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Kendir C, van den Berg M, Bloemeke-Cammin J, Groene O, Guanais F, Rochfort A, Valderas JM, Klazinga N. Engaging primary care professionals in OECD's international PaRIS survey: a documentary analysis. Health Res Policy Syst 2024; 22:76. [PMID: 38965544 PMCID: PMC11223287 DOI: 10.1186/s12961-024-01170-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2024] [Accepted: 06/23/2024] [Indexed: 07/06/2024] Open
Abstract
Healthcare professionals have first-hand experience with patients in clinical practice and the dynamics in the healthcare system, which can be of great value in the design, implementation, data analysis and dissemination of research study results. Primary care professionals are particularly important as they provide first contact, accessible, coordinated, comprehensive and continuous people-focused care. However, in-depth examination of the engagement of health professionals in health system research and planning activities-how professionals are engaged and how this varies across national contexts- is limited, particularly in international initiatives. There is a need to identify gaps in the planning of engagement activities to inform the design and successful implementation of future international efforts to improve the responsiveness of health systems to the changing needs of patients and professionals. The aim of this study was to explore how primary care professionals were engaged in the design and implementation plans of an international health policy study led by the Organisation for Economic Co-operation and Development (OECD). The OECD's international PaRIS survey measures and disseminates information on patient-reported outcome and experience measures (PROMs and PREMs) of people living with chronic conditions who are managed in primary care. A documentary analysis of 17 written national implementation plans (country roadmaps) was conducted between January and June 2023. Two reviewers independently performed the screening and data abstraction and resolved disagreements by discussion. We reported the intended target primary care professionals, phase of the study, channel of engagement, level of engagement, and purpose of engagement. All 17 countries aimed to engage primary care professionals in the execution plans for the international PaRIS survey. While organisations of primary care professionals, particularly of family doctors, were the most commonly targeted group, variation was found in the timing of engagement activities during the different phases of the study and in the level of engagement, ranging from co-development (half of the countries co-developed the survey together with primary care professionals) to one-off consultations with whom. International guidance facilitated the participation of primary care professionals. Continuous collaborative efforts at the international and national levels can foster a culture of engagement with primary care organisations and individual professionals and enhance meaningful engagement of primary care professionals.
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Affiliation(s)
- Candan Kendir
- Directorate for Employment, Labour and Social Affairs, Organisation for Economic Co-Operation and Development (OECD), Paris, France.
- Department of Public and Occupational Health, Amsterdam University Medical Centres (UMC), Amsterdam, Netherlands.
| | - Michael van den Berg
- Directorate for Employment, Labour and Social Affairs, Organisation for Economic Co-Operation and Development (OECD), Paris, France
| | | | - Oliver Groene
- Research & Innovation, OptiMedis, Hamburg, Germany
- Faculty of Management, Economics and Society, University of Witten/Herdecke, Witten, Germany
| | - Frederico Guanais
- Directorate for Employment, Labour and Social Affairs, Organisation for Economic Co-Operation and Development (OECD), Paris, France
| | - Andree Rochfort
- Quality Improvement, Irish College of General Practitioners, Dublin, Ireland
- Department of General Practice and Forensic & Legal Medicine, School of Medicine, University College Dublin, Dublin, Ireland
| | - Jose M Valderas
- Department of Family Medicine, National University Health System, Singapore, Singapore
- Centre for Research in Health Systems Performance (CRiHSP), Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| | - Niek Klazinga
- Department of Public and Occupational Health, Amsterdam University Medical Centres (UMC), Amsterdam, Netherlands
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Mickan S. Engaging clinicians in research: barriers, benefits and building a blueprint. Evid Based Nurs 2024; 27:55. [PMID: 37451851 DOI: 10.1136/ebnurs-2023-103778] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/03/2023] [Indexed: 07/18/2023]
Affiliation(s)
- Sharon Mickan
- Faculty of Heath Sciences and Medicine, Bond University, Gold Coast, Queensland, Australia
