Nutzerorientierung - ein Fremdwort in der Gesundheitssicherung?
In: Gesundheitswissenschaften
In: Programmbereich Gesundheit
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In: Gesundheitswissenschaften
In: Programmbereich Gesundheit
In: Studienreihe der Hans-Böckler-Stiftung
In: Studien zur Gesundheits- und Pflegewissenschaft
In: Studienreihe der Hans-Böckler-Stiftung
In: Studien zur Gesundheits- und Pflegewissenschaft
In: Gender Studies
In: De Gruyter eBook-Paket Sozialwissenschaften
This volume focuses on current feminist positions. The contributions offer insights spotlighting selected areas of research, fields of practice, and forms of action, and inquire into overlapping content and potential feminist solidarity. Practitioners and theorists make equitable, multifaceted, and varied contributions to the volume, making the complex synopsis of current trends in contemporary feminisms accessible to a non-scientific audience as well.
In: Journal of social distress and the homeless, Band 23, Heft 1, S. 42-50
ISSN: 1573-658X
Publikationen sind im Wissenschaftssystem das wesentliche Medium zur Kommunikation von Erkenntnissen und werden häufig als Indikator für wissenschaftliche Leistung herangezogen. Für Forschungsdatenzentren (FDZ) erfüllen Publikationen weitere Funktionen: Verknüpft mit den zugrundeliegenden Forschungsdaten dienen sie als wichtige Informationsquelle für potentielle Datennutzer:innen. Zudem wird die Anzahl der auf Basis von Nachnutzungen entstandenen Publikationen als ein Evaluationskriterium für die Datendienste der FDZ herangezogen und das, obwohl die Erfassung dieser Publikationen mit einer Reihe von Herausforderungen verbunden ist. Der vorliegende Artikel beschreibt die verschiedenen Vorgehensweisen von FDZ bei der Erfassung von Publikationen, die aus der Nutzung von Forschungsdaten entstehen, und diskutiert damit einhergehende Probleme der Fehl-, Über- und Untererfassung. Es zeigt sich, dass die verschiedenen Verfahren der Erfassung mit je unterschiedlichen Schwierigkeiten behaftet sind, die ihre Verwendung als Leistungsindikator relativieren. Einen Königsweg gibt es derzeit nicht; stattdessen wird eine Kombination aus unterschiedlichen Vorgehensweisen empfohlen, die auch in Abhängigkeit von der jeweiligen Größe des Datenbestands eines FDZ und den jeweiligen Nutzer:innen zu bewerten ist.
Background: The effectiveness of complex interventions, as well as their success in reaching relevant populations, is critically influenced by their implementation in a given context. Current conceptual frameworks often fail to address context and implementation in an integrated way and, where addressed, they tend to focus on organisational context and are mostly concerned with specific health fields. Our objective was to develop a framework to facilitate the structured and comprehensive conceptualisation and assessment of context and implementation of complex interventions.Methods: The Context and Implementation of Complex Interventions (CICI) framework was developed in an iterative manner and underwent extensive application. An initial framework based on a scoping review was tested in rapid assessments, revealing inconsistencies with respect to the underlying concepts. Thus, pragmatic utility concept analysis was undertaken to advance the concepts of context and implementation. Based on these findings, the framework was revised and applied in several systematic reviews, one health technology assessment (HTA) and one applicability assessment of very different complex interventions. Lessons learnt from these applications and from peer review were incorporated, resulting in the CICI framework.Results: The CICI framework comprises three dimensions—context, implementation and setting—which interact with one another and with the intervention dimension. Context comprises seven domains (i.e., geographical, epidemiological, socio-cultural, socio-economic, ethical, legal, political); implementation consists of five domains (i.e., implementation theory, process, strategies, agents and outcomes); setting refers to the specific physical location, in which the intervention is put into practise. The intervention and the way it is implemented in a given setting and context can occur on a micro, meso and macro level. Tools to operationalise the framework comprise a checklist, data extraction tools for qualitative and ...
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Background The effectiveness of complex interventions, as well as their success in reaching relevant populations, is critically influenced by their implementation in a given context. Current conceptual frameworks often fail to address context and implementation in an integrated way and, where addressed, they tend to focus on organisational context and are mostly concerned with specific health fields. Our objective was to develop a framework to facilitate the structured and comprehensive conceptualisation and assessment of context and implementation of complex interventions. Methods The Context and Implementation of Complex Interventions (CICI) framework was developed in an iterative manner and underwent extensive application. An initial framework based on a scoping review was tested in rapid assessments, revealing inconsistencies with respect to the underlying concepts. Thus, pragmatic utility concept analysis was undertaken to advance the concepts of context and implementation. Based on these findings, the framework was revised and applied in several systematic reviews, one health technology assessment (HTA) and one applicability assessment of very different complex interventions. Lessons learnt from these applications and from peer review were incorporated, resulting in the CICI framework. Results The CICI framework comprises three dimensions—context, implementation and setting—which interact with one another and with the intervention dimension. Context comprises seven domains (i.e., geographical, epidemiological, socio-cultural, socio-economic, ethical, legal, political); implementation consists of five domains (i.e., implementation theory, process, strategies, agents and outcomes); setting refers to the specific physical location, in which the intervention is put into practise. The intervention and the way it is implemented in a given setting and context can occur on a micro, meso and macro level. Tools to operationalise the framework comprise a checklist, data extraction tools for qualitative and quantitative reviews and a consultation guide for applicability assessments. Conclusions The CICI framework addresses and graphically presents context, implementation and setting in an integrated way. It aims at simplifying and structuring complexity in order to advance our understanding of whether and how interventions work. The framework can be applied in systematic reviews and HTA as well as primary research and facilitate communication among teams of researchers and with various stakeholders.
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