Jan Blanpain and Luk Delesie, Community Health Investment: Health Services Research in Belgium, France, Federal German Republic and the Netherlands, published for the Nuffield Provincial Hospitals Trust by Oxford University Press, London, 1976. xiii + 474 pp. £8.50.

OBJECTIVES/SPECIFIC AIMS: The primary objective of this effort is to develop and distribute an easy to use i2b2 component that is capable of evaluating diverse complex relationships for a wide variety of exposures and outcomes over time. In this manner we are able to leverage the unique design of the i2b2 database to support health services research, comparative effectiveness, and quality improvement using a single tool. Furthermore, our novel database redesign has the potential to provide user-friendly access to individual and group CHC data for CER. METHODS/STUDY POPULATION: For this project we used software experts, clinical informatics specialists, and the existing i2b2 open-source software to convert our legacy HOME Cell into a web-client version. The tool will be used to study health outcomes within a network of Boston based Community Health Centers and the largest safety-net hospital in New England, Boston Medical Center. RESULTS/ANTICIPATED RESULTS: The new web-client HOME Cell will allow i2b2 users to model virtually any exposure (including therapeutic interventions such as medications or tests) in i2b2 against any outcome accounting for complex temporal relationships and other factors. In addition we plan to use our new Community Health Center views to enhance our community engagement activities by allowing direct access to their data for our partners. DISCUSSION/SIGNIFICANCE OF IMPACT: Our project addresses multiple national priorities related to data sharing, clinical research informatics, and comparative effectiveness. The web-client version of the HOME Cell substantially improves our community’s access to HOME Cell functionality and is a novel, sharable resource for use within the CTSA/NCATS community. Our approach provides a new way to perform large-scale collaborative research without the need to actually move patient-level data and has demonstrated that CER, health services research, and quality measurement can share a common framework. In addition, and as demonstrated in our earlier pilot work, the HOME Cell also has the potential to support large-scale multivariate analyses in a distributed manner that does not require sharing of patient-level data. We believe our approach has great promise for supporting the reuse of clinical data for rapid, transparent, health outcome assessments on a national scale. Our efforts support multiple strategic goals including: (1) support for building national clinical and translational research capacity by enhancing a broadly adopted informatics tool (i2b2); (2) enhanced consortium-wide collaborations by offering a tool that can be easily shared within the CTSA network to support multi-institutional collaboration; and (3) improving the health of our communities by offering a tool that has the potential to provide new insights into health care processes and outcomes that could drive innovation and improvement activities.

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Continuous Morbidity Registration sentinel stations. The Netherlands 2000: Edited by A I M Bartelds. (Pp 162; € 15.) Utrecht: NIVEL, Netherlands Institute for health services research, 2002. ISBN 90-6905-555-4

Journal of Epidemiology & Community Health ◽

10.1136/jech.57.5.392-b ◽

2003 ◽

Vol 57 (5) ◽

pp. 392-b-392

Author(s):

I R A L van Laere

Keyword(s):

Health Services Research ◽

Health Services ◽

The Netherlands ◽

Services Research

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Occurrence and nature of questionable research practices in the reporting of messages and conclusions in international scientific Health Services Research publications: a structured assessment of publications authored by researchers in the Netherlands

BMJ Open ◽

10.1136/bmjopen-2018-027903 ◽

2019 ◽

Vol 9 (5) ◽

pp. e027903 ◽

Cited By ~ 6

Author(s):

Reinie G Gerrits ◽

Tessa Jansen ◽

Joko Mulyanto ◽

Michael J van den Berg ◽

Niek S Klazinga ◽

...

Keyword(s):

Health Services Research ◽

Health Services ◽

The Netherlands ◽

Study Design ◽

Methodological Approach ◽

Assessment Instrument ◽

Services Research ◽

Research Practices ◽

Questionable Research Practices ◽

The Impact

ObjectivesExplore the occurrence and nature of questionable research practices (QRPs) in the reporting of messages and conclusions in international scientific Health Services Research (HSR) publications authored by researchers from HSR institutions in the Netherlands.DesignIn a joint effort to assure the overall quality of HSR publications in the Netherlands, 13 HSR institutions in the Netherlands participated in this study. Together with these institutions, we constructed and validated an assessment instrument covering 35 possible QRPs in the reporting of messages and conclusions. Two reviewers independently assessed a random sample of 116 HSR articles authored by researchers from these institutions published in international peer-reviewed scientific journals in 2016.SettingNetherlands, 2016.Sample116 international peer-reviewed HSR publications.Main outcome measuresMedian number of QRPs per publication, the percentage of publications with observed QRP frequencies, occurrence of specific QRPs and difference in total number of QRPs by methodological approach, type of research and study design.ResultsWe identified a median of six QRPs per publication out of 35 possible QRPs. QRPs occurred most frequently in the reporting of implications for practice, recommendations for practice, contradictory evidence, study limitations and conclusions based on the results and in the context of the literature. We identified no differences in total number of QRPs in papers based on different methodological approach, type of research or study design.ConclusionsGiven the applied nature of HSR, both the severity of the identified QRPs, and the recommendations for policy and practice in HSR publications warrant discussion. We recommend that the HSR field further define and establish its own scientific norms in publication practices to improve scientific reporting and strengthen the impact of HSR. The results of our study can serve as an empirical basis for continuous critical reflection on the reporting of messages and conclusions.

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