在对复杂卫生干预措施的评估中,调动背景是复杂和动态的
Jamie Murdoch1, Sara Paparini2, Chrysanthi Papoutsi3
1School of Life Course and Population Sciences, King's College London, London, UK. jamie.murdoch@kcl.ac.uk.
BMC health services research
|December 19, 2023
概括
对复杂的健康干预措施的评估往往过于简化了上下文. 这项研究强调了需要批判性地研究如何运行上下文,以更好地捕捉其在研究和实践中的复杂性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 评估科学 评估科学
- 定性研究方法 定性研究方法
背景情况:
- 医疗干预涉及复杂的,随着时间的推移与环境的动态相互作用.
- 当前对复杂健康干预措施的评估往往将背景和干预措施视为固定的类别,忽视了它们的复杂关系.
- 这种简化引发了对研究实践的担忧,以及哪些上下文的方面是可见的.
研究的目的:
- 在复杂的卫生干预措施的案例研究评估中,批评当前在操作化上下文的做法.
- 呼吁在整个系统范围内改变如何理解和整合到卫生干预评估中的背景.
- 制定案例研究指导和报告原则,考虑到背景和复杂性.
主要方法:
- 利用了三C研究 (案例研究,上下文和复杂干预) 的数据.
- 在案例研究研究中与58名参与者进行了一天的研讨会,并与利益相关者进行了9次采访.
- 分析了与复杂干预和更广泛的社会力量相关的上下文结构.
主要成果:
- 关于上下文的知识创造实践受到认识论和政治因素的影响.
- 在研究中表达复杂性和保持描述性清晰度之间存在着紧张关系.
- 在与资助者和决策者沟通时,存在学上的不连贯性和文本的物化版本往往享有特权.
结论:
- 迫切需要对如何在复杂的卫生干预评估中动员上下文进行大规模的批判性反思.
- 对复杂性和背景的跨学科方法可以促进评估设计的创新.
- 重新思考既定的传统可以为设计和进行健康评估开辟新的可能性.
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