Formulating outputs from a mixed-methods study of access to general practice: a series of collaborative stakeholder workshops.

Helen Atherton, Toto Gronlund, Abi Eccles, Carol Bryce, Angela Martin, Catherine Pope
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Abstract

Background: Access to general practice is a concern for policy-makers, politicians, service providers and the public. We conducted a study to examine what happens in the long term to general practices that have introduced innovations designed to improve access to appointments. Recognising the importance of ensuring research findings are transferable to those using them, we used collaborative workshops to aid the development of our study outputs.

Methods: We held three sequential interactive workshops. These covered (1) early findings of the study, (2) what evidence-based resources attendees use and (3) what resources they would like to see produced. We sought to include 6-12 people from staff from practices participating in the wider research study, from primary care networks, from partnership boards of integrated care systems, clinical commissioners, professional bodies, National Health Service bodies and independent think tanks. The first two workshops were online, the final was in-person. Workshops were facilitated by the research team, including the patient and public involvement lead. A research team member took detailed notes.

Results: Workshop 1 had 12 attendees; workshop 2 had 9 attendees, of which 7 were also at the previous workshop; workshop 3 had 7 attendees, of whom 6 had attended a previous workshop. From these workshops, we gained insights that helped us to validate our interpretation of the study data. We observed the competing interests and needs of different groups, who have different perspectives on the value of research evidence. Outputs that are brief, written in lay terms and widely publicised appear to be of especial value.

Limitations: The range of stakeholders included was less varied than intended; this was in part due to the commitment involved in attending, and this may limit the inclusivity of the findings.

Future work: This approach could be used in future studies to ensure that stakeholder interests are included in study dissemination plans.

Funding: This article presents independent research funded by the National Institute for Health and Care Research (NIHR) Health and Social Care Delivery Research programme as award number NIHR133620.

从获得全科实践的混合方法研究中制定产出:一系列利益相关者合作研讨会。
背景:获得全科医疗服务是决策者、政治家、服务提供者和公众关注的问题。我们进行了一项研究,以检查引入旨在改善预约机会的创新的全科诊所的长期影响。认识到确保研究成果能够转移到使用它们的人身上的重要性,我们使用合作研讨会来帮助开发我们的研究成果。方法:我们举办了三次连续的互动研讨会。这些内容包括(1)研究的早期发现,(2)与会者使用的循证资源,以及(3)他们希望看到的资源。我们试图纳入6-12人,他们来自参与更广泛研究的实践工作人员,来自初级保健网络,来自综合护理系统的合作伙伴委员会,临床专员,专业机构,国家卫生服务机构和独立智库。前两次研讨会是在线的,最后一次是面对面的。研讨会由研究小组主持,包括病人及公众参与组长。一位研究小组成员做了详细的笔记。结果:工作坊1共有12人参加;第2次讲习班有9名与会者,其中7人也参加了前一次讲习班;讲习班3有7名参加者,其中6人参加过以前的讲习班。从这些研讨会中,我们获得了帮助我们验证我们对研究数据的解释的见解。我们观察到不同群体的竞争利益和需求,他们对研究证据的价值有不同的看法。简明扼要、通俗易懂、广为宣传的产出似乎具有特别的价值。局限性:包括的利益相关者的范围比预期的要少;这在一定程度上是由于参与的承诺,这可能限制了研究结果的包容性。未来的工作:该方法可用于未来的研究,以确保将利益相关者的利益纳入研究传播计划。资助:本文介绍了由国家卫生和保健研究所(NIHR)卫生和社会保健提供研究项目资助的独立研究,奖励号为NIHR133620。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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