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British Medical Journal (Clinical... Mar 1981
Topics: Health Services Research; Research Support as Topic; State Medicine; United Kingdom
PubMed: 6783197
DOI: No ID Found -
Gesundheitswesen (Bundesverband Der... Mar 2015There is a great need for health services research in the public health system and in the German public health service. However, the public health service is...
INTRODUCTION
There is a great need for health services research in the public health system and in the German public health service. However, the public health service is underrepresented in health services research in Germany. This has several structural, historical and disciplinary-related reasons. The public health service is characterised by a broad range of activities, high qualification requirements and changing framework conditions.
RESULTS
The concept of health services research is similar to that of the public health service and public health system, because it includes the principles of multidisciplinarity, multiprofessionalism and daily routine orientation. This article focuses on a specified system theory based model of health services research for the public health system and public health service. The model is based on established models of the health services research and health system research, which are further developed according to specific requirements of the public health service. It provides a theoretical foundation for health services research on the macro-, meso- and microlevels in public health service and the public health system.
DISCUSSION
Prospects for public health service are seen in the development from "old public health" to "new public health" as well as in the integration of health services research and health system research. There is a significant potential for development in a better linkage between university research and public health service as is the case for the "Pettenkofer School of Public Health Munich".
Topics: Germany; Health Services; Health Services Research; Public Health Practice; United States; United States Public Health Service
PubMed: 25379690
DOI: 10.1055/s-0034-1390410 -
Health Services Research Apr 2012Methodologically sound mixed methods research can improve our understanding of health services by providing a more comprehensive picture of health services than either...
OBJECTIVES
Methodologically sound mixed methods research can improve our understanding of health services by providing a more comprehensive picture of health services than either method can alone. This study describes the frequency of mixed methods in published health services research and compares the presence of methodological components indicative of rigorous approaches across mixed methods, qualitative, and quantitative articles.
DATA SOURCES
All empirical articles (n = 1,651) published between 2003 and 2007 from four top-ranked health services journals.
STUDY DESIGN
All mixed methods articles (n = 47) and random samples of qualitative and quantitative articles were evaluated to identify reporting of key components indicating rigor for each method, based on accepted standards for evaluating the quality of research reports (e.g., use of p-values in quantitative reports, description of context in qualitative reports, and integration in mixed method reports). We used chi-square tests to evaluate differences between article types for each component.
PRINCIPAL FINDINGS
Mixed methods articles comprised 2.85 percent (n = 47) of empirical articles, quantitative articles 90.98 percent (n = 1,502), and qualitative articles 6.18 percent (n = 102). There was a statistically significant difference (χ(2) (1) = 12.20, p = .0005, Cramer's V = 0.09, odds ratio = 1.49 [95% confidence interval = 1,27, 1.74]) in the proportion of quantitative methodological components present in mixed methods compared to quantitative papers (21.94 versus 47.07 percent, respectively) but no statistically significant difference (χ(2) (1) = 0.02, p = .89, Cramer's V = 0.01) in the proportion of qualitative methodological components in mixed methods compared to qualitative papers (21.34 versus 25.47 percent, respectively).
CONCLUSION
Few published health services research articles use mixed methods. The frequency of key methodological components is variable. Suggestions are provided to increase the transparency of mixed methods studies and the presence of key methodological components in published reports.
Topics: Empirical Research; Guidelines as Topic; Health Services Research; Periodicals as Topic; Qualitative Research; Research Design
PubMed: 22092040
DOI: 10.1111/j.1475-6773.2011.01344.x -
Health Services Research Aug 2007To provide practical strategies for conducting and evaluating analyses of qualitative data applicable for health services researchers. DATA SOURCES AND DESIGN: We draw...
OBJECTIVE
To provide practical strategies for conducting and evaluating analyses of qualitative data applicable for health services researchers. DATA SOURCES AND DESIGN: We draw on extant qualitative methodological literature to describe practical approaches to qualitative data analysis. Approaches to data analysis vary by discipline and analytic tradition; however, we focus on qualitative data analysis that has as a goal the generation of taxonomy, themes, and theory germane to health services research.
PRINCIPLE FINDINGS
We describe an approach to qualitative data analysis that applies the principles of inductive reasoning while also employing predetermined code types to guide data analysis and interpretation. These code types (conceptual, relationship, perspective, participant characteristics, and setting codes) define a structure that is appropriate for generation of taxonomy, themes, and theory. Conceptual codes and subcodes facilitate the development of taxonomies. Relationship and perspective codes facilitate the development of themes and theory. Intersectional analyses with data coded for participant characteristics and setting codes can facilitate comparative analyses.
CONCLUSIONS
Qualitative inquiry can improve the description and explanation of complex, real-world phenomena pertinent to health services research. Greater understanding of the processes of qualitative data analysis can be helpful for health services researchers as they use these methods themselves or collaborate with qualitative researchers from a wide range of disciplines.
