scholarly journals Recruitment in Health Services Research—A Study on Facilitators and Barriers for the Recruitment of Community-Based Healthcare Providers

2021 ◽  
Vol 18 (19) ◽  
pp. 10521
Author(s):  
Franziska Krebs ◽  
Laura Lorenz ◽  
Farah Nawabi ◽  
Isabel Lück ◽  
Anne-Madeleine Bau ◽  
...  
Keyword(s):  
Health Services Research ◽  
Health Services ◽  
Financial Incentives ◽  
Extrinsic Motivation ◽  
Healthcare Providers ◽  
Trial Participation ◽  
Structured Interviews ◽  
Services Research ◽  
Community Based ◽  
Facilitators And Barriers

In health services research, the recruitment of patients is oftentimes conducted by community-based healthcare providers. Therefore, the recruitment of these healthcare providers is a crucial prerequisite for successful patient recruitment. However, recruiting community-based healthcare providers poses a major challenge and little is known about its influencing factors. This qualitative study is conducted alongside a health services research intervention trial. The aim of the study is to investigate facilitators and barriers for the recruitment of community-based healthcare providers. A qualitative text analysis of documents and semi-structured interviews with recruiting staff is performed. An inductive–deductive category-based approach is used. Our findings identify intrinsic motivation and interest in the trial’s aims and goals as important facilitating factors in healthcare provider recruitment. Beyond that, extrinsic motivation generated through financial incentives or collegial obligation emerged as a conflicting strategy. While extrinsic motivation might aid in the initial enrollment of healthcare providers, it rarely resulted in active trial participation in the long run. Therefore, extrinsic motivational factors should be handled with care when recruiting healthcare providers for health services research intervention trials.

scholarly journals Recruitment in Health Services Research - A Study on Facilitating and Inhibiting Factors Regarding The Recruitment of Community-Based Healthcare Providers

2021 ◽  
Author(s):  
Franziska Krebs ◽  
Laura Lorenz ◽  
Farah Nawabi ◽  
Isabel Lück ◽  
Anne-Madeleine Bau ◽  
...  
Keyword(s):  
Financial Incentives ◽  
Extrinsic Motivation ◽  
Healthcare Providers ◽  
Trial Participation ◽  
Healthcare Intervention ◽  
Structured Interviews ◽  
Services Research ◽  
Community Based ◽  
Social Burden ◽  
Inhibiting Factors

Abstract Background In healthcare intervention trials, the recruitment of patients is frequently conducted by community-based healthcare providers. The recruitment of healthcare providers is therefore a crucial prerequisite that can determine the success of a trial right from the start. However, the recruitment of healthcare providers often poses a major challenge, and little is known about its influencing factors. Methods The study was conducted alongside an intervention trial evaluating the effectiveness of a lifestyle intervention during pregnancy. Triangulation techniques were used to identify facilitators and barriers to the recruitment of healthcare providers. Qualitative text analysis of internal documents and semi-structured interviews with study coordinators were performed. These results were used to derive the facilitating and inhibiting factors for recruitment. Results Our findings identified intrinsic motivation and interest in the trial’s aims and goals as the most important factors in healthcare provider recruitment. Beyond that, extrinsic motivation generated through financial incentives or collegial obligation emerged as a conflicting strategy. While extrinsic motivation might aid in the initial enrollment of healthcare providers, it rarely results in active trial participation in the long run. The perceived availability of eligible patients emerged as another barrier. Some healthcare providers declined trial participation because they anticipated that they would not have any patients that would suit the intervention due to high social burden or low need on the part of the patients. Conclusions During the planning of a trial, more attention should be paid to the recruitment phase. Researchers should seek input from healthcare providers when planning their trial design and recruitment strategies, and conduct a thorough needs assessment to avoid barriers and create a sense of ownership. Financial compensation for the trial burden emerged as a basic requirement, but this is not sufficient for recruitment if used as the sole means of motivation. Adaptable recruiting and intervention strategies that suit different patient populations are important in helping healthcare providers feel adequately prepared for trial tasks. The recruitment skills of healthcare providers and the communication skills of trial staff should therefore be addressed explicitly before the start of the recruitment phase. Trial registration German Clinical Trials Register (DRKS00013173). Registered 3rd of January 2019

scholarly journals Health services research in France: bridging the gap between academia and policymaking

