A framework for conducting policy-relevant primary care research: a COVID-19 case study in Australia.

IF 1.2 4区 医学 Q4 HEALTH CARE SCIENCES & SERVICES Australian journal of primary health Pub Date : 2023-02-01 DOI:10.1071/PY22174
Judith Thomas, Chisato Imai, Gorkem Sezgin, Rae-Anne Hardie, Stephen Weeding, Christopher Pearce, Adam McLeod, Precious McGuire, Shirmilla Datta, Julie Li, Nasir Wabe, Guilherme S Franco, Zhaoli Dai, Gihan de Mel, Emma Gault, Muhammad Kashif Sheikh, Andrew Georgiou
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Abstract

The onset of the coronavirus disease 2019 (COVID-19) pandemic, caused by SARS-CoV-2, and the ensuing implementation of response measures directly impacted the delivery of Australian primary care services. Understanding how these measures affected practice activity is important for gauging both their effectiveness and implications for future service planning. During the first 2years of the COVID-19 pandemic, a research project was undertaken to determine the impact of the pandemic on Australian general practice activity as a collaborative undertaking between researchers, general practitioners, data custodians, and five primary health networks from New South Wales and Victoria, Australia. The project methodology was based on an established research approach called action research, which involves participatory involvement from key stakeholders throughout the research process. The strength and success of the project's methodological approach stemmed from the synergistic interrelationship between the four key elements of: collaboration, repeated action research cycles (utilising electronic general practice data), engaged governance, and the production and dissemination of apposite knowledge outcomes. The project approach, knowledge outputs and lessons learned can be adapted to future research undertakings across any primary care setting and highlight the utility of action research and interdisciplinary research collaboration to produce knowledge directly relevant to clinical practice.

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开展与政策相关的初级保健研究的框架:以澳大利亚COVID-19为例。
由SARS-CoV-2引起的2019年冠状病毒病(COVID-19)大流行的爆发以及随后实施的应对措施直接影响了澳大利亚初级保健服务的提供。了解这些措施如何影响实践活动对于评估其有效性和对未来服务计划的影响非常重要。在2019冠状病毒病大流行的头两年,开展了一个研究项目,以确定大流行对澳大利亚全科医生活动的影响,这是研究人员、全科医生、数据保管人以及澳大利亚新南威尔士州和维多利亚州的五个初级卫生网络之间的合作项目。项目方法基于一种被称为行动研究的既定研究方法,在整个研究过程中涉及关键利益攸关方的参与性参与。项目方法学方法的优势和成功源于以下四个关键要素之间的协同相互关系:合作、重复的行动研究周期(利用电子全科医学数据)、参与式治理以及相关知识成果的生产和传播。项目方法、知识产出和经验教训可以适用于任何初级保健环境的未来研究工作,并强调行动研究和跨学科研究合作的效用,以产生与临床实践直接相关的知识。
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来源期刊
Australian journal of primary health
Australian journal of primary health 医学-公共卫生、环境卫生与职业卫生
CiteScore
2.20
自引率
15.40%
发文量
136
审稿时长
6-12 weeks
期刊介绍: Australian Journal of Primary Health integrates the theory and practise of community health services and primary health care. The journal publishes high-quality, peer-reviewed research, reviews, policy reports and analyses from around the world. Articles cover a range of issues influencing community health services and primary health care, particularly comprehensive primary health care research, evidence-based practice (excluding discipline-specific clinical interventions) and primary health care policy issues. Australian Journal of Primary Health is an important international resource for all individuals and organisations involved in the planning, provision or practise of primary health care. Australian Journal of Primary Health is published by CSIRO Publishing on behalf of La Trobe University.
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