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"Slow science" for 21st century healthcare: reinventing health service research that serves fast-paced, high-complexity care organisations.
Jorm, Christine; Iedema, Rick; Piper, Donella; Goodwin, Nicholas; Searles, Andrew.
  • Jorm C; NSW Regional Health Partners, Newcastle, Australia.
  • Iedema R; School of Medicine and Public Health, The University of Newcastle, Callaghan, Australia.
  • Piper D; School of Rural Medicine, University of New England, Armidale, Australia.
  • Goodwin N; Centre for Team Based Practice and Learning, King's College London School of Medical Education, London, UK.
  • Searles A; School of Medicine and Public Health, The University of Newcastle, Callaghan, Australia.
J Health Organ Manag ; ahead-of-print(ahead-of-print)2021 May 04.
Artigo em Inglês | MEDLINE | ID: covidwho-1455443
ABSTRACT

PURPOSE:

The purpose of this paper is to argue for an improved conceptualisation of health service research, using Stengers' (2018) metaphor of "slow science" as a critical yardstick. DESIGN/METHODOLOGY/

APPROACH:

The paper is structured in three parts. It first reviews the field of health services research and the approaches that dominate it. It then considers the healthcare research approaches whose principles and methodologies are more aligned with "slow science" before presenting a description of a "slow science" project in which the authors are currently engaged.

FINDINGS:

Current approaches to health service research struggle to offer adequate resources for resolving frontline complexity, principally because they set more store by knowledge generalisation, disciplinary continuity and integrity and the consolidation of expertise, than by engaging with frontline complexity on its terms, negotiating issues with frontline staff and patients on their terms and framing findings and solutions in ways that key in to the in situ dynamics and complexities that define health service delivery. ORIGINALITY/VALUE There is a need to engage in a paradigm shift that engages health services as co-researchers, prioritising practical change and local involvement over knowledge production. Economics is a research field where the products are of natural appeal to powerful health service managers. A "slow science" approach adopted by the embedded Economist Program with its emphasis on pre-implementation, knowledge mobilisation and parallel site capacity development sets out how research can be flexibly produced to improve health services.
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Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Assunto principal: Atenção à Saúde / Pesquisa sobre Serviços de Saúde Tipo de estudo: Estudo observacional / Estudo prognóstico / Pesquisa qualitativa Limite: Humanos Idioma: Inglês Assunto da revista: Serviços de Saúde Ano de publicação: 2021 Tipo de documento: Artigo País de afiliação: JHOM-06-2020-0218

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Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Assunto principal: Atenção à Saúde / Pesquisa sobre Serviços de Saúde Tipo de estudo: Estudo observacional / Estudo prognóstico / Pesquisa qualitativa Limite: Humanos Idioma: Inglês Assunto da revista: Serviços de Saúde Ano de publicação: 2021 Tipo de documento: Artigo País de afiliação: JHOM-06-2020-0218