scholarly journals The Politics of Health Services Research: Health Professionals as Hired Hands in a Commissioned Research Project in England

2014 ◽  
Vol 19 (3) ◽  
pp. 118-128 ◽  
Author(s):  
Simon Dyson ◽  
Sue Dyson
Keyword(s):  
Health Services Research ◽  
Health Services ◽  
Social Relations ◽  
Clinical Staff ◽  
Health Staff ◽  
Validity And Reliability ◽  
Services Research ◽  
Ideal Types ◽  
Research Production ◽  
The Impact

Previous health services research has failed to account for the role played by clinical staff in the collection of data. In this paper we use the work of Roth on hired hand research to examine the politics of evidence production within health services research. Sociologies of work predict lack of engagement in the research tasks by subordinated groups of workers. We examine the role of midwives in researching ante-natal screening for sickle cell and thalassaemia in England, and construct three ideal types: repairers, refractors, and resisters to account for the variable engagement of health staff with research. We find some features of the hired hand phenomenon predicted by Roth to be in evidence, and suggest that the context of our project is similar to much health services research. We conclude that without concerted attempts (1) to change the social relations of research production; (2) to mitigate hired hand effects; (3) to assess the impact of the hired hand effect on the validity and reliability of findings, and (4) to report on these limitations, that health services research involving large teams of subordinated clinical staff as data collectors will be prone to produce evidence that is of limited trustworthiness.

scholarly journals Interaction and innovation: practical strategies for inclusive consumer-driven research in health services

BMJ Open ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. e031555 ◽  
Author(s):  
Maria R Dahm ◽  
Anthony Brown ◽  
Dean Martin ◽  
Maureen Williams ◽  
Brian Osborne ◽  
...  
Keyword(s):  
Data Analysis ◽  
Health Services Research ◽  
Health Services ◽  
Research Design ◽  
Research Process ◽  
Consumer Involvement ◽  
Consumer Engagement ◽  
Services Research ◽  
Active Involvement ◽  
The Impact

IntroductionDespite advances in the co-creation of clinical research involving consumers in the last few decades, consumer engagement in health services research generally remains inconsistent and is too often treated as a perfunctory exercise.ObjectiveDrawing on a health services study on diagnostic test result management, communication and follow-up, we: (1) outline practical strategies used to enhance the contribution of health consumer representatives across all stages of health services research, including active involvement in prioritising objectives for data analysis and participating in data analysis and the dissemination of findings; and (2) describe the impact of continued engagement of consumers on the programme of research, the interpretation of findings and their translational potential.Key innovationsKey enabling innovations for engagement included: (1) planned opportunities for long-term consumer involvement across all stages of the research process from conception to dissemination; (2) enhanced consumer engagement capacity; (3) purposeful recruitment of appropriately trained consumers; (4) provision of support structures for active consumer involvement in research design, analysis and write-up; and (5) financial support for consumer involvement.Impact/ConclusionEnhancing consumer contribution and establishing inclusive research design requires a negotiated, interactive, meaningful and transparent process. As a collaborative approach, consumer-driven research involvement offers opportunities for new, often unexpected or unexplored perspectives to feature across the whole research process. In a move away from tokenistic consumer involvement, consumers and researchers who participated in this novel and immersive research project identified inclusive research as a powerful tool to enhance health services research and its translation into effective policy.

scholarly journals From theory to practice: improving the impact of health services research

2005 ◽  
Vol 5 (1) ◽  
Author(s):  
Kevin Brazil ◽  
Elizabeth Ozer ◽  
Michelle M Cloutier ◽  
Robert Levine ◽  
Daniel Stryer
Keyword(s):  
Health Services Research ◽  
Health Services ◽  
Services Research ◽  
Theory To Practice ◽  
The Impact

scholarly journals The Need for an Evidence-Based Encyclopaedia in Health Services Research in Pharmacy

2020 ◽  
Vol 17 (7) ◽  
pp. 2549 ◽  
Author(s):  
Zaheer-Ud-Din Babar
Keyword(s):  
Health Services Research ◽  
Health Services ◽  
Pharmacy Practice ◽  
Practice Research ◽  
Evidence Based ◽  
Global Level ◽  
Services Research ◽  
The Uk ◽  
The Impact

Pharmacy practice research (PPR) is a specialty field within the wider area of health services research and it focuses on studies of how and why people access pharmacy services. This stream of research is also referred to as more universally recognized term such as health services research in pharmacy. The health services research in pharmacy has increased manifold; however, the impact of this research is not visible at the global level. The editorial explains several issues on quality and quantity of evidence produced including how evidence produced could contribute to improve quality of care and patients’ health outcomes. It also narrates examples from the UK and Australia showing how health services research in pharmacy has made an impact on healthcare service delivery. The editorial argues that building an encyclopaedia in health services research in pharmacy is vital to enhance the visibility and impact of this research.

scholarly journals Increasing the impact of health services research on service improvement: the researcher-in-residence model

