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A critical realist synthesis of cross-disciplinary health policy and systems research: defining characteristic features developing an evaluation framework and identifying challenges

机译：跨学科健康政策与系统研究的关键现实综合：定义特征特征开发评估框架和识别挑战

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摘要

Since the early 2000s, there have been growing calls for the application of cross-disciplinary approaches to health policy and systems research (HPSR) from both governance and research circles [1, 2]. Policy-makers, health managers and researchers have consistently advocated that the scale and complexity of the twenty-first century’s health problems require disciplinary and institutional crossing [3–7]. For instance, WHO’s 2017 world report on HPSR emphasised the need for a paradigm shift towards cross-disciplinary approaches to research in the field [8]. However, research drawing on multiple disciplines is often discussed under different labels, including team science, cross-disciplinary research (CDR), multidisciplinary research (MDR), interdisciplinary research (IDR) and transdisciplinary research (TDR) [2, 9–11]. Different – and sometimes conflicting – definitions of CDR, MDR, IDR and TDR are used in the field of HPSR [6, 7, 12], which contributes to confusion about the concept and potentially has negative consequences for its further development. For instance, Kessel et al. [13] have sought to define the approach in both broad and narrow terms, first as integration of multiple disciplinary perspectives from the formulation of research questions to communication of findings, and also more broadly as the concurrent use of multiple methods.
机译：自2000年代初以来，呼吁在治理和研究圈中延伸跨学科方法和系统研究（HPSR）的跨学科方法[1,2]。政策制定者，卫生经理和研究人员一直主张二十一世纪的健康问题的规模和复杂性需要纪律和制度横穿[3-7]。例如，世卫组织2017年关于HPSR的世界报告强调了对跨学科途径的需求，以跨学科方法[8]。然而，在不同的标签下通常讨论多学科的研究，包括团队科学，跨学科研究（CDR），多学科研究（MDR），跨学科研究（IDR）和跨学科研究（TDR）[2,9-11] 。 CDR，MDR，IDR和TDR的不同 - 有时冲突定义用于HPSR [6,7,12]的领域，这有助于概念的混乱，并且可能对其进一步发展产生负面影响。例如，凯尔等人。 [13]首先试图以广泛和狭隘的术语定义这种方法，首先是从传统研究问题的传统中的多种学科观点的整合，以及更广泛地使用多种方法的同时使用。

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