Does the engagement of clinicians and organisations in research improve healthcare performance: a three-stage review

Objective There is a widely held assumption that engagement by clinicians and healthcare organisations in research improves healthcare performance at various levels, but little direct empirical evidence has previously been collated. The objective of this study was to address the question: Does resea...

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Main Authors: Teresa Jones, Annette Boaz, Stephen Hanney, Bryony Soper
Format: Article
Language:English
Published: BMJ Publishing Group 2015-12-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/5/12/e009415.full
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author Teresa Jones
Annette Boaz
Stephen Hanney
Bryony Soper
author_facet Teresa Jones
Annette Boaz
Stephen Hanney
Bryony Soper
author_sort Teresa Jones
collection DOAJ
description Objective There is a widely held assumption that engagement by clinicians and healthcare organisations in research improves healthcare performance at various levels, but little direct empirical evidence has previously been collated. The objective of this study was to address the question: Does research engagement (by clinicians and organisations) improve healthcare performance?Methods An hourglass-shaped review was developed, consisting of three stages: (1) a planning and mapping stage; (2) a focused review concentrating on the core question of whether or not research engagement improves healthcare performance; and (3) a wider (but less systematic) review of papers identified during the two earlier stages, focusing on mechanisms.Results Of the 33 papers included in the focused review, 28 identified improvements in health services performance. Seven out of these papers reported some improvement in health outcomes, with others reporting improved processes of care. The wider review demonstrated that mechanisms such as collaborative and action research can encourage some progress along the pathway from research engagement towards improved healthcare performance. Organisations that have deliberately integrated the research function into organisational structures demonstrate how research engagement can, among other factors, contribute to improved healthcare performance.Conclusions Current evidence suggests that there is an association between the engagement of individuals and healthcare organisations in research and improvements in healthcare performance. The mechanisms through which research engagement might improve healthcare performance overlap and rarely act in isolation, and their effectiveness often depends on the context in which they operate.
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spelling doaj-art-b259fa560392401b955dc7a2d44e79c22025-02-01T18:30:09ZengBMJ Publishing GroupBMJ Open2044-60552015-12-0151210.1136/bmjopen-2015-009415Does the engagement of clinicians and organisations in research improve healthcare performance: a three-stage reviewTeresa Jones0Annette Boaz1Stephen Hanney2Bryony Soper3research fellowprofessor and directoremeritus professorhonorary professorObjective There is a widely held assumption that engagement by clinicians and healthcare organisations in research improves healthcare performance at various levels, but little direct empirical evidence has previously been collated. The objective of this study was to address the question: Does research engagement (by clinicians and organisations) improve healthcare performance?Methods An hourglass-shaped review was developed, consisting of three stages: (1) a planning and mapping stage; (2) a focused review concentrating on the core question of whether or not research engagement improves healthcare performance; and (3) a wider (but less systematic) review of papers identified during the two earlier stages, focusing on mechanisms.Results Of the 33 papers included in the focused review, 28 identified improvements in health services performance. Seven out of these papers reported some improvement in health outcomes, with others reporting improved processes of care. The wider review demonstrated that mechanisms such as collaborative and action research can encourage some progress along the pathway from research engagement towards improved healthcare performance. Organisations that have deliberately integrated the research function into organisational structures demonstrate how research engagement can, among other factors, contribute to improved healthcare performance.Conclusions Current evidence suggests that there is an association between the engagement of individuals and healthcare organisations in research and improvements in healthcare performance. The mechanisms through which research engagement might improve healthcare performance overlap and rarely act in isolation, and their effectiveness often depends on the context in which they operate.https://bmjopen.bmj.com/content/5/12/e009415.full
spellingShingle Teresa Jones
Annette Boaz
Stephen Hanney
Bryony Soper
Does the engagement of clinicians and organisations in research improve healthcare performance: a three-stage review
BMJ Open
title Does the engagement of clinicians and organisations in research improve healthcare performance: a three-stage review
title_full Does the engagement of clinicians and organisations in research improve healthcare performance: a three-stage review
title_fullStr Does the engagement of clinicians and organisations in research improve healthcare performance: a three-stage review
title_full_unstemmed Does the engagement of clinicians and organisations in research improve healthcare performance: a three-stage review
title_short Does the engagement of clinicians and organisations in research improve healthcare performance: a three-stage review
title_sort does the engagement of clinicians and organisations in research improve healthcare performance a three stage review
url https://bmjopen.bmj.com/content/5/12/e009415.full
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