Abstract:
Organizations that perform Health Policy and Systems Research (HPSR) need robust capacities, but it remains unclear what these organizations should look like in practice. We sought to define \'HPSRIs\' (pronounced as \'hip-srees\', i.e. \'Health Policy and Systems Research Institutions\') as organizational models and developed a conceptual framework for assessing their capacities based on a set of attributes. We implemented a multi-method study in the Philippines that comprised: a qualitative analysis of perspectives from 33 stakeholders in the HPSR ecosystem on the functions, strengths and challenges of HPSRIs; a workshop with 17 multi-sectoral representatives who collectively developed a conceptual framework for assessing organizational capacities for HPSRIs based on organizational attributes; and a survey instrument development process that determined indicators for assessing these attributes. We defined HPSRIs to be formally constituted organizations (or institutions) with the minimum essential function of research. Beyond the research function, our framework outlined eight organizational attributes of well-performing HPSRIs that were grouped into four domains, namely: \'research expertise\' (1) excellent research, (2) capacity-building driven; \'leadership and management\' (3) efficient administration, (4) financially sustainable; \'policy translation\' (5) policy orientation, (6) effective communication; and \'networking\' (7) participatory approach, (8) convening influence. We developed a self-assessment instrument around these attributes that HPSRIs could use to inform their respective organizational development and collectively discuss their shared challenges. In addition to developing the framework, the workshop also analysed the positionality of HPSRIs and their interactions with other institutional actors in the HPSR ecosystem, and recommends the importance of enhancing these interactions and assigning responsibility to a national/regional authority that will foster the community of HPSRIs. When tailored to their context, HPSRIs that function at the nexus of research, management, policy and networks help achieve the main purpose of HPSR, which is to \'achieve collective health goals and contribute to policy outcomes\'.
摘要:
执行卫生政策和系统研究(HPSR)的组织需要强大的能力,但目前尚不清楚这些组织在实践中应该是什么样子。我们试图定义\'HPSRIs\'(发音为\'hip-srees\',即,“健康政策和系统研究机构”)作为组织模型,并开发了一个概念框架,用于根据一组属性评估其能力。我们在菲律宾实施了一项多方法研究,包括:对HPSR生态系统中33个利益相关者的功能进行定性分析,优势,和HPSRIs的挑战;一个有17名多部门代表的研讨会,他们共同制定了一个概念框架,用于根据组织属性评估HPSRIs的组织能力;以及一个调查工具开发过程,确定了评估这些属性的指标。我们将HPSRIs定义为具有最低基本研究功能的正式组织(或机构)。除了研究功能之外,我们的框架概述了表现良好的HPSRIs的八个组织属性,这些属性分为四个领域,即:研究专长:(1)优秀的研究,(2)能力建设驱动;领导和管理:(3)高效行政,(4)财务可持续;政策翻译:(5)政策导向,(6)有效的沟通;和网络:(7)参与式方法,(8)召集感化。我们围绕这些属性开发了一种自我评估工具,HPSRIs可以使用该工具来告知其各自的组织发展并共同讨论其共同面临的挑战。除了开发框架之外,研讨会还分析了HPSRIs的定位性及其与HPSR生态系统中其他机构行为者的相互作用,并建议加强这些相互作用并将责任分配给国家/区域当局以促进HPSRIs社区的重要性。当适应他们的背景时,在研究的纽带中发挥作用的HPSRIs,管理,政策,网络有助于实现HPSR的主要目的,这是为了实现集体健康目标并为政策成果做出贡献。\'