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Facilitators and Challenges to Conducting Interdisciplinary Research

机译:开展跨学科研究的推动者和挑战

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Background: Complex, interconnected issues challenge the United States health care system and the patients and families it serves. System fragmentation, limited resources, rigid disciplinary boundaries, institutional culture, ineffective communication, and uncertainty surrounding health policy legislation are contributing to suboptimal care delivery and patient outcomes. Methods: These problems are too complex to be solved by a single discipline. Interdisciplinary research affords the opportunity to examine and solve some of these problems from a more integra-tive perspective using innovative and rigorous methodological designs. Results: In this paper, we explore lessons learned from exemplars funded by the Robert Wood Johnson Foundation's Interdisciplinary Nursing Quality Research Initiative. Discussion: The discussion is framed using an adaptation of the Interdisciplinary Research Model to evaluate improvements in individual health outcomes, health systems, and health policy. Barriers and facilitators to designing, conducting, and translating interdisciplinary research are discussed. Implications for health system and policy changes, including the need to provide funding mechanisms to implement interdisciplinary processes in both research and clinical practice, are provided.
机译:背景:复杂,相互关联的问题挑战着美国卫生保健系统及其服务的患者和家庭。系统分散,资源有限,学科界限严格,机构文化,沟通效率低下以及卫生政策法规的不确定性,都导致医疗服务交付和患者结果欠佳。方法:这些问题太复杂,无法由一个学科来解决。跨学科研究提供了使用创新和严格的方法设计从更综合的角度研究和解决其中一些问题的机会。结果:在本文中,我们探索了从罗伯特·伍德·约翰逊基金会(Robert Wood Johnson Foundation)的“跨学科护理质量研究计划”资助的范例中获得的经验教训。讨论:讨论使用跨学科研究模型的改编来评估个人健康结果,卫生系统和卫生政策方面的改善。讨论了设计,进行和翻译跨学科研究的障碍和促进者。提供了对卫生系统和政策变化的影响,包括需要提供资金机制以在研究和临床实践中实施跨学科过程。

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