探索瑞士卫生行政部门的证据使用和卫生服务管理和规划能力:一种混合方法采访研究
Aron Baumann1,2, Kaspar Wyss1,2
1Swiss Centre for International Health, Swiss Tropical and Public Health Institute, Allschwil, Switzerland.
PloS one
|May 8, 2024
概括
瑞士的卫生管理机构对使用证据的能力中等,在证据生产方面有优势,但在组织支持和资源方面有弱点. 改善这一点需要领导层的支持和定制的员工发展,以更好地制定健康政策.
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
- 组织能力建设 组织能力建设
背景情况:
- 卫生行政部门需要强有力的证据来制定有效的政策.
- 对于支持这些机构以证据为基础制定政策的资源和流程的了解有限.
- 本研究考察了瑞士卫生行政部门的证据利用能力.
研究的目的:
- 评估瑞士卫生行政部门使用证据的能力.
- 探索公务员在卫生服务管理和规划中使用证据的需求和观点.
主要方法:
- 混合方法研究,涉及来自瑞士德语地区州卫生行政部门的公务员.
- 使用结构化访谈和ORACLe工具对组织层面能力的定量评估.
- 通过使用框架方法分析的深入采访,对个人层面的需求和观点进行定性探索.
主要成果:
- 各行政部门报告的证据使用能力中等,具体领域的差异有所不同.
- 报告指出,证据生产和研究合作能力高,而流程文档和培训能力有限.
- 证据参与在很大程度上是个性化的,行政部门重视证据,但面临资源限制和有限的组织支持.
结论:
- 瑞士的卫生管理机构表现出适度,可改进的证据使用能力,缺乏足够的组织支持.
- 建议包括加强组织支持,确保领导层购买,解决员工需求,以及平衡特定措施与一般资源.
- 加强与证据的接触需要对组织发展和资源配置采取战略方法.
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