The Benefits of Cooperative Inquiry in Health Services Research: Lessons from an Australian Aboriginal and Torres Strait Islander Health Study.

IF 2.6 0 HEALTH CARE SCIENCES & SERVICES International journal of social determinants of health and health services Pub Date : 2024-04-01 Epub Date: 2023-12-25 DOI:10.1177/27551938231221757
Toby Freeman, Tamara Mackean, Juanita Sherwood, Anna Ziersch, Kim O'Donnell, Judith Dwyer, Deborah Askew, Madison Shakespeare, Shane D'Angelo, Matthew Fisher, Annette Browne, Sonya Egert, Vahab Baghbanian, Fran Baum
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Abstract

Health services research is underpinned by partnerships between researchers and health services. Partnership-based research is increasingly needed to deal with the uncertainty of global pandemics, climate change induced severe weather events, and other disruptions. To date there is very little data on what has happened to health services research during the COVID-19 pandemic. This paper describes the establishment of an Australian multistate Decolonising Practice research project and charts its adaptation in the face of disruptions. The project used cooperative inquiry method, where partner health services contribute as coresearchers. When the COVID-19 pandemic hit, data collection needed to be immediately paused, and when restrictions started to lift, all research plans had to be renegotiated with services. Adapting the research surfaced health service, university, and staffing considerations. Our experience suggests that cooperative inquiry was invaluable in successfully navigating this uncertainty and negotiating the continuance of the research. Flexible, participatory methods such as cooperative inquiry will continue to be vital for successful health services research predicated on partnerships between researchers and health services into the future. They are also crucial for understanding local context and health services priorities and ways of working, and for decolonising Indigenous health research.

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合作调查在医疗服务研究中的益处:澳大利亚原住民和托雷斯海峡岛民健康研究的经验。
卫生服务研究的基础是研究人员与卫生服务机构之间的伙伴关系。为了应对全球大流行病、气候变化引起的恶劣天气事件和其他干扰因素带来的不确定性,越来越需要以伙伴关系为基础的研究。迄今为止,有关 COVID-19 大流行期间医疗服务研究情况的数据非常少。本文介绍了澳大利亚多州 "非殖民化实践 "研究项目的设立情况,并描绘了该项目在面临干扰时的适应情况。该项目采用合作探究法,合作伙伴医疗服务机构作为核心研究者参与其中。当 COVID-19 大流行袭来时,数据收集工作需要立即暂停,而当限制开始解除时,所有研究计划都必须与医疗服务机构重新协商。调整研究计划需要考虑医疗服务、大学和人员编制等因素。我们的经验表明,合作探究在成功应对这种不确定性和协商继续开展研究方面非常宝贵。灵活的参与式方法(如合作探究)对于未来成功开展以研究人员与医疗服务机构合作为基础的医疗服务研究至关重要。这些方法对于了解当地情况、医疗服务的优先事项和工作方式以及土著医疗研究的非殖民化也至关重要。
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