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Reaching health service managers with research

机译:通过研究吸引卫生服务经理

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The aim of this paper is to identify and characterize the routes by which research may reach health service managers to influence their critical decisions. This research used two series of qualitative interviews, documentary analysis (a calendar study) and a card-sorting exercise to explore the workplace information practices of thirty-six health service managers. Both interview studies used the cross-case analysis. The second interview study also used within-case analysis in the form of information transaction mapping. Information transactions, calendar study and card-sorting exercise data were reported quantitatively. Results are reported with observations and conclusions supported with interview content. This exploratory study found that these health service managers overcame short time lines, unclear processes and simultaneous conflicting priorities by bringing together groups accustomed to sharing information orally to inform their critical decisions. Each decision was informed by different categories and types of information. Group decisions allowed information from multiple sources, including research, to be integrated until there was "just enough" for a comfortable decision. Research reached these managers through one or more of at least eight different routes. Professional standards, conferences, information specialists in the role of structurally positioned gatekeepers (knowledgeable co-workers in positions related to the critical decision subject) and other information sources that appraise and filter research then blend it with local context are preferred over research papers that must be searched, read, appraised and then integrated with other information types. Eight routes by which research reaches health services managers are compared with seven elements in a research-to-policy conceptual framework.
机译:本文的目的是确定和表征研究可能到达卫生服务管理者以影响其关键决策的途径。这项研究使用了两个系列的定性访谈,文献分析(日历研究)和卡片分类练习,以探索36位卫生服务经理的工作场所信息实践。两项访谈研究均使用跨案例分析。第二项访谈研究还以信息交易映射的形式使用了案例内分析。信息交易,日历研究和卡片分类练习数据被定量报告。报告结果时附有观察结果和访谈内容,并得出结论。这项探索性研究发现,这些健康服务经理通过将习惯于口头共享信息的小组召集在一起,为关键决策提供帮助,从而克服了时间短,流程不清晰以及优先级同时冲突的问题。每个决定都通过不同类别和类型的信息来告知。集体决策允许整合来自多个来源(包括研究)的信息,直到“足够”可以做出一个舒适的决策为止。研究通过至少八种不同的途径中的一种或多种途径到达了这些管理者。具有结构定位的守门员(与关键决策主题相关的知识型同事)角色的专业标准,会议,信息专家,以及评估和过滤研究然后将其与当地情况相融合的其他信息源,比那些必须进行研究的论文更为可取进行搜索,阅读,评估,然后与其他信息类型集成。将研究到达卫生服务管理者的八种途径与“从研究到政策”的概念框架中的七个要素进行比较。

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