Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 113
Filtrar
Más filtros

Tipo del documento
Intervalo de año de publicación
1.
Artículo en Inglés | MEDLINE | ID: mdl-39264490

RESUMEN

Research teams are an important means by which knowledge is generated in Health Professions Education (HPE). Although funding agencies encourage the formation of interdisciplinary and interprofessional research teams, we know little about how our interdisciplinary and interprofessional research teams are functioning, nor how best to ensure their success. Indeed, while HPE Scholarship Units and research environments have been the object of study, little work has been focused on research teams themselves. In this article, the authors propose that research teams should be studied as unique instantiations of teams where several individuals work together towards a common goal. Considering research teams as a team can encourage attention to how effective teams are built, supported, and celebrated, it can acknowledge that competent individuals may form incompetent teams, and it opens important avenues for future research. Turning our attention to better understanding how and when research teams thrive should support the development of more effective teams; resulting in reduced waste and redundancy, better mobilization of team members' time and skills, and enhanced knowledge generation. Considering research teams as teams, encourages an understanding that these teams require care, commitment, and effort to sustain them, and it acknowledges that pursuing research in a team context is both a collaborative and a social endeavour.

2.
Scand J Public Health ; : 14034948241269748, 2024 Aug 26.
Artículo en Inglés | MEDLINE | ID: mdl-39185636

RESUMEN

Over the past century, the Earth's climate has undergone rapid and unprecedented changes, manifested in a noticeable increase in average global temperature. This has led to shifts in precipitation patterns, increased frequency of extreme weather events (e.g. hurricanes, heatwaves, droughts and floods), alterations in ecosystems, and rising sea levels, impacting both natural environments and human societies, health and wellbeing. Without deep and urgent emission cuts and effective adaptation, the toll of climate change on human health and wellbeing is likely to grow. Here, we address the complex relationship between climate change and health, and discuss ways forward for transdisciplinary research and collaboration that can motivate more ambitious mitigation policies and help develop solutions to adapt to the crisis.

3.
Environ Manage ; 73(5): 1049-1071, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38520553

RESUMEN

As human activity accelerates the global crisis facing wildlife populations, private land conservation provides an example of wildlife management challenges in social-ecological systems. This study reports on the research phase of 'WildTracker' - a co-created citizen science project, involving 160 landholders across three Tasmanian regions. This was a transdisciplinary collaboration between an environmental organisation, university researchers, and local landholders. Focusing on mammal and bird species, the project integrated diverse data types and technologies: social surveys, quantitative ecology, motion sensor cameras, acoustic recorders, and advanced machine-learning analytics. An iterative analytical methodology encompassed Pearson and point-biserial correlation for interrelationships, Non-Metric Multidimensional Scaling (NMDS) for clustering, and Random Forest machine learning for variable importance and prediction. Taken together, these analyses revealed complex relationships between wildlife populations and a suite of ecological, socio-economic, and land management variables. Both site-scale habitat characteristics and landscape-scale vegetation patterns were useful predictors of mammal and bird activity, but these relationships were different for mammals and birds. Four focal mammal species showed variation in their response to ecological and land management drivers. Unexpectedly, threatened species, such as the eastern quoll (Dasyurus viverrinus), favoured locations where habitat was substantially modified by human activities. The research provides actionable insights for landowners, and highlights the importance of 'messy,' ecologically heterogeneous, mixed agricultural landscapes for wildlife conservation. The identification of thresholds in habitat fragmentation reinforced the importance of collaboration across private landscapes. Participatory research models such as WildTracker can complement efforts to address the wicked problem of wildlife conservation in the Anthropocene.


