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2017 ; 6
(1
): 218
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English Wikipedia
Putting research in place: an innovative approach to providing contextualized
evidence synthesis for decision makers
#MMPMID29096710
Bornstein S
; Baker R
; Navarro P
; Mackey S
; Speed D
; Sullivan M
Syst Rev
2017[Nov]; 6
(1
): 218
PMID29096710
show ga
BACKGROUND: The Contextualized Health Research Synthesis Program (CHRSP),
developed in 2007 by the Newfoundland and Labrador Centre for Applied Health
Research, produces contextualized knowledge syntheses for health-system decision
makers. The program provides timely, relevant, and easy-to-understand scientific
evidence; optimizes evidence uptake; and, most importantly, attunes research
questions and evidence to the specific context in which knowledge users must
apply the findings. METHODS: As an integrated knowledge translation (KT) method,
CHRSP: Involves intensive partnerships with senior healthcare decision makers who
propose priority research topics and participate on research teams; Considers
local context both in framing the research question and in reporting the
findings; Makes economical use of resources by utilizing a limited number of
staff; Uses a combination of external and local experts; and Works quickly by
synthesizing high-level systematic review evidence rather than primary studies.
Although it was developed in the Canadian province of Newfoundland and Labrador,
the CHRSP methodology is adaptable to a variety of settings with distinctive
features, such as those in rural, remote, and small-town locations. RESULTS:
CHRSP has published 25 syntheses on priority topics chosen by the provincial
healthcare system, including: Clinical and cost-effectiveness: telehealth, rural
renal dialysis, point-of-care testing; Community-based health services: helping
seniors age in place, supporting seniors with dementia, residential treatment
centers for at-risk youth; Healthcare organization/service delivery: reducing
acute-care length of stay, promoting flu vaccination among health workers, safe
patient handling, age-friendly acute care; and Health promotion: diabetes
prevention, promoting healthy dietary habits. These studies have been used by
decision makers to inform local policy and practice decisions. CONCLUSIONS: By
asking the health system to identify its own priorities and to participate
directly in the research process, CHRSP fully integrates KT among researchers and
knowledge users in healthcare in Newfoundland and Labrador. This high level of
decision-maker buy-in has resulted in a corresponding level of uptake. CHRSP
studies have directly informed a number of policy and practice directions,
including the design of youth residential treatment centers, a provincial policy
on single-use medical devices, and most recently, the opening of the province's
first Acute Care for the Elderly hospital unit.