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Does a biomedical research centre affect patient care in local hospitals?

BACKGROUND: Biomedical research can have impacts on patient care at research-active hospitals. We qualitatively evaluated the impact of the Oxford Biomedical Research Centre (Oxford BRC), a university-hospital partnership, on the effectiveness and efficiency of healthcare in local hospitals. Effecti...

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Autores principales: Lichten, Catherine A, Marsden, Grace, Pollitt, Alexandra, Kiparoglou, Vasiliki, Channon, Keith M, Sussex, Jon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5251230/
https://www.ncbi.nlm.nih.gov/pubmed/28109282
http://dx.doi.org/10.1186/s12961-016-0163-7
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author Lichten, Catherine A
Marsden, Grace
Pollitt, Alexandra
Kiparoglou, Vasiliki
Channon, Keith M
Sussex, Jon
author_facet Lichten, Catherine A
Marsden, Grace
Pollitt, Alexandra
Kiparoglou, Vasiliki
Channon, Keith M
Sussex, Jon
author_sort Lichten, Catherine A
collection PubMed
description BACKGROUND: Biomedical research can have impacts on patient care at research-active hospitals. We qualitatively evaluated the impact of the Oxford Biomedical Research Centre (Oxford BRC), a university-hospital partnership, on the effectiveness and efficiency of healthcare in local hospitals. Effectiveness and efficiency are conceptualised in terms of impacts perceived by clinicians on the quality, quantity and costs of patient care they deliver. METHODS: First, we reviewed documentation from Oxford BRC and literature on the impact of research activity on patient care. Second, we interviewed leaders of the Oxford BRC’s research to identify the direct and indirect impacts they expected their activity would have on local hospitals. Third, this information was used to inform interviews with senior clinicians responsible for patient care at Oxford’s acute hospitals to discover what impacts they observed from research generally and from Oxford BRC’s research work specifically. We compared and contrasted the results from the two sets of interviews using a qualitative approach. Finally, we identified themes emerging from the senior clinicians’ responses, and compared them with an existing taxonomy of mechanisms through which quality of healthcare may be affected in research-active settings. RESULTS: We were able to interview 17 research leaders at the Oxford BRC and 19 senior clinicians at Oxford’s acute hospitals. The research leaders identified a wide range of beneficial impacts that they expected might be felt at local hospitals as a result of their research activity. They expected the impact of their research activity on patient care to be generally positive. The senior clinicians responsible for patient care at those hospitals presented a more mixed picture, identifying many positive impacts, but also a smaller number of negative impacts, from research activity, including that of the Oxford BRC. We found the existing taxonomy of benefit types to be helpful in organising the findings, and propose modifications to further improve its usefulness. CONCLUSIONS: Impacts from research activity on the effectiveness and efficiency of patient care at the local acute hospitals, as perceived by senior clinicians, were more often beneficial than harmful. The Oxford BRC contributed to those impacts. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12961-016-0163-7) contains supplementary material, which is available to authorized users.
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spelling pubmed-52512302017-01-26 Does a biomedical research centre affect patient care in local hospitals? Lichten, Catherine A Marsden, Grace Pollitt, Alexandra Kiparoglou, Vasiliki Channon, Keith M Sussex, Jon Health Res Policy Syst Research BACKGROUND: Biomedical research can have impacts on patient care at research-active hospitals. We qualitatively evaluated the impact of the Oxford Biomedical Research Centre (Oxford BRC), a university-hospital partnership, on the effectiveness and efficiency of healthcare in local hospitals. Effectiveness and efficiency are conceptualised in terms of impacts perceived by clinicians on the quality, quantity and costs of patient care they deliver. METHODS: First, we reviewed documentation from Oxford BRC and literature on the impact of research activity on patient care. Second, we interviewed leaders of the Oxford BRC’s research to identify the direct and indirect impacts they expected their activity would have on local hospitals. Third, this information was used to inform interviews with senior clinicians responsible for patient care at Oxford’s acute hospitals to discover what impacts they observed from research generally and from Oxford BRC’s research work specifically. We compared and contrasted the results from the two sets of interviews using a qualitative approach. Finally, we identified themes emerging from the senior clinicians’ responses, and compared them with an existing taxonomy of mechanisms through which quality of healthcare may be affected in research-active settings. RESULTS: We were able to interview 17 research leaders at the Oxford BRC and 19 senior clinicians at Oxford’