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Haeme R, Pasternak A, Bujold E. Letter to the Editor: Frontline Clinician Appraisement of Research Engagement: "I Feel Out of Touch with Research". J Gen Intern Med 2024; 39:499. [PMID: 37932542 PMCID: PMC10897114 DOI: 10.1007/s11606-023-08507-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/05/2023] [Accepted: 10/20/2023] [Indexed: 11/08/2023]
Affiliation(s)
- Raymond Haeme
- Silver Sage Center for Family Medicine, Reno, NV, USA
| | | | - Edward Bujold
- Silver Sage Center for Family Medicine, Reno, NV, USA
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Clement C, Coulman K, Heywood N, Pinkney T, Blazeby J, Blencowe NS, Cook JA, Bulbulia R, Arenas-Pinto A, Snowdon C, Hilton Z, Magill L, MacLennan G, Glasbey J, Nepogodiev D, Hardy V, Lane JA. How surgical Trainee Research Collaboratives achieve success: a mixed methods study to develop trainee engagement strategies. BMJ Open 2023; 13:e072851. [PMID: 38072493 PMCID: PMC10729246 DOI: 10.1136/bmjopen-2023-072851] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/22/2023] [Accepted: 11/16/2023] [Indexed: 12/18/2023] Open
Abstract
OBJECTIVES This study aimed to understand the role of surgical Trainee Research Collaboratives (TRCs) in conducting randomised controlled trials and identify strategies to enhance trainee engagement in trials. DESIGN This is a mixed methods study. We used observation of TRC meetings, semi-structured interviews and an online survey to explore trainees' motivations for engagement in trials and TRCs, including barriers and facilitators. Interviews were analysed thematically, alongside observation field notes. Survey responses were analysed using descriptive statistics. Strategies to enhance TRCs were developed at a workshop by 13 trial methodologists, surgical trainees, consultants and research nurses. SETTING This study was conducted within a secondary care setting in the UK. PARTICIPANTS The survey was sent to registered UK surgical trainees. TRC members and linked stakeholders across surgical specialties and UK regions were purposefully sampled for interviews. RESULTS We observed 5 TRC meetings, conducted 32 semi-structured interviews and analysed 73 survey responses. TRCs can mobilise trainees thus gaining wider access to patients. Trainees engaged with TRCs to improve patient care, surgical evidence and to help progress their careers. Trainees valued the TRC infrastructure, research expertise and mentoring. Challenges for trainees included clinical and other priorities, limited time and confidence, and recognition, especially by authorship. Key TRC strategies were consultant support, initial simple rapid studies, transparency of involvement and recognition for trainees (including authorship policies) and working with Clinical Trials Units and research nurses. A 6 min digital story on YouTube disseminated these strategies. CONCLUSION Trainee surgeons are mostly motivated to engage with trials and TRCs. Trainee engagement in TRCs can be enhanced through building relationships with key stakeholders, maximising multi-disciplinary working and offering training and career development opportunities.
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Affiliation(s)
- Clare Clement
- Bristol Trials Centre, University of Bristol, Bristol, UK
- Centre for Appearance Research, University of West England (UWE Bristol), Bristol, UK
| | - Karen Coulman
- Bristol Centre for Surgical Research and Bristol Biomedical Research Centre, University of Bristol Medical School, Bristol, UK
| | - Nick Heywood
- Department of General Surgery Manchester, Manchester University NHS Foundation Trust, Manchester, UK
| | - Tom Pinkney
- Institute of Applied Health Research, University of Birmingham, Birmingham, UK
| | - Jane Blazeby
- Bristol Centre for Surgical Research and Bristol Biomedical Research Centre, University of Bristol Medical School, Bristol, UK
| | - Natalie S Blencowe
- Bristol Centre for Surgical Research and Bristol Biomedical Research Centre, University of Bristol Medical School, Bristol, UK
| | - Jonathan Alistair Cook
- Centre for Statistics in Medicine, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK
| | - Richard Bulbulia
- Clinical Trial Service Unit and Epidemiological Studies Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK
| | | | - Claire Snowdon
- Department of Medical Statistics, London School of Hygiene & Tropical Medicine, London, UK
| | - Zoe Hilton
- Cardiff and Vale University Health Board, Cardiff, UK
| | - Laura Magill
- University of Birmingham Clinical Trials Unit, Birmingham, UK
| | - Graeme MacLennan
- The Centre for Healthcare Randomised Trials (CHaRT), University of Aberdeen, Aberdeen, UK
| | - James Glasbey
- Institute of Applied Health Research, University of Birmingham, Birmingham, UK
| | - Dmitri Nepogodiev
- Institute of Applied Health Research, University of Birmingham, Birmingham, UK
| | - Victoria Hardy
- National Institute for Social Care and Health Research, Cardiff, UK
| | - J Athene Lane
- Bristol Trials Centre, University of Bristol, Bristol, UK
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