Asunto(s)
Animales Salvajes , Conservación de los Recursos Naturales , Animales , Humanos , Ecosistema , Agricultura , Mamíferos , Biodiversidad
4.
Hist Philos Life Sci ; 46(1): 4, 2024 Jan 09.
Artículo en Inglés | MEDLINE | ID: mdl-38193992

RESUMEN

Participatory and collaborative approaches in sustainability science and public health research contribute to co-producing evidence that can support interventions by involving diverse societal actors that range from individual citizens to entire communities. However, existing philosophical accounts of evidence are not adequate to deal with the kind of evidence generated and used in such approaches. In this paper, we present an account of evidence as clues for action through participatory and collaborative research inspired by philosopher Susan Haack's theory of evidence. Differently from most accounts of evidence for use in policies and interventions, our account combines action-oriented (the how) and actors-oriented (the who) considerations. We build on Haack's theory and on the analysis of examples of participatory and collaborative research in sustainability science and public health research to flesh out six procedural criteria for the generation and mobilization of evidence in and from participatory research. Action-oriented criteria invite to look at evidence from a (a) foundherentist, (b) gradational and (c) quasi-holistic perspective. Actors-oriented criteria point out that evidence generation and utilization are (d) social, (e) personal, and (f) embedded. We suggest that these criteria may reinforce participatory and collaborative approaches to evidence co-production when addressing complex problems in sustainability science and public health allowing for the generation of a kind of practical objectivity.


Asunto(s)
Políticas , Salud Pública
5.
Conserv Biol ; 37(6): e14182, 2023 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-37889094

RESUMEN

Sustainability science needs new approaches to produce, share, and use knowledge because there are major barriers to translating research into policy and practice. Multiple actors hold relevant knowledge for sustainability including indigenous and local people who have developed over generations knowledge, methods, and practices that biodiversity and ecosystem assessments need to capture. Despite efforts to mainstream knowledge coproduction, less than 3% of the literature on nature's contributions to people (NCP) integrates indigenous and local knowledge (ILK). Approaches and tools to better integrate scientific and ILK knowledge systems in NCP assessments are urgently needed. To fill this gap, we conducted interviews with ILK experts from Abancay and Tamburco, Peru, and convened focus groups and workshops during which participatory mapping, a serious game, a Bayesian belief network based on ILK were introduced. We inventoried 60 medicinal plants used to treat different illnesses, and analyzed the spatial distribution of the 7 plants that contribute the most to a good quality of life, and delineated their nonmedicinal uses. Based on the Intergovernmental Science-Policy Platform on Biodiversity and Ecosystem Services conceptual framework, we defined dimensions of a good quality of life according to indigenous and local worldviews. Medicinal plants contributed strongly to health and household security, among other contributions. Climate change and overexploitation were the main perceived threats to medicinal plants, despite the existence of formal and customary institutions to regulate trade. Our approach was flexible enough to integrate diverse forms of knowledge, as well as qualitative and quantitative information from, for example, the Bayesian belief network.


Coproducción de conocimiento para mejorar la evaluación de las contribuciones de la naturaleza para las personas Resumen La ciencia de la sostenibilidad necesita nuevos enfoques para producir, compartir y utilizar los conocimientos, ya que existen grandes obstáculos para trasladar la investigación a la política y la práctica. Varios actores poseen conocimientos relevantes para la sostenibilidad, incluidos los pueblos originarios y locales que han desarrollado conocimientos, métodos y prácticas a lo largo de generaciones, que deben reflejarse en las evaluaciones de la biodiversidad y los ecosistemas. A pesar de los esfuerzos por integrar la coproducción de conocimientos, <3% de la bibliografía sobre las contribuciones de la naturaleza a las personas (CNP) integra los conocimientos autóctonos y locales (CAL). Se necesitan urgentemente enfoques y herramientas para integrar mejor los sistemas de conocimiento científico y los conocimientos autóctonos y locales en las evaluaciones de los CNP. Para llenar este vacío, realizamos entrevistas con expertos en CAL de Abancay y Tamburco, Perú, y convocamos grupos focales y talleres durante los cuales se introdujeron el mapeo participativo, un juego serio y una red de creencia bayesiana basada en CAL. Inventariamos 60 plantas medicinales utilizadas para tratar diferentes enfermedades y analizamos la distribución espacial de las siete especies de plantas que más contribuyen a una buena calidad de vida y delineamos sus usos no medicinales. A partir del marco conceptual de la Plataforma Intergubernamental Científico-Normativa sobre Diversidad Biológica y Servicios de los Ecosistemas, definimos las dimensiones de una buena calidad de vida según las cosmovisiones autóctonas y locales. Las plantas medicinales contribuían en gran medida a la salud y a la seguridad de los hogares, entre otras aportaciones. El cambio climático y la sobreexplotación fueron las principales amenazas percibidas para las plantas medicinales a pesar de la existencia de instituciones tradicionales que regulan el mercado. Nuestra estrategia fue lo suficientemente flexible para integrar el conocimiento diverso, así como la información cualitativa y cuantitativa, como por ejemplo la red de creencia bayesiana.


