爱尔兰高级卫生服务决策者对证据使用的经验和看法:定性研究
1University College Cork, Ireland.
概括
高级卫生决策者使用证据反应性,面临个人,组织和社会层面的障碍. 加强研究使用需要多层次战略,包括改善组织文化和加强大学联系.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 基于证据的实践.
- 卫生政策 卫生政策
背景情况:
- 在卫生服务中,有效的基于证据的决策至关重要.
- 需要了解证据利用中的上下文挑战.
- 高级决策者的证据使用经验是关键.
研究的目的:
- 检查爱尔兰国家卫生服务的高级决策者如何使用证据.
- 识别对研究利用的感知障碍和促进者.
- 收集建议的策略,以增加证据的使用.
主要方法:
- 与爱尔兰国家卫生服务的17名高级决策者进行了半结构化访谈.
- 标准抽样确保了组织部门和职位的多样化代表性.
- 专题分析用于分析采访数据,在多个层面上绘制障碍物和促进者的地图.
主要成果:
- 决策者报告说,使用证据的方法是混合的,往往是反应性的,受特定问题的影响.
- 在个人 (时间),组织 (文化,资源,技能),研究 (相关性,质量) 和社会层面 (资金,政治意愿) 确定了障碍和促进者.
- 建议的策略包括综合研究成果,加强大学伙伴关系,并将研究纳入服务.
结论:
- 在卫生服务中使用证据是复杂的,并受到多种因素的影响.
- 为了支持研究在卫生服务中的利用,需要采取多层次的方法.
- 解决组织文化对于加强基于证据的决策至关重要.
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