2020 ◽  
Author(s):  
Marine Spaak ◽  
Marion Cipriano ◽  
François Alla ◽  
Daniel Benamouzig
Keyword(s):  
Public Health ◽  
Health Services Research ◽  
Health Services ◽  
Critical Mass ◽  
Public Health Research ◽  
Structured Interviews ◽  
Services Research ◽  
Two Phase ◽  
Staff Members ◽  
Methodological Aspects

Abstract Background We aimed to identify the knowledge producers, the knowledge that they produce and the main areas of interest for health services research (HSR) in France, which is one of the priorities for public health research planning. Methods A two-phase approach comprising a bibliometric analysis and semi-structured interviews with 20 researchers and 13 staff members of public health bodies was used. Results In France today, interdisciplinary research teams are being organized in the main cities despite a lack of critical mass. The interviews showed that the term ‘health services research’ is vague with fuzzy boundaries between research, scientific expertise and evaluation. A keyword cluster analysis showed that French HSR is more hospital-centric compared to those countries that publish most frequently. The analysis also revealed a lack of research on methodological aspects. Conclusions We analyzed the structure of HSR in France and the specificity of the French publications in this field, compared with other countries. The results indicate the obstacles faced by researchers and decision-makers and offer insight into how these barriers may be removed.

scholarly journals Stakeholder views on publication bias in health services research

2020 ◽  
Vol 25 (3) ◽  
pp. 162-171 ◽  
Author(s):  
Iestyn Williams ◽  
Abimbola A Ayorinde ◽  
Russell Mannion ◽  
Magdalena Skrybant ◽  
Fujian Song ◽  
...  
Keyword(s):  
Focus Group ◽  
Health Services Research ◽  
Health Services ◽  
Clinical Research ◽  
Publication Bias ◽  
Quantitative Research ◽  
Decision Makers ◽  
Structured Interviews ◽  
Services Research ◽  
General Acceptance

Objectives While the presence of publication bias in clinical research is well documented, little is known about its role in the reporting of health services research. This paper explores stakeholder perceptions and experiences with regard to the role of publication and related biases in quantitative research relating to the quality, accessibility and organization of health services. Methods We present findings from semi-structured interviews with those responsible for the funding, publishing and/or conduct of quantitative health services research, primarily in the UK. Additional data collection includes interviews with health care decision makers as ‘end users’ of health services research, and a focus group with patient and service user representatives. The final sample comprised 24 interviews and eight focus group participants. Results Many study participants felt unable to say with any degree of certainty whether publication bias represents a significant problem in quantitative health services research. Participants drew broad contrasts between externally funded and peer reviewed research on the one hand, and end user funded quality improvement projects on the other, with the latter perceived as more vulnerable to selective publication and author over-claiming. Multiple study objectives, and a general acceptance of ‘mess and noise’ in the data and its interpretation was seen to reduce the importance attached to replicable estimates of effect sizes in health services research. The relative absence of external scrutiny, either from manufacturers of interventions or health system decision makers, added to this general sense of ‘low stakes’ of health services research. As a result, while many participants advocated study pre-registration and using protocols to pre-identify outcomes, others saw this as an unwarranted imposition. Conclusions This study finds that incentives towards publication and related bias are likely to be present, but not to the same degree as in clinical research. In health services research, these were seen as being offset by other forms of ‘novelty’ bias in the reporting and publishing of research findings.

The rationales for and challenges with employing arts-based health services research (ABHSR): a qualitative systematic review of primary studies

2020 ◽  
pp. medhum-2020-011845
Author(s):  
Umair Majid ◽  
Sujane Kandasamy
Keyword(s):  
Systematic Review ◽  
Qualitative Research ◽  
Health Services Research ◽  
Health Services ◽  
Healthcare Providers ◽  
Services Research ◽  
Arts Based Research ◽  
Interdisciplinary Field ◽  
Qualitative Systematic Review ◽  
Nuanced Understanding