Asunto(s)
Ecosistema , Plantas Medicinales , Humanos , Calidad de Vida , Teorema de Bayes , Conservación de los Recursos Naturales
6.
J Med Internet Res ; 25: e46297, 2023 08 15.
Artículo en Inglés | MEDLINE | ID: mdl-37581906

RESUMEN

BACKGROUND: Digital assistive technologies have the potential to address the pressing need for adequate therapy options for patients with long COVID (also known as post-COVID-19 condition) by enabling the implementation of individual and independent rehabilitation programs. However, the involvement of the target patient group is necessary to develop digital devices that are closely aligned to the needs of this particular patient group. OBJECTIVE: Participatory design approaches, such as cocreation, may be a solution for achieving usability and user acceptance. However, there are currently no set methods for implementing cocreative development processes incorporating patients. This study addresses the following research questions: what are the tasks and challenges associated with the involvement of patient groups? What lessons can be learned regarding the adequate involvement of patients with long COVID? METHODS: First, a literature review based on a 3-stage snowball process was conducted to identify the tasks and challenges emerging in the context of the cocreation of digital assistive devices and services with patient groups. Second, a qualitative analysis was conducted in an attempt to extract relevant findings and criteria from the identified studies. Third, using the method of theory adaptation, this paper presents recommendations for the further development of the existing concepts of cocreation in relation to patients with long COVID. RESULTS: The challenges of an active involvement of patients in cocreative development in health care include hierarchical barriers and differences in the levels of specific knowledge between professionals and patients. In the case of long COVID, patients themselves are still inexperienced in dealing with their symptoms and are hardly organized into established groups. This amplifies general hurdles and leads to questions of group identity, power structure, and knowledge creation, which are not sufficiently addressed by the current methods of cocreation. CONCLUSIONS: The adaptation of transdisciplinary methods to cocreative development approaches focusing on collaborative and inclusive communication can address the recurring challenges of actively integrating patients with long COVID into development processes.


Asunto(s)
COVID-19 , Dispositivos de Autoayuda , Humanos , Participación del Paciente , Síndrome Post Agudo de COVID-19 , Comunicación
7.
Emerg Infect Dis ; 28(3): 693-704, 2022 03.
Artículo en Inglés | MEDLINE | ID: mdl-35202527

RESUMEN

We identified and isolated a novel Hendra virus (HeV) variant not detected by routine testing from a horse in Queensland, Australia, that died from acute illness with signs consistent with HeV infection. Using whole-genome sequencing and phylogenetic analysis, we determined the variant had ≈83% nt identity with prototypic HeV. In silico and in vitro comparisons of the receptor-binding protein with prototypic HeV support that the human monoclonal antibody m102.4 used for postexposure prophylaxis and current equine vaccine will be effective against this variant. An updated quantitative PCR developed for routine surveillance resulted in subsequent case detection. Genetic sequence consistency with virus detected in grey-headed flying foxes suggests the variant circulates at least among this species. Studies are needed to determine infection kinetics, pathogenicity, reservoir-species associations, viral-host coevolution, and spillover dynamics for this virus. Surveillance and biosecurity practices should be updated to acknowledge HeV spillover risk across all regions frequented by flying foxes.


