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The unbearable lightness of healthcare policy making: a description of a process aimed at giving it some weight

机译:医疗保健政策制定中难以忍受的轻度:对旨在使其具有一定分量的过程的描述

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摘要

>Study design: Case study. >Setting: Norway. >Participants: Two researchers from the National Institute of Public Health and four representatives from respectively the National Insurance Administration, Norwegian Confederation of Trade Unions, Confederation of Norwegian Business and Industry, and Norwegian Medical Association. >Intervention: Structured discussions of the research, including the objectives, interventions, design, and interpretation of the results. >Results: The participants succeeded in designing and completing a cluster randomised controlled trial through the participatory process. Intermediary results from the trial have been used in practical planning within the National Insurance Administration, but there are few indications that the main results of the trial have been used. >Conclusions: This approach of involving policy makers in the research planning process when political or organisational values are at stake did not succeed in this case. The salient explanations for this are conflicting interests of the organisations involved in the process and the research findings were in conflict with those interests.
机译:>研究设计:案例研究。 >设置:挪威。 >参与者::来自国家公共卫生研究所的两名研究人员和来自国家保险局,挪威工会联合会,挪威工商联合会和挪威医学协会的四名代表。 >干预:对研究进行结构化的讨论,包括目标,干预措施,设计和结果解释。 >结果:参与者通过参与过程成功设计并完成了一项随机分组的随机对照试验。该试验的中间结果已在国家保险局内部用于实际计划中,但几乎没有迹象表明该试验的主要结果已被使用。 >结论:这种在政治或组织价值受到威胁的情况下使决策者参与研究计划过程的方法在这种情况下没有成功。对此的明显解释是参与该过程的组织的利益冲突,并且研究结果与这些利益冲突。

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