探索分散的临床试验的实施挑战:对丹麦政策利益相关者的观点进行定性研究
Ida Hestbjerg1, Ditte Bonde Stanek1, Ulrik Bak Kirk1,2
1Research Unit for General Practice, Aarhus, Denmark.
Digital health
|March 31, 2025
概括
调整不同利益相关者的利益对丹麦有效实施分散的临床试验 (DCT) 至关重要. 解决政治,医疗保健和行业利益相关者之间的矛盾紧张关系是可持续DCT采用的关键.
科学领域:
- 卫生政策研究 卫生政策研究
- 临床试验的管理管理.
- 利益相关者分析 利益相关者分析
背景情况:
- 在丹麦实施分散的临床试验 (DCT) 面临着重大的政治利益.
- 利益相关者的利益分歧可能导致效率低下和不可持续的DCT采用过程.
- 了解这些利益对于国家战略实施至关重要.
研究的目的:
- 探索DCT的实施挑战.
- 检查利益相关者的利益如何影响DCT的优点和缺点.
- 识别不同利益相关者群体之间的潜在冲突和协同作用.
主要方法:
- 定性研究采用采访采用来自12个机构的15名参与者 (患者,医疗保健,工业,政治).
- 分析了13份政策文件.
- 双重分析:以数据为导向的专题分析,其次是以悖论理论为基础的二次分析.
- 利用矛盾的紧张关系来解释冲突的利益相关者账户.
主要成果:
- 利益相关方的协调对于有效和可持续的DCT实施至关重要.
- 利益相关者之间的利益冲突创造了一个复杂的矛盾紧张关系网络.
- 必须解决这些紧张关系,以促进成功的DCT采用.
结论:
- 政策利益相关者必须合作,以解决矛盾的紧张局势,并使利益一致.
- 为了成功实施DCT,需要一个共同的目标.
- 建议将责任明确分配给主要利益相关者或团体,以指导实际实施过程.
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