2016 ◽  
Vol 109 (6) ◽  
pp. 220-225 ◽  
Author(s):  
Martin Marshall ◽  
Laura Eyre ◽  
Mirza Lalani ◽  
Salmaan Khan ◽  
Susan Mann ◽  
...  
Keyword(s):  
Health Services Research ◽  
Health Services ◽  
Service Improvement ◽  
Services Research ◽  
The Impact

scholarly journals Chronic non-bacterial osteitis from the patient perspective: a health services research through data collected from patient conferences

BMJ Open ◽  
2017 ◽  
Vol 7 (12) ◽  
pp. e017599 ◽  
Author(s):  
Colen Cooper Gore Silier ◽  
Justina Greschik ◽  
Susanne Gesell ◽  
Veit Grote ◽  
Annette F Jansson
Keyword(s):  
Health Services Research ◽  
Health Services ◽  
Pediatric Rheumatology ◽  
Patient Perspective ◽  
Negative Impact ◽  
Patient Survey ◽  
Psychosocial Aspect ◽  
Services Research ◽  
Initial Symptoms ◽  
The Impact

ObjectiveAlthough chronic non-bacterial osteitis (CNO) is an ever-increasingly recognised illness in the paediatric community and the adult healthcare community, a study to assess diagnosing, treatment and the psychosocial aspect of CNO from a large population pool was not available. We aimed to investigate CNO from the patient perspective.DesignHealth services research, patient survey.SettingLudwig-Maximilians-University (LMU) Pediatric Rheumatology Department CNO Conferences held in June 2013 and June 2015.ParticipantsUsing a patient survey developed by the LMU Pediatric Rheumatology Department, 105 patients from ages 5 to 63 years were assessed regarding CNO to include epidemiological data, medical history and treatment, initial symptoms, diagnostic procedures, current symptoms, associated diseases, current treating physicians, absences in school and work due to illness and the impact of illness on patient, family and friends.ResultsActive CNO was reported in 90% of patients present, with 73% being women and 27% being men. An overwhelming majority (70%) reported being diagnosed within 18 months of onset of symptoms; however, the initial diagnoses were wide-ranged to include malignancies in 36% to bacterial osteomyelitis in 30%, where the majority were treated with an antibiotic and/or were biopsied. When asked about the psychosocial aspect of this illness, 83% reported that non-bacterial osteitis (NBO) negatively impacted the family, 79% reported that NBO has negatively affected either school or work and 56% reported a negative impact on friendships.ConclusionDelay of diagnosis, living with differential diagnoses like malignancies and finding specialists for medical care are a few examples of what leads patients into searching for more information. The negative impact on daily life including family relationships, friendships and work/school highlights a need for better psychosocial support such as guidance counselling or psychological support due to three-quarters of patients receiving no such said support.

scholarly journals 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 ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e027903 ◽  
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.

scholarly journals Assessment of the impact of a clinical and health services research call in Catalonia

2012 ◽  
Vol 21 (4) ◽  
pp. 319-328 ◽  
Author(s):  
P. Adam ◽  
M. Solans-Domenech ◽  
J. M. V. Pons ◽  
M. Aymerich ◽  
S. Berra ◽  
...  
Keyword(s):  
Health Services Research ◽  
Health Services ◽  
Services Research ◽  
The Impact

A Critique of Anglo-American Medical Sociology

1974 ◽  
Vol 4 (3) ◽  
pp. 565-574 ◽  
Author(s):  
Manfred Pflanz
Keyword(s):  
Health Services Research ◽  
Health Services ◽  
Social Epidemiology ◽  
Medical Sociology ◽  
The United States ◽  
International Studies ◽  
Services Research ◽  
Theory Versus ◽  
Anglo American ◽  
The Impact

After a period of rapid, stormy development, many people in the field tend to feel somewhat discouraged about the present and future state of medical sociology. Measured by the expectations of the public, the patients, and medical sociology itself, there is much disappointment. The predictive power of the tools of medical sociology has proven to be weak, and it has not been able to explain satisfactorily the impact of social inequality on the distribution of disease and on differences in the utilization of health services. It cannot even be ruled out that medical sociology itself has created some of these differences and that it is partly responsible for creating “two-class medicine” in the United States and elsewhere. Social epidemiology has failed to develop useful theories, nor could it deliver unanimous findings. A particularly serious flaw is the confusion between the concepts of class, social strata, and poverty. Medical sociology has become the propaganda machine of the Welfare State (in the sense used by Alwin W. Gouldner) and instead of questioning medical values it has been co-opted by their proponents and adopted them. Parochialism characterizes both research and publications. The new vogue of “internationalism” has not succeeded in creating truly international studies; also, it has not worked to the advantage of other countries and has not been helpful in creating a theoretical and empirical body of knowledge in health services research. The paper argues that a more realistic exchange between Anglo-American and other medical sociology, between conservative and radical thinking, and between medical sociology and general or specific fields of sociology would foster new ideas and a new understanding of the main problem, that is, of theory versus application, in health services research.

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