题,结果评估未得到充分利用,因此公众参与的影响尚不清楚.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
- 定性研究方法 定性研究方法
背景情况:
- 卫生服务的目标是让公众参与服务重新设计,但结果评估很少.
- 在理解该领域对结果评估的不足利用方面存在重大差距.
- 这项研究解决了对评估公众参与卫生服务设计的洞察力的需求.
研究的目的:
- 探索研究人员对从公众参与中评估卫生服务结果的经验和态度.
- 识别卫生服务设计中结果评估的障碍和推动因素.
- 了解评估工具和框架采用或不采用背后的原因.
主要方法:
- 解释性描述性研究设计.
- 与13名研究人员进行的半结构面试.
- 用于开发关键主题的框架分析.
主要成果:
- 四个主题出现了:评估的复杂性,权力动态和多样化的议程,实践/方法论上的挑战,以及真实性的重要性.
- 评估主要由利益相关方的要求驱动,对正式工具的使用有限.
- 公众在结果评估中的作用很小,这表明缺乏清晰度和承诺.
结论:
- 结果评估必须多层次,局部化,并与公众参与的目的和成功指标保持一致.
- 增加资源 (资金,时间,专业知识) 对有效的评估至关重要.
- 如果没有更好的评估,公众参与医疗服务设计的结果仍然无法确定.
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