探索坦桑尼亚卫生规划团队是否愿意利用知识转化工具的决定因素:一项定性研究

Pius Kagoma , Richard Mongi , Joel Seme Ambikile , James Kengia , Albino Kalolo
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引用次数: 0

摘要

背景知识翻译(KT)工具对于通过循证决策(EIDM)实现全民健康覆盖(UHC)至关重要。虽然已知EIDM可以改善决策结果,但在公共卫生中,特别是在卫生规划团队中使用KT工具的记录较少。本研究旨在评估卫生规划团队在坦桑尼亚公共卫生系统中使用KT工具的准备情况,并确定相关因素。方法采用定性方法,对来自地区和地方政府部门的卫生规划小组成员进行调查。通过与六个规划小组的焦点小组讨论和对理事会、区域和国家各级34名关键线人的深入访谈,收集了数据。这些信息被逐字抄录并按主题进行分析。结果参与者通常准备好使用KT工具,但准备程度根据上下文因素而变化。影响准备的主要因素包括:与研究专家或知识生产机构(如大学)的联系,可靠的互联网和计算机等设施的可用性,使KT工具可用的资金,访问和使用KT工具的能力,以及在其设置中KT工具的可用性。结论研究表明,使用KT工具的准备程度较低,并且根据资源和支持结构的可用性而变化。研究结果强调需要采取能力建设、政策整合、改进协作、定期监测和制定知识管理框架等干预措施,以便在卫生规划期间加强对传统知识工具的使用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Exploring the determinants of readiness to utilize knowledge translation tools among health planning teams in Tanzania: A qualitative study

Background

Knowledge translation (KT) tools are vital for achieving universal health coverage (UHC) through Evidence-Informed Decision-Making (EIDM). While EIDM is known to improve decision outcomes, the use of KT tools in public health, especially among health planning teams, is less documented. This study aimed to evaluate the readiness of health planning teams to use KT tools in Tanzania's public health system and identify associated factors.

Methods

A qualitative approach was used, involving health planning team members from regional and local government authorities. Data were collected through focus group discussions with six planning teams and in-depth interviews with 34 key informants at the council, regional, and national levels. The information was transcribed verbatim and analyzed thematically.

Results

Participants were generally ready to use KT tools, but readiness varied based on contextual factors. Key factors influencing readiness included; access to research experts or knowledge-producing institutions, such as universities, availability of facilities like reliable internet and computers, funding to make KT tools available, capability to access and use KT tools, and availability of KT tools in their settings.

Conclusion

The study revealed that the readiness to use KT tools was low and varied based on the availability of resources and support structures. The findings emphasize the need for interventions like capacity building, policy integration, improved collaboration, regular monitoring, and the development of a knowledge management framework to enhance the use of KT tools during health planning.
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