解开医疗服务研究(HSR)的障碍:教学医院员工的看法

Hala Alhenaidi, Mohammed Almalki
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摘要

本研究探讨了阿卜杜勒-阿齐兹国王大学医院(KAUH)员工在开展医疗服务研究(HSR)时遇到的挑战。研究采用了描述性分析方法,使用了改编自 Karimian 等人[1]的结构化问卷。共有 334 名来自阿卜杜勒-阿齐兹国王大学医院(KAUH)各行各业的员工参与了此次研究,他们代表了不同的专业背景。研究发现,在 188 名有过研究经验的受访者中,83.5% 的人曾进行过医疗服务研究,79.8% 的人遇到过困难。52.1% 的受访者在实践中应用了研究成果,这被视为医疗卫生服务研究的一个重要方面。调查结果显示,主要障碍包括:行政问题,如将研究成果融入实践的程度有限和评价不公平(78%),其次分别是专业挑战,如工作负担、资金和预算方面的财务挑战、与设施有关的问题,如研究数据库过时,以及与研究技能有关的障碍。此外,研究结果显示,学术人员面临的专业障碍少于非学术人员,沙特研究人员面临的专业障碍多于非沙特研究人员,这两者之间存在显著差异(P<0.05)。研究结果强调,必须解决资金和设施方面的障碍,以促进在卫生政策和社区卫生服务中实际利用人类健康报告。加强筹资程序、明确预算编制规定以及改善研究生态系统对于克服这些挑战以及利用人类健康研究的潜力来改善医疗保健的可及性、质量和成本效益至关重要。
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Unravelling the Hurdles of Health Services Research (HSR): Staff Perception at a Teaching Hospital
This research explores the challenges encountered by staff at King Abdulaziz University Hospital (KAUH) in conducting health services research (HSR). A descriptive-analytical approach was employed, utilizing a structured questionnaire adapted from Karimian et al. [1]. A total of 334 staff members from an array of careers at King Abdulaziz University Hospital (KAUH) were involved in this study, representing diverse professional backgrounds. Among the 188 respondents with prior research experience, the study found that 83.5% of 188 respondents with prior research experience had conducted health services research, with 79.8% encountering difficulties. 52.1% had applied research outcomes in their practice, which was seen as an instrumental aspect of HSR. Findings revealed that the major obstacles included; administrative issues such as limited integration of research outcomes into practice and unfair evaluations (78%), followed, respectively, by professional challenges such as job burden, financial challenges with funding and budgeting, facility-related issues like outdated research databases, and obstacles related to research skills. Additionally, the findings revealed a significant difference (P<0.05), with academic staff facing fewer professional obstacles than non-academic staff, and Saudi researchers reporting more professional obstacles than non-Saudis. The findings emphasize the importance of addressing financial and facility-related obstacles to facilitate the practical utilization of HSR in health policy and community health services. Enhancing funding processes, clarifying budgeting regulations, and improving the research ecosystem are essential to overcoming these challenges and harnessing HSR's potential to improve healthcare access, quality, and cost-effectiveness.
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