制定联合王国卫生和社会护理人员未来研究议程:决策者和研究人员全国论坛的成果。

IF 1.9 4区 医学 Q3 HEALTH POLICY & SERVICES
Tara Lamont, Cat Chatfield, Kieran Walshe
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引用次数: 0

摘要

医护人员队伍研究与政策和实践决策之间存在差距。鉴于紧迫的人员配备危机,这一点比以往任何时候都更为重要。作为一个全国性研究网络,我们于 2023 年 3 月举办了首届英国医疗保健劳动力证据论坛。本文总结了此次活动的成果,包括英国新兴的医疗保健劳动力议程以及建设研究能力和弥合学者与决策者之间差距的行动。论坛汇集了 80 多位临床和系统领导者、政策制定者、监管者以及劳动力研究人员。在两天的时间里,由顶尖专家召集的 15 场会议将知识交流与审议对话结合在一起。主题包括劳动力分析、预测、国际移民和跨专业工作。在召开的小组会议上,与会者指出了在现有研究机构和对已有证据的吸收方面存在的重要差距。从虚拟病房到电子病历,对最近快速实施的劳动力计划还没有进行足够的高质量评估。大流行病加速了技能组合和专业角色的许多变化,但却很少从其他国家和系统中学习。现有的研究往往规模较小,或侧重于个人而非组织在员工福利等领域的解决方案。就现有研究而言,管理人员往往不了解注册护士人员配备水平与患者治疗效果之间关系等领域公认的高质量证据。还需要做更多的工作,让从劳动经济学、职业健康到学术人力资源等新学科参与进来,并加强新兴的医疗保健劳动力研究人员的多元化社区。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Developing the future research agenda for the health and social care workforce in the United Kingdom: Findings from a national forum for policymakers and researchers

There is a gap between healthcare workforce research and decision-making in policy and practice. This matters more than ever given the urgent staffing crisis. As a national research network, we held the first ever United Kingdom (UK) forum on healthcare workforce evidence in March 2023. This paper summarises outputs of the event including an emerging UK healthcare workforce agenda and actions to build research capacity and bridge the gap between academics and decisionmakers. The forum brought together over 80 clinical and system leaders, policymakers and regulators with workforce researchers. Fifteen sessions convened by leading experts combined knowledge exchange with deliberative dialogue over 2 days. Topics ranged from workforce analytics, forecasting, international migration to interprofessional working. In the small groups that were convened, important gaps were identified in both the existing research body and uptake of evidence already available. There had not been enough high quality evaluations of recent workforce initiatives implemented at pace, from virtual wards to e-rostering. The pandemic had accelerated many changes in skillmix and professional roles with little learning from other countries and systems. Existing research was often small-scale or focused on individual, rather than organisational solutions in areas such as staff wellbeing. In terms of existing research, managers were often unaware of accepted high quality evidence in areas like the relationship between registered nurse staffing levels and patient outcomes. More work is needed to engage new disciplines from labour economics and occupational health to academic human resources and to strengthen the emerging diverse community of healthcare workforce researchers.

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来源期刊
CiteScore
4.50
自引率
3.70%
发文量
197
期刊介绍: Policy making and implementation, planning and management are widely recognized as central to effective health systems and services and to better health. Globalization, and the economic circumstances facing groups of countries worldwide, meanwhile present a great challenge for health planning and management. The aim of this quarterly journal is to offer a forum for publications which direct attention to major issues in health policy, planning and management. The intention is to maintain a balance between theory and practice, from a variety of disciplines, fields and perspectives. The Journal is explicitly international and multidisciplinary in scope and appeal: articles about policy, planning and management in countries at various stages of political, social, cultural and economic development are welcomed, as are those directed at the different levels (national, regional, local) of the health sector. Manuscripts are invited from a spectrum of different disciplines e.g., (the social sciences, management and medicine) as long as they advance our knowledge and understanding of the health sector. The Journal is therefore global, and eclectic.
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