Evidence map›Paper›PMID 32143719›Full record

ArticleHealth research policy and systems2020

Evaluating research investment and impact at a regional Australian Hospital and Health Service: a programme theory and conceptual framework.

Alexandra Edelman, Amy Brown, Tilley Pain, Sarah Larkins, Gillian Harvey

Open access · goldAbstract read
In one paragraph

Article in Health research policy and systems, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Alexandra EdelmanJames Cook University, Townsville, Queensland, Australia. alexandra.edelman@jcu.edu.au.ORCID http://orcid.org/0000-0002-2021-5266
Amy BrownJames Cook University, Townsville, Queensland, Australia.
Tilley PainJames Cook University, Townsville, Queensland, Australia.
Sarah LarkinsJames Cook University, Townsville, Queensland, Australia.
Gillian HarveyUniversity of Adelaide, Adelaide, Australia.
Townsville Hospital · AUJames Cook University · AUThe University of Adelaide · AU

Funding

Townsville Hospital and Health Service 2018_23
6 · The paper itself

Abstract

backgroundHealth systems in Australia and worldwide are increasingly expected to conduct research and quality improvement activities in addition to delivering clinical care and training health professionals. This study aims to inform a research impact evaluation at a regional Australian Hospital and Health Service by developing a programme theory showing how research investment is expected to have impact.

methodsThis qualitative study, representing the first phase of a larger mixed methods research impact evaluation at the Townsville Hospital and Health Service (THHS), adopts a realist-informed design involving the development of a programme theory. Data were obtained between February and May 2019 from strategic documentation and interviews with six current and former health service executives and senior employees. Inductive themes were integrated into a conceptual framework to visually represent the programme theory.

resultsResearch at THHS has developed organically as the service has matured into a regional tertiary referral service serving a diverse rural and remote population across northern Queensland. Throughout this journey, individual THHS leaders often adopted a research development mantle despite disincentives arising from a performance-driven reporting and activity-based funding service context. Impact expectations from research investment at THHS were identified in the categories of enhanced research activity and capacity among clinicians, and improved clinical practice, health workforce capability and stability, and patient and population health. Seven contextual factors were identified as potential enablers or obstacles to these impact expectations and ambitions.

conclusionsBy identifying both relevant impact types and key contextual factors, this study offers programme theory to inform a planned research impact evaluation at THHS. The conceptual framework may be useful in other regionally based health service settings. More broadly, there are opportunities for future research to test and refine hybrid versions of linear and realist research impact evaluation models that combine resource-intensive, theory-driven approaches with policy practicality.

Indexed as

AustraliaBiomedical ResearchDelivery of Health CareHumansQualitative ResearchQueenslandRural Health ServicesAustraliaHospital and Health ServiceProgramme theoryQueenslandregionalResearch impact

Identifiers

PMID32143719
PMCPMC7059332
OpenAlexW3011799382

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.