Asunto(s)
Quirópteros , Virus Hendra , Infecciones por Henipavirus , Enfermedades de los Caballos , Animales , Australia/epidemiología , Virus Hendra/genética , Infecciones por Henipavirus/epidemiología , Infecciones por Henipavirus/veterinaria , Enfermedades de los Caballos/epidemiología , Caballos , Filogenia , Vigilancia de Guardia
8.
Evol Anthropol ; 31(6): 302-316, 2022 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-36059181

RESUMEN

Parallel evolution-where different populations evolve similar traits in response to similar environments-has been a topic of growing interest to biologists and biological anthropologists for decades. Parallel evolution occurs in human populations thanks to myriad biological and cultural mechanisms that permit humans to survive and thrive in diverse environments worldwide. Because humans shape and are shaped by their environments, biocultural approaches that emphasize the interconnections between biology and culture are key to understanding parallel evolution in human populations as well as the nuances of human biological variation and adaptation. In this review, we discuss how biocultural theory has been and can be applied to studies of parallel evolution and adaptation more broadly. We illustrate this through four examples of parallel evolution in humans: malaria resistance, lactase persistence, cold tolerance, and high-altitude adaptation.


Asunto(s)
Adaptación Fisiológica , Evolución Biológica , Humanos
9.
J Occup Rehabil ; 32(3): 529-537, 2022 09.
Artículo en Inglés | MEDLINE | ID: mdl-35076855

RESUMEN

PURPOSE: Work disability stakeholders may not share the same understanding and solutions among themselves or with researchers, causing misunderstandings and hindering collaboration regarding solutions for preventing work disability. To reduce such differences, this study sought to build a common vocabulary among stakeholders and researchers, using a transdisciplinary research framework. METHODS: A consensus method based on a constructivist approach was used. A theoretical sampling method was applied to identify researchers or stakeholders representing one of the four systems in the work disability paradigm. A preliminary set of definitions for key terms was assessed using a Web-based questionnaire. It documented participants' level of agreement with each term's inclusion and relevance in the field, and the clarity of the definition, while soliciting suggestions for other terms or clearer definitions. Disagreements were discussed at group meetings, yielding consensus on the final terms and definitions. RESULTS: Eleven stakeholders representing patients, employers, unions, healthcare professionals, and legislative and insurance systems, along with 10 multidisciplinary researchers, participated. The questionnaire yielded initial consensus on the inclusion and definitions of 49 terms, and 109 suggestions mostly for modified definitions (average = 6 suggestions/term). Two preliminary terms were excluded and three terms were added. Ultimately, 80 terms and their definitions yielded consensus. CONCLUSIONS: The process we used to build a common vocabulary was carried out within a transdisciplinary framework. It required a constructivist approach, promoting idea exchanges among participants and co-construction of generally agreed results. The results were rooted in local contexts, thus ensuring the same reference points, regardless of participants' different understandings.


Asunto(s)
Lenguaje , Consenso , Humanos , Encuestas y Cuestionarios
10.
J Environ Manage ; 314: 114994, 2022 Jul 15.
Artículo en Inglés | MEDLINE | ID: mdl-35452885

