Judith Smith, Director, Health Services Management Centre, University of Birmingham: Making the shift: why community-based care will never be the cheaper option
In this session, Professor Judith Smith will examine the long-standing international policy interest in making a shift of acute care into community-based settings. She will explore and challenge some of the assumptions upon which this desired shift is based, in particular the belief that community-based care will deliver cost savings and reduce pressures on emergency demand for hospital services. Judith will set out a case for sustainable, person-centred and integrated care, exploring what this is likely to entail in practice. She will conclude by arguing that health services research needs to make an important shift if it is to provide the evidence, advice and support required for new forms of care delivery and organisation.
Robin Gauld, Pro-Vice-Chancellor (Commerce) and Dean, Otago Business School and Co-Director, Centre for Health Systems and Technology, University of Otago: One system to rule them all: governance, professionalism and the search for Mount Doom
Health systems have become characterised by complexity, which has increased over time. Examples of this are ubiquitous. Despite the best of efforts, health systems in which complexity has been reduced or eradicated are rare. Ironically, efforts to reduce complexity often have the opposite effect. Meanwhile, questions over health system performance persist as we continue to build and reinforce processes and systems within systems. Some fundamental changes are needed in order to traverse the institutionalised nature of health systems and create arrangements in which everyone works for common goals. This talk will suggest key shifts demanded in terms of governance, and in professionalism and the organisation of professionals.
Roman Kislov, Senior Research Fellow, The University of Manchester, Greater Manchester CLAHRC: The art of compromise: Collaboration between researchers and practitioners to support integrated care
The principle of collaboration, ‘the action of working with someone to produce something’, is instrumental for ensuring that research makes a difference in the ‘real world’. Within this broader agenda, involving stakeholders and research users in the design and implementation of applied health research is widely regarded to be an important part of increasing its impact on the provision of integrated care. Such ‘co-production’ of research often faces a number of challenges, which arise inevitably from the differing interests, perspectives and needs of the organisations involved. Drawing on the experience of a large-scale UK-based collaborative research partnership operating at the interface of primary and secondary care, this talk explores how these challenges can be overcome through joint working, discussion and compromise. It reflects on how such compromises are reached in practice and what influence they may have on the design, focus and overall impact of applied health research.
Ian Graham, Professor, School of Epidemiology and Public Health & the School of Nursing, University of Ottawa
Senior Scientist, Clinical Epidemiology Program, Ottawa Hospital Research Institute, and Honorary Professor at Deakin University, Melbourne Australia: Evidence for using participatory and co-production approaches to improve research uptake
There is growing interest in participatory and co-production approaches to research by research funders, charities, governments and the public. Because of the expectation that these approaches produce research findings that are more relevant, useful, and applied and therefore have greater impact, research funders are considering these approaches an important strategy for mobilizing research findings. In Canada, the term integrated knowledge Translation (IKT) is used to refer to collaborative research that involves researchers (traditionally seen as ‘research producers’) and knowledge-users (traditionally seen as ‘research consumers’) working together as partners through the research process.
This session will present results from an evaluation of the Canadian Institutes of Health Research IKT funding opportunities that reveal IKT projects produce similar academic outputs and training of HQP as more traditional researcher-driven projects but involve more dissemination activities.
Alison Mudge, Physician, Internal Medicine and Aged Care; Health & Medical Research Fellow, RBWH: Working together to improve care of older inpatients: eat walk engage
As hospitals care for increasing numbers of older and frail patients, the evidence developed in specialist geriatric services to reduce hospital-acquired complications must be applied more broadly across the hospital. Dr Mudge will discuss the Eat Walk Engage program, developed to implement good geriatric principles into general wards, using the i-PARIHS implementation framework. She will describe how redesign has been driven at ward level by bringing teams together, assessing local context for barriers and strengths, using the consumer voice to inform change, and adapting solutions to local resources. She will discuss learnings from 11 wards where the program has been implemented, and discuss some of the challenges in spreading and sustaining complex interventions in acute care.