Topics: Health Services Research; Humans; Qualitative Research; Statistics as Topic
PubMed: 17286625
DOI: 10.1111/j.1475-6773.2006.00684.x -
The Milbank Quarterly Jun 2012For three decades, experts have been stressing the importance of law to the effective operation of public health systems. Most recently, in a 2011 report, the Institute... (Review)
Review
CONTEXT
For three decades, experts have been stressing the importance of law to the effective operation of public health systems. Most recently, in a 2011 report, the Institute of Medicine recommended a review of state and local public health laws to ensure appropriate authority for public health agencies; adequate access to legal counsel for public health agencies; evaluations of the health effects and costs associated with legislation, regulations, and policies; and enhancement of research methods to assess the strength of evidence regarding the health effects of public policies. These recommendations, and the continued interest in law as a determinant of health system performance, speak to the need for integrating the emerging fields of Public Health Law Research (PHLR) and Public Health Systems and Services Research (PHSSR).
METHODS
Expert commentary.
FINDINGS
This article sets out a unified framework for the two fields and a shared research agenda built around three broad inquiries: (1) the structural role of law in shaping the organization, powers, prerogatives, duties, and limitations of public health agencies and thereby their functioning and ultimately their impact on public health ("infrastructure"); (2) the mechanisms through which public health system characteristics influence the implementation of interventional public health laws ("implementation"); and (3) the individual and system characteristics that influence the ability of public health systems and their community partners to develop and secure enactment of legal initiatives to advance public health ("innovation"). Research to date has laid a foundation of evidence, but progress requires better and more accessible data, a new generation of researchers comfortable in both law and health research, and more rigorous methods.
CONCLUSIONS
The routine integration of law as a salient factor in broader PHSSR studies of public health system functioning and health outcomes will enhance the usefulness of research in supporting practice and the long-term improvement of system performance.
Topics: Delivery of Health Care; Empirical Research; Health Services Research; Humans; Public Health; Systems Integration
PubMed: 22709392
DOI: 10.1111/j.1468-0009.2012.00667.x -
Health Services Research Dec 1992
Topics: Health Services Research
PubMed: 1464534
DOI: No ID Found -
Child and Adolescent Psychiatric... Oct 2015Most mental and substance use disorders begin during childhood and adolescence and are the leading cause of disability in this population. Prenatal and postnatal... (Review)
Review
Most mental and substance use disorders begin during childhood and adolescence and are the leading cause of disability in this population. Prenatal and postnatal genetic, familial, social, and environmental exposures interact to influence risk for mental disorders and trajectories of cognitive development. Efforts to advance prevention and implement early interventions to reduce the burden of mental disorders require a global research workforce, intersectoral cooperation, attention to environmental contexts, and the development and testing of evidence-based interventions. The authors describe challenges and resources for building mental health research capacity that stands to influence children's mental health outcomes around the globe.
Topics: Child; Child Health; Global Health; Health Services Research; Humans; Mental Disorders; Mental Health
PubMed: 26346383
DOI: 10.1016/j.chc.2015.06.002 -
Health Services Research Oct 2018This paper presents longitudinal data representing federal funding for health services research and discusses the observed trends in the larger context of overall...
This paper presents longitudinal data representing federal funding for health services research and discusses the observed trends in the larger context of overall funding for research and development in the United States. By putting into context public and private funding trends, the authors examine how these trends effect the supply and demand of the health services research workforce.
Topics: Delivery of Health Care; Health Care Reform; Health Services Needs and Demand; Health Services Research; Humans; United States
PubMed: 30240009
DOI: 10.1111/1475-6773.13040 -
Health Services Research Oct 2018In 2016, AcademyHealth continued its longstanding efforts to understand the health services research (HSR) workforce, to inform its changing needs through the...
In 2016, AcademyHealth continued its longstanding efforts to understand the health services research (HSR) workforce, to inform its changing needs through the commissioning of several papers and an invitational conference. This paper serves to summarize the commissioned studies that appear in the current issue of this journal.
Topics: Forecasting; Health Services Needs and Demand; Health Services Research; Humans; Research Personnel; Workforce
PubMed: 30240008
DOI: 10.1111/1475-6773.13038 -
The Journal of Investigative Dermatology Mar 2012To translate scientific discovery into improved health, we must study health care itself; i.e., how people access health care, costs or other barriers to the provision... (Review)
Review
To translate scientific discovery into improved health, we must study health care itself; i.e., how people access health care, costs or other barriers to the provision of good care, and what happens to patients as a result of this care. Health services research (HSR) is the interdisciplinary field that studies health care and its effects. This paper reviews different types of HSR and highlights some dermatologic examples that have resulted in improved health-care systems or have helped us understand access to existing systems. The paper also addresses some of the political and systematic challenges for health services research overall, and for individual investigators and program leaders.
Topics: Dermatology; Health Services Accessibility; Health Services Research; Humans; Politics
PubMed: 22071474
DOI: 10.1038/jid.2011.357