Health services research (HSR) is an interdisciplinary field that investigates and improves the design and delivery of health services from individual, group, organisational and system perspectives. HSR examines complex problems within health systems. Qualitative research plays an important role in aiding us to develop a nuanced understanding of patients, family, healthcare providers, teams and systems. However, the overwhelming majority of HSR publications using qualitative research use traditional methods such as focus groups and interviews. Arts-based research—artistic and creative forms of data collection such as dance, drama and photovoice—have had limited uptake in HSR due to the lack of clarity in the methods, their rationales and potential impacts. To address this uncertainty, we conducted a qualitative systematic review of studies that have employed arts-based research in HSR topics. We searched four databases for peer-reviewed, primary HSR studies. Using conventional content analysis, we analysed the rationales for using arts-based approaches in 42 primary qualitative studies. We found four rationales for using arts-based approaches for HSR: (1) Capture aspects of a topic that may be overlooked, ignored or not conceptualised by other methods (ie, quantitative and interview-based qualitative methods). (2) Allow participants to reflect on their own experiences. (3) Generate valuable community knowledge to inform intervention design and delivery. (4) Formulate research projects that are more participatory in nature. This review provides health services researchers with the tools, reasons, rationales and justifications for using arts-based methods. We conclude this review by discussing the practicalities of making arts-based approaches commensurable to HSR.

scholarly journals Problems in recruiting community-based physicians for health services research

2000 ◽  
Vol 15 (8) ◽  
pp. 591-599 ◽  
Author(s):  
Steven Asch ◽  
Sarah E. Connor ◽  
Eric G. Hamilton ◽  
Sarah A. Fox
Keyword(s):  
Health Services Research ◽  
Health Services ◽  
Services Research ◽  
Community Based

scholarly journals Teaching Community-Based Participatory Research Principles to Physicians Enrolled in a Health Services Research Fellowship

2009 ◽  
Vol 84 (4) ◽  
pp. 478-484 ◽  
Author(s):  
Marjorie S. Rosenthal ◽  
Georgina I. Lucas ◽  
Barbara Tinney ◽  
Carol Mangione ◽  
Mark A. Schuster ◽  
...  
Keyword(s):  
Health Services Research ◽  
Health Services ◽  
Participatory Research ◽  
Community Based Participatory Research ◽  
Services Research ◽  
Community Based ◽  
Research Fellowship ◽  
Teaching Community

scholarly journals Marketing communications in health and medicine: perspectives from Willis-Knighton Health System

2020 ◽  
Vol 20 (S1) ◽  
Author(s):  
James K. Elrod ◽  
John L. Fortenberry
Keyword(s):  
Health Services Research ◽  
Health Services ◽  
Health System ◽  
Patient Engagement ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Marketing Communications ◽  
Healthcare Organizations ◽  
Services Research ◽  
Special Supplement

Abstract Background Communications prowess is a key ingredient of productive healthcare delivery pursuits, with associated successes clearly positioning health and medical establishments for growth and prosperity. Many conveyance mechanisms are at the disposal of healthcare providers, permitting numerous opportunities for engaging current and prospective patients. For the best communicative outcomes, all must be considered when formulating marketing communications initiatives, with consideration first, of course, requiring that healthcare providers acquire an understanding of communications options and associated fundamentals. Discussion In pursuing knowledge of communications options and related guidance, healthcare providers can benefit greatly by gaining operational perspectives from peer institutions. Over many decades, through scores of deployments, Willis-Knighton Health System has acquired significant communications prowess, prompting development of this special supplement in BMC Health Services Research, entitled “Marketing communications in health and medicine: perspectives from Willis-Knighton Health System,” with this particular article supplying a brief profile of the contents included in the associated supplement. Across the pages of the collection of articles contained in the supplement, attention specifically is directed toward the components of the marketing communications mix, foundational elements of communication, the patronage process, and the necessity for integrating marketing communications. Conclusions Establishing an effective dialogue with current and prospective patients is an absolute necessity for healthcare organizations, warranting intensive efforts to master marketing communications. Given the imperative for excellence in marketing communications, it is hoped that the light shed by this supplement and its collection of articles will help healthcare providers better understand marketing communications and deploy associated initiatives successfully, affording greater patient engagement opportunities.

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