RESUMEN

Evidence-informed decision-making is in increasing demand given growing pressures on marine environments. A way to facilitate this is by knowledge exchange among marine scientists and decision-makers. While many barriers are reported in the literature, there are also examples whereby research has successfully informed marine decision-making (i.e., 'bright-spots'). Here, we identify and analyze 25 bright-spots from a wide range of marine fields, contexts, and locations to provide insights into how to improve knowledge exchange at the interface of marine science and policy. Through qualitative surveys we investigate what initiated the bright-spots, their goals, and approaches to knowledge exchange. We also seek to identify what outcomes/impacts have been achieved, the enablers of success, and what lessons can be learnt to guide future knowledge exchange efforts. Results show that a diversity of approaches were used for knowledge exchange, from consultative engagement to genuine knowledge co-production. We show that diverse successes at the interface of marine science and policy are achievable and include impacts on policy, people, and governance. Such successes were enabled by factors related to the actors, processes, support, context, and timing. For example, the importance of involving diverse actors and managing positive relationships is a key lesson for success. However, enabling routine success will require: 1) transforming the ways in which we train scientists to include a greater focus on interpersonal skills, 2) institutionalizing and supporting knowledge exchange activities in organizational agendas, 3) conceptualizing and implementing broader research impact metrics, and 4) transforming funding mechanisms to focus on need-based interventions, impact planning, and an acknowledgement of the required time and effort that underpin knowledge exchange activities.


Asunto(s)
Toma de Decisiones , Conocimiento , Política de Salud , Humanos , Aprendizaje , Organizaciones , Políticas
11.
Environ Urban ; 34(2): 391-412, 2022 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-36249733

RESUMEN

This paper explores the multidimensional aspects of inequality that shape urban areas and imagines an alternative future for one such space in Johannesburg, South Africa. It builds on literature from urban studies and planning theory to explore planning practices that politicize inequality, valorize difference and promote the shared management of collective resources. Then, drawing on a decade of qualitative research, the paper imagines how cooperative urbanism could be applied in the factious context of Johannesburg, describing the potential for developing the former mining belt of the Witwatersrand as a series of multi-scalar interventions, networking sites of cooperative action to incrementally address the entrenched inequality of the region. Thus, the paper brings together interdisciplinary conversations on theory with empirical research, discussing concrete ways to continue shifting urban planning and development towards increased environmental and social justice.

12.
Stud Hist Philos Sci ; 91: 191-198, 2022 02.
Artículo en Inglés | MEDLINE | ID: mdl-34954458

RESUMEN

In this paper, we argue that the new demarcation problem does not need to be framed as the problem of defining a set of necessary and jointly sufficient criteria for distinguishing between acceptable and unacceptable roles that non-epistemic values can play in science. We introduce an alternative way of framing the problem and defend an open-ended list of criteria that can be used in demarcation. Applying such criteria requires context-specific work that clarifies which principles should be used, and possibly leads to the identification of new principles - which then can be added to the open-ended list. We illustrate our approach by examining a context where distinguishing between acceptable and unacceptable value influences in science is both needed and tricky: transdisciplinary research.


Asunto(s)
Investigación Interdisciplinaria
13.
Risk Anal ; 41(7): 1232-1239, 2021 07.
Artículo en Inglés | MEDLINE | ID: mdl-30239021

RESUMEN

Interdisciplinary research can help address complex issues such as community resilience and climate change. However, transcending disciplinary borders to provide better understandings of these cross-cutting issues is not an easy task. While there has been a greater focus on improving integration across disciplines, less attention has been paid to the particular challenges in the inclusion and integration of policy praxis into interdisciplinary research. This article argues that to effectively integrate policy-relevant goals, researchers need to understand the obstacles to transcending disciplinary borders to incorporate the perspectives of policy practitioners. Researchers also need to understand problems in integration when it takes place within research groups or entities comprised of a variety of scholars from diverse disciplines working with a set of practitioners from different agencies or levels of government. Impediments to integration include epistemological, disciplinary, and attitudinal barriers, differences in terminologies and timescales, the role of organizational culture, institutional barriers, data issues, and issues related to risk communication and liability. This article explores these challenges and how they affect the translation of interdisciplinary and transdisciplinary research. It concludes with recommendations to help overcome challenges in synthesizing disaster research and policy practices and to enrich interdisciplinary disaster research approaches and designs.


Asunto(s)
Investigación Interdisciplinaria/organización & administración , Política Organizacional , Actitud , Humanos , Motivación , Cultura Organizacional , Objetivos Organizacionales , Investigadores/psicología , Medición de Riesgo
14.
Qual Health Res ; 31(4): 778-788, 2021 03.
Artículo en Inglés | MEDLINE | ID: mdl-33349170

RESUMEN

As increasing value is placed on community engagement, co-creation, and transdisciplinarity as essential ingredients to improve policies; participatory health research has gained popularity as a promising avenue for stakeholders to collaborate and solve problems in innovative ways. Participatory research has a history of success but important caveats caution against romanticizing the approach. The assumption that participation will empower participants overlooks potential feelings of disappointment or exploitation amid power imbalances, vested interest, and representativeness issues. This article outlines a multilevel conceptual framework that explicitly situates power dynamics within a wider system of bidirectional interconnections operating at the individual, interpersonal, and structural levels. It then provides a practical tool to examine and address these dynamics in a comprehensive and systematic way. This can be helpful for researchers and community practitioners working in contexts where democratic principles are not broadly endorsed and where power dynamics operate in subtle ways.


Asunto(s)
Investigación Participativa Basada en la Comunidad , Investigadores , Humanos , Medio Social
15.
J Sci Food Agric ; 101(5): 1727-1731, 2021 Mar 30.
Artículo en Inglés | MEDLINE | ID: mdl-32949020

RESUMEN

Although the term 'alimentation' has existed in the English language since the late 16th century, its use is infrequent. In Latin languages, particularly French, 'alimentation' conveys a holistic notion of the process by which humans produce, procure, prepare, share, indulge in, and digest their foods. Thus, the concept of alimentation encompasses and integrates human, technological, sociocultural, and environmental domains. This article delves into the origins of the term 'alimentation' and its use in the foreign scientific literature, and particularly in the social sciences. Unlike 'food and nutrition', alimentation provides a broader frame for the grand challenges of what, how, and with whom we eat. This approach should lead to transdisciplinary research (TDR) interfacing several knowledge domains (e.g., environmental, technological, socio-cultural, nutritional, etc.) and involving key stakeholders. Possible outcomes of TDR in alimentation are inspiring and meaningful collaborations, innovative methodologies for integrating knowledge, transformative learning of researchers, enriched educational experiences for students, focused community action, and improved public policy. The term 'alimentation' is appropriately used in French and other Latin languages. Alimentation embraces human, technological, sociocultural, and environmental issues This holistic concept views agriculture, food, and nutrition as parts of a broader process Transdisciplinary research interfaces several dimensions of food and eating. © 2020 Society of Chemical Industry.


Asunto(s)
Agricultura , Tecnología de Alimentos , Investigación Interdisciplinaria , Ciencias de la Nutrición , Humanos
16.
Ecol Lett ; 23(11): 1557-1560, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-32869489

RESUMEN

Concerns about the prospect of a global pandemic have been triggered many times during the last two decades. These have been realised through the current COVID-19 pandemic, due to a new coronavirus SARS-CoV2, which has impacted almost every country on Earth. Here, we show how considering the pandemic through the lenses of the evolutionary ecology of pathogens can help better understand the root causes and devise solutions to prevent the emergence of future pandemics. We call for better integration of these approaches into transdisciplinary research and invite scientists working on the evolutionary ecology of pathogens to contribute to a more "solution-oriented" agenda with practical applications, emulating similar movements in the field of economics in recent decades.


Asunto(s)
Betacoronavirus , COVID-19 , Infecciones por Coronavirus , Neumonía Viral , Infecciones por Coronavirus/epidemiología , Brotes de Enfermedades/prevención & control , Ecología , Humanos , Pandemias/prevención & control , Neumonía Viral/epidemiología , SARS-CoV-2 , Soluciones
17.
J Med Internet Res ; 22(3): e17004, 2020 03 24.
Artículo en Inglés | MEDLINE | ID: mdl-32207691

RESUMEN

BACKGROUND: Until recently, developing health technologies was time-consuming and expensive, and often involved patients, doctors, and other health care professionals only as passive recipients of the end product. So far, users have been minimally involved in the ideation and creation stages of digital health technologies. In order to best address users' unmet needs, a transdisciplinary and user-led approach, involving cocreation and direct user feedback, is required. In this context, hackathon events have become increasingly popular in generating enthusiasm for user-centered innovation. OBJECTIVE: This case study describes preparatory steps and the performance of a health hackathon directly involving patients and health care professionals at all stages. Feasibility and outcomes were assessed, leading to the development of systematic recommendations for future hackathons as a vehicle for bottom-up innovation in health care. METHODS: A 2-day hackathon was conducted in February 2017 in Berlin, Germany. Data were collected through a field study. Collected field notes were subsequently discussed in 15 informal meetings among the research team. Experiences of conducting two further hackathons in December 2017 and November 2018 were included. RESULTS: In total, 30 participants took part, with 63% (19/30) of participants between 25 and 34 years of age, 30% (9/30) between 35 and 44 years of age, and 7% (2/30) younger than 25 years of age. A total of 43% (13/30) of the participants were female. The participation rate of medical experts, including patients and health care professionals, was 30% (9/30). Five multidisciplinary teams were formed and each tackled a specific health care problem. All presented projects were apps: a chatbot for skin cancer recognition, an augmented reality exposure-based therapy (eg, for arachnophobia), an app for medical neighborhood connectivity, a doctor appointment platform, and a self-care app for people suffering from depression. Patients and health care professionals initiated all of the projects. Conducting the hackathon resulted in significant growth of the digital health community of Berlin and was followed up by larger hackathons. Systematic recommendations for conducting cost-efficient hackathons (n≤30) were developed, including aspects of community building, stakeholder engagement, mentoring, themes, announcements, follow-up, and timing for each step. CONCLUSIONS: This study shows that hackathons are effective in bringing innovation to health care and are more cost- and time-efficient and potentially more sustainable than traditional medical device and digital product development. Our systematic recommendations can be useful to other individuals and organizations that want to establish user-led innovation in academic hospitals by conducting transdisciplinary hackathons.


Asunto(s)
Tecnología Biomédica/métodos , Seguridad Computacional/tendencias , Atención a la Salud/organización & administración , Adulto , Femenino , Humanos , Masculino
18.
Health Res Policy Syst ; 18(1): 79, 2020 Jul 14.
Artículo en Inglés | MEDLINE | ID: mdl-32664988

RESUMEN

BACKGROUND: Health policy and systems research (HPSR) is an inherently cross-disciplinary field of investigation. However, conflicting conceptualisations about inter-, multi- and transdisciplinary research have contributed to confusion about the characteristics of cross-disciplinary approaches in HPSR. This review was conducted to (1) define the characteristic features of context-mechanism-outcome (CMO) configurations in cross-disciplinary HPSR, (2) develop criteria for evaluating cross-disciplinarity and (3) synthesise emerging challenges of the approach. METHOD: The paper is a critical realist synthesis conducted in three phases, as follows: (1) scoping the literature, (2) searching for and screening the evidence, and (3) extracting and synthesising the evidence. Five databases, namely the International Bibliography of the Social Sciences and Web of Science, PubMed central, Embase and CINHAL, and reference lists of studies that qualified for inclusion in the review were searched. The search covered peer-reviewed original research, reviews, commentary papers, and institutional or government reports published in English between January 1998 and January 2020. RESULTS: A total of 7792 titles were identified in the online search and 137 publications, comprising pilot studies as well as anecdotal and empirical literature were selected for the final review. The review draws attention to the fact that cross-disciplinary HPSR is not defined by individual characteristics but by the combination of a particular type of research question and setting (context), a specific way of researchers working together (mechanism), and research output (outcome) that is superior to what could be achieved under a monodisciplinary approach. This CMO framework also informs the criteria for assessing whether a given HPSR is truly cross-disciplinary. The challenges of cross-disciplinary HPSR and their accompanying coping mechanisms were also found to be context driven, originating mainly from conceptual disagreements, institutional restrictions, communication and information management challenges, coordination problems, and resource limitations. CONCLUSION: These findings have important implications. First, the CMO framework of cross-disciplinary HPSR can provide guidance for researchers engaging in new projects and for policy-makers using their findings. Second, the proposed criteria for evaluating theory and practice of cross-disciplinary HPSR may inform the systematic development of new research projects and the structured assessment of existing ones. Third, a better understanding of the challenges of cross-disciplinary HPSR and potential response mechanisms may help researchers to avoid these problems in the future.


Asunto(s)
Política de Salud , Investigación sobre Servicios de Salud , Personal Administrativo , Gobierno , Humanos , Investigadores
19.
Environ Manage ; 66(1): 72-90, 2020 07.
Artículo en Inglés | MEDLINE | ID: mdl-32333037

RESUMEN

Tropical forest landscapes are undergoing rapid transition. Rural development aspirations are rising, and land use change is contributing to deforestation, degradation, and biodiversity loss, which threaten the future of tropical forests. Conservation initiatives must deal with complex social, political, and ecological decisions involving trade-offs between the extent of protected areas and quality of conservation. In Cambodia, smallholders and industrial economic land concessions drive deforestation and forest degradation. Rural economic benefits have not kept pace with development aspirations and smallholders are gradually expanding agriculture into protected forests. We examine the drivers and effects of rural forest landscape transitions in Cambodia to identify trade-offs between conservation and development. Using historical trends analysis and information gathered through key informant interviews, we describe how local communities perceive social and ecological changes, and examine the implications of local development aspirations for conservation. We explore three scenarios for the future of conservation in Cambodia, each with different conservation and community development outcomes. We contend that conservation efforts should focus on strengthening governance to meet social and environmental requirements for sustainable forest landscapes. We suggest potential entry points for governance improvements, including working with local decision-makers and fostering collaboration between stakeholders. There is a need for realistic priority setting in contested tropical forest landscapes. Prosperous rural economies are a necessary but not sufficient condition for conservation.


Asunto(s)
Conservación de los Recursos Naturales , Bosques , Agricultura , Biodiversidad , Cambodia
20.
Environ Manage ; 64(5): 580-592, 2019 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-31555874

RESUMEN

Traditional cultural landscapes are of special value not only for reasons of nature conservation and high species diversity but also because they intersect with the identity of local communities, support recreation and tourism, and preserve cultural heritage. Structural changes in rural areas threaten these unique sceneries and environments in Europe and worldwide. As a result, the question of how to maintain and manage cultural landscapes where economic benefits are not assured has become a priority in science and in practice. Considering this context, community-based collaborative landscape management (CLM) can be considered an innovative and promising approach. This paper presents results from a stakeholder analysis examining the preconditions and opportunities for initiating a CLM in the biosphere reserve known as 'Spreewald'. The results indicate that due to the type of problem (landscape change)-which is characterised by complexity, beneficial linkages to a multitude of actor groups, and broad problem awareness-CLM appears to be feasible. However, other preconditions related to social relationships among actor groups, questions of legitimate coordination and the collaborative capacity of the community are not met, thus reducing the likelihood of success. To address these challenges, we discuss the potential of transdisciplinary processes (TD) to assist local communities in establishing such a collaborative problem-solving and management approach. We show that TD is highly valuable and supportive during this critical stage of emerging collaboration.


Asunto(s)
Conservación de los Recursos Naturales , Conducta Cooperativa , Europa (Continente) , Alemania , Conducta Social
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA