ABSTRACT
@#<p><strong>BACKGROUND AND OBJECTIVE:</strong> Research plays an important role in generating new knowledge that could improve health outcomes when translated into action. As such, there must exist a supportive research policy environment that facilitates the provision of necessary resources and sustainably ensures an appropriate number of skilled researchers buttressed by institutions. These, in turn, are envisioned to provide facilities, information systems, financial grants, and avenues for career development and collaboration. This study aims to analyze factors in the current policy environment that makes health research possible in the Philippines.</p><p><strong>METHODS:</strong> Qualitative exploratory design was used to characterize the Philippine health research environment. Guided by Adamchak's framework on policy environment, a content review of 39 policy documents (1991 to 2018) by the four core agencies of the Philippine National Health Research System was conducted. Seven elements of the policy environment were described.</p><p><strong>RESULTS:</strong> The policies analyzed in this study mainly addressed the legal, political, cultural, economic, and ecological elements of the policy environment. Policies that support the demographic and technological elements are lacking, in that these leave out details that are essential for capacity building and use of research output. A cross-cutting effort to resolve gaps may be necessary.</p><p><strong>CONCLUSION:</strong> Several factors continuously affect the environment in which policy is developed. There is room for improvement in terms of showcasing the government's regulatory quality and independence from political pressure. Equal attention must also be paid to human capital development, innovation partnerships, and mechanisms to improve knowledge impact, absorption, and utilization.</p>
Subject(s)
Capacity Building , PhilippinesABSTRACT
Introducción El Programa de Investigación en Sistemas y Servicios de Salud del Ministerio de Salud Pública de Cuba, tiene como propósito elevar la capacidad resolutiva y la excelencia de los servicios en función del desarrollo de la ciencia. Objetivos Caracterizar el estado del Programa en el periodo 2002-2008, así como sus proyecciones de trabajo hasta el 2015. Métodos Estudio descriptivo de corte transversal, donde se analizan las estadísticas del Programa y su valoración cualitativa. Resultados Se registraron 201 proyectos en ejecución, indicador sin precedentes en el sector de la salud y se constató que las investigaciones cerradas hallaron respuestas a problemas del ambiente, las enfermedades trasmisibles, no transmisibles y otros. Asimismo, proporcionaron metodologías para la vigilancia en salud, la educación de la población, la capacitación de profesionales, el estudio de la salud familiar, las poblaciones pequeñas, la intersectorialidad, la evaluación de programas y servicios y la formación de capacidades en investigación. Entre las limitantes del Programa se citaron, la insuficiente difusión de resultados, dificultades para acceder a la literatura especializada y la poca comunicación entre quien produce el resultado y quien lo introduce, entre otros. Conclusiones El Programa de Investigación en Sistemas y Servicios de Salud está en fase de consolidación y exhibe resultados de investigaciones con impacto en problemas prioritarios del sector de la salud aun cuando todavía enfrenta dificultades. Su proyección hasta el 2015 tiene como propósito erradicar las debilidades, responder a los desafíos y controlar los dilemas, mediante la transformación de las directrices trazadas en pro de más equidad, calidad y eficiencia de los servicios de salud
Introduction The Research Program on Health Systems and Services of the Ministry of Public Health in Cuba is aimed at raising the decisiveness capacity and the service excellence according to the scientific development. Objectives To specify the state of the Program in the 2002-2008 period as well as its work goals towards 2015. Methods Descriptive, cross-sectional study to analyze the Program statistics and their qualitative assessment. Results Two hundred and one projects in progress were recorded, an unprecedented indicator in the health care sector. It was verified that completed research works found solutions for environmental problems, communicable and non-communicable diseases. Likewise, they provided methodologies for health surveillance, the population education, the professional training, the study of family health, the small population management, the intersectoriality, the program and service assessment, and the formation of research capabilities. Among the limitations of the Program, there appeared the poor dissemination of results, difficult access to specialized literature and lack of communication between the one that brings about the result and the one that implements it. Conclusions The Research Program on Health Systems and Services is in the consolidation phase and exhibits some research results having an impact on priority health systems, even though there are still difficulties. Towards the year 2015, the goals are to eradicate weaknesses, to respond to challenges and to control over dilemmas through the change of guidelines for more equity, quality and efficiency in health services
Subject(s)
Total Quality Management , Health Services ResearchABSTRACT
With the method of bibliometric analysis, we analyzed the scientific papers on health pol-icy research embodied by CBMdisc from 1978 to 2007. It was found that the status quo of studies on health policy research in China developed rapidly. And the core journals has preliminarily formed , there were a number of highly productivity authors, besides the Ministry of Health and universities were the main units of output of health policy research papers although core authors not yet appeared.