资助学习卫生系统研究:挑战和战略
概括
学习卫生系统 (LHS) 研究人员面临的资金挑战是平衡外部资助与内部系统需求. 策略包括将研究与系统目标协调一致,并使资金多样化,以改善医疗保健业务.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 翻译科学 翻译科学
- 医疗保健管理的管理
背景情况:
- 健康系统越来越多地采用学习健康系统 (LHS) 计划,以提高内部运营和绩效.
- 对于LHS举措来说,一个关键的挑战是应对研究资金的复杂性.
- 在获得外部研究资助和直接为研究人员自己的健康系统的学习和改进做出贡献之间存在着紧张关系.
研究的目的:
- 检查学习健康系统 (LHS) 研究计划所遇到的资金挑战.
- 确定策略来管理外部研究资金和内部系统改进目标之间的内在紧张关系.
主要方法:
- 在5个卫生系统中进行了定性案例研究.
- 在2019年10月至2021年4月期间,数据收集涉及38次半结构面试,对35名不同受访者进行了采访.
- 用于数据解释,采用了诱导性和演性快速定性分析.
主要成果:
- 外部资金支持内部学习和科学进步,但有时与系统领导者和从业者的需求相冲突.
- 在外部资金需求和内部项目需求之间出现了关于目标,适用性和时间表的差距.
- 研究人员从与临床医生的合作中受益,并适应了较短,动态的项目;像将研究与系统需求相协调和资金多样化等策略被证明是有效的.
结论:
- 伦敦高等学校的项目领导者必须平衡外部资助的研究与为自己的系统服务的使命,以促进内部学习和改进.
- 卫生系统的高管可以通过制定明确的目标,提供足够的资源,并促进团队合作和技能发展的支持性环境来支持LHS计划.
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