The use of research in local health service agencies.

A critical and often overlooked component of the use and transfer of research in the health care system is the local health and social service delivery agency. There is also very little understanding of the extent to which local community-based agencies conduct research internally to improve their operational capacity. More than ever, these local service organizations require research to guide activity in a rapidly changing health care environment which is characterized by diminishing health and social service budgets, de-institutionalization and concomitant increases and metamorphoses in service demands. This study interviewed 25 executive directors and held a focus group with a group of other directors to examine the use and transfer of research in these organizations. A number of central issues were identified by the directors that affect the contribution of research to the delivery of their programs and services. A conceptual model for developing 'locally-based research transfer' was subsequently outlined that could serve as the basis for enhanced research use and research transfer in other local area contexts.

[1]  D. Hofoss,et al.  The relation between action and research in health policy , 1981 .

[2]  S. Cavanagh,et al.  Utilizing research findings in nursing: policy and practice considerations. , 1996, Journal of advanced nursing.

[3]  A. Haines,et al.  Implementing findings of research , 1994, BMJ.

[4]  P. Senge.  The fifth discipline : the art and practice of the learning organization/ Peter M. Senge , 1991 .

[5]  Hallie Preskill,et al.  Evaluation Strategies for Communicating and Reporting: Enhancing Learning in Organizations , 1996 .

[6]  C. Maurana,et al.  A successful academic‐community partnership to improve the public's health , 1996, Academic medicine : journal of the Association of American Medical Colleges.

[7]  R. Smith,et al.  Scientific Basis of Health Services , 1997, Journal of the Royal College of Physicians of London.

[8]  Mark W. Lipsey,et al.  Evaluation: A Systematic Approach , 1979 .

[9]  S J Closs,et al.  Utilization of nursing research: culture, interest and support. , 1994, Journal of advanced nursing.

[10]  E. Guba,et al.  Fourth Generation Evaluation , 1989 .

[11]  David M. Fetterman,et al.  Empowerment evaluation : knowledge and tools for self-assessment & accountability , 1996 .

[12]  Joel M. Moskowitz.  Why reports of outcome evaluations are often biased or uninterpretable: Examples from evaluations of drug abuse prevention programs , 1993 .

[13]  T. Cook,et al.  Quasi-experimentation: Design & analysis issues for field settings , 1979 .

[14]  D. Mechanic.  Prospects and problems in health services research. , 1978, The Milbank Memorial Fund quarterly. Health and society.

[15]  B. Stocking,et al.  Why research findings are not used by commissions--and what can be done about it. , 1995, Journal of public health medicine.

[16]  H. Klarman.  Observations on health services research and health policy analysis. , 1980, The Milbank Memorial Fund quarterly. Health and society.

[17]  M. West,et al.  Innovation and creativity at work::Psychological and organizational strategies , 1992 .

[18]  M. Patton,et al.  Qualitative evaluation methods , 1981 .

[19]  Laura C. Leviton,et al.  Research On the Utilization of Evaluations , 1981 .

[20]  J. Rothman.  Using Research in Organizations: A Guide to Successful Application , 1980 .

[21]  J Lomas,et al.  Finding audiences, changing beliefs: the structure of research use in Canadian health policy. , 1990, Journal of health politics, policy and law.

[22]  P Howden-Chapman,et al.  Translating research findings into health policy. , 1996, Social science & medicine.

[23]  Eliot R. Smith,et al.  Research methods in social relations , 1962 .

[24]  C. Weiss.  Using social research in public policy making , 1979 .

[25]  E. Tornquist,et al.  Barriers and facilitators of research utilization. An integrative review. , 1995, The Nursing clinics of North America.

[26]  M. Patton.  Utilization-focused evaluation: The new century text , 1997 .

[27]  John W. Osborne,et al.  Some similarities and differences among phenomenological and other methods of psychological qualitative research. , 1994 .

[28]  P. Senge,et al.  The Fifth Discipline Fieldbook , 1994 .

[29]  R. Kahn,et al.  The Social Psychology of Organizations , 1966 .

[30]  S M Shortell,et al.  Designing health policy research for utilization. , 1981, Health policy quarterly.

[31]  D. Altman,et al.  Sustaining interventions in community systems: on the relationship between researchers and communities. , 1995, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[32]  T. Bice.  Social science and health services research: contributions to public policy. , 1980, The Milbank Memorial Fund quarterly. Health and society.

[33]  M. Field.  Health Services Research: Work Force and Educational Issues. , 1995 .