Advancing Health Services Collaborative and Partnership Research; Comment on “Experience of Health Leadership in Partnering with University-Based Researchers in Canada – A Call to ‘Re-imagine’ Research”

Document Type : Commentary

Authors

1 Department of Learning, Informatics, Management and Ethics (LIME), Medical Management Centre, SOLIID, Karolinska Institutet, Stockholm, Sweden

2 Department of Epidemiology and Global Health, Umeå University, Umeå, Sweden

3 Stockholm Gerontology Research Centre, Stockholm, Sweden

Abstract

Bowen et al highlight the trend towards partnership research to address the complex challenges currently facing healthcare systems and organizations world-wide. They focus on important strategic actors in partner organizations and their experiences, views and advice for sustainable collaboration, within a Canadian context. The authors call for a multi-system change to provide better conditions for research partnerships. They highlight needs to re-imagine research, to move beyond an ‘acute care’ and clinical focus in research, to re-think research funding, and to improve the academic preparation for research partnerships. In this commentary we provide input to the discussion on practical guidance for those involved in research partnerships based on our partnership experiences from ten research projects conducted within the Swedish healthcare system since 2007. We also highlight areas that need attention in future research in order to learn from approaches used for collaborative and partnership research.

Keywords


  1. Mitchell P, Pirkis J, Hall J, Haas M. Partnerships for knowledge exchange in health services research, policy and practice. J Health Serv Res Policy. 2009;14(2):104-111. doi:10.1258/jhsrp.2008.008091
  2. Boaz A, Fitzpatrick S, Shaw B. Assessing the impact of research on policy: A literature review. Sci Public Policy. 2009;36(4):255-270. doi:10.3152/030234209X436545
  3. Golden-Biddle K, Reay T, Petz S, et al. Toward a communicative perspective of collaborating in research: The case of the researcher-decision-maker partnership. J Health Serv Res Policy. 2003;8(suppl 2):20-25. doi:10.1258/135581903322405135
  4. Van De Ven AH, Johnson PE. Knowledge for theory and practice. Acad Manag Rev. 2006;31(4):802-821. doi:10.5465/amr.2006.22527385
  5. Sibbald SL, Tetroe J, Graham ID. Research funder required research partnerships: a qualitative inquiry. Implement Sci. 2014;9(1):176. doi:10.1186/s13012-014-0176-y
  6. Smits PA, Denis JL. How research funding agencies support science integration into policy and practice: an international overview. Implement Sci. 2014;9(1):28. doi:10.1186/1748-5908-9-28
  7. Zardo P, Barnett AG, Suzor N, Cahill T. Does engagement predict research use? An analysis of The Conversation Annual Survey 2016. PLoS One. 2018;13(2):e0192290. doi:10.1371/journal.pone.0192290
  8. Nyström ME, Karltun J, Keller C, Andersson Gäre B. Collaborative and partnership research for improvement of health and social services: researcher’s experiences from 20 projects. Health Res Policy Syst. 2018;16(1):46. doi:10.1186/s12961-018-0322-0
  9. Bowen S, Botting I, Graham ID, et al. Experience of health leadership in partnering with university-based researchers in Canada - a call to “re-imagine” research. Int J Health Policy Manag. 2019;8(12):684-699. doi:10.15171/ijhpm.2019.66
  10. Bowen S, Botting I, Graham ID, Huebner L-A. Beyond “Two Cultures”: Guidance for Establishing Effective Researcher/Health System Partnerships. Int J Heal Policy Manag. 2016;6(1):27-42. doi:10.15171/ijhpm.2016.71
  11. Nyström ME, Westerlund A, Höög E, Millde-Luthander C, Högberg U, Grunewald C. Healthcare system intervention for prevention of birth injuries – process evaluation of self-assessment, peer review, feedback and agreement for change. BMC Health Serv Res. 2012;12:274. doi:10.1186/1472-6963-12-274
  12. Richter Sundberg L, Garvare R, Nyström ME. Reaching beyond the review of research evidence: a qualitative study of decision making during the development of clinical practice guidelines for disease prevention in healthcare. BMC Health Serv Res. 2017;17(1):344. doi:10.1186/s12913-017-2277-1
  13. Kardakis T, Weinehall L, Jerdén L, Nyström ME, Johansson H. Lifestyle interventions in primary health care: professional and organizational challenges. Eur J Public Health. 2014;24(1):79-84. doi:10.1093/eurpub/ckt052
  14. Nyström ME, Strehlenert H, Hansson J, Hasson H. Strategies to facilitate implementation and sustainability of large system transformations: a case study of a national program for improving quality of care for elderly people. BMC Health Serv Res. 2014;14(1):401. doi:10.1186/1472-6963-14-401
  15. Strehlenert H, Hansson J, Nyström ME, Hasson H. Implementation of a national policy for improving health and social care: a comparative case study using the Consolidated Framework for Implementation Research. BMC Health Serv Res. 2019;19(1):730. doi:10.1186/s12913-019-4591-2
  16. Granström E, Hansson J, Sparring V, Brommels M, Nyström ME. Enhancing policy implementation to improve healthcare practices: The role and strategies of hybrid national‐local support structures. Int J Health Plann Manage. 2018;33(4):e1262-e1278. doi:10.1002/hpm.2617
  17. Höög E, Lysholm J, Garvare R, Weinehall L, Nyström ME. Quality improvement in large healthcare organizations: Searching for system-wide and coherent monitoring and follow-up strategies. J Health Organ Manag. 2016;30(1):133-153. doi:10.1108/JHOM-10-2013-0209
  18. Westerlund A, Garvare R, Höög E, Nyström ME. Facilitating system-wide organizational change in health care. Int J Qual Serv Sci. 2015;7(1):72-89. doi:10.1108/IJQSS-01-2015-0004
  19. Höög E, Garvare R, Ivarsson A, Weinehall L, Elisabeth Nyström M. Challenges in managing a multi-sectoral health promotion program. Leadersh Heal Serv. 2013;26(4):368-386. doi:10.1108/LHS-12-2011-0048
  20. Nyström ME, Höög E, Garvare R, Andersson Bäck M, Terris DD, Hansson J. Exploring the potential of a multi-level approach to improve capability for continuous organizational improvement and learning in a Swedish healthcare region. BMC Health Serv Res. 2018;18(1):376. doi:10.1186/s12913-018-3129-3
  21. Westerlund A, Garvare R, Nyström ME, Eurenius E, Lindkvist M, Ivarsson A. Managing the initiation and early implementation of health promotion interventions: a study of a parental support programme in primary care. Scand J Caring Sci. 2017;31(1):128-138. doi:10.1111/scs.12329
  22. Svensson L, Ellström PE, Brulin G. Introduction on interactive research. Int J Action Res. 2007;3:233-249.
  23. Huberman M. Research utilization: The state of the art. Knowl Policy. 1994;7(4):13-33. doi:10.1007/BF02696290
  24. Elias AA, Cavana RY, Jackson LS. Stakeholder analysis for R&D project management. R&D Manag. 2002;32(4):301-310. doi:10.1111/1467-9310.00262
  25. Boaz A, Hanney S, Borst R, O’Shea A, Kok M. How to engage stakeholders in research: design principles to support improvement. Heal Res Policy Syst. 2018;16(1):60. doi:10.1186/s12961-018-0337-6
  26. Cordero C, Delino R, Jeyaseelan L, et al. Funding agencies in low- and middle-income countries: support for knowledge translation. Bull World Heal Organ. 2008;86(7):524-534.
  27. Rycroft-Malone J, Burton CR, Wilkinson J, et al. Collective action for implementation: a realist evaluation of organisational collaboration in healthcare. Implement Sci. 2015;11(1):17. doi:10.1186/s13012-016-0380-z
  28. Pinto R, Spector A, Rahman R. Nurturing practitioner-researcher partnerships to improve adoption and delivery of research-based social and public health services worldwide. Int J Environ Res Public Health. 2019;16(5):862. doi:10.3390/ijerph16050862
  29. Creswell J, Tashakkori A. Differing perspectives on mixed methods research. J Mix Method Res. 2007;1:303-308.
  30. Savage GT, Bunn MD, Gray B, et al. Stakeholder Collaboration: Implications for Stakeholder Theory and Practice. J Bus Ethics. 2010;96(S1):21-26. doi:10.1007/s10551-011-0939-1
Volume 10, Issue 2
February 2021
Pages 106-110
  • Receive Date: 14 November 2019
  • Revise Date: 25 January 2020
  • Accept Date: 26 January 2020
  • First Publish Date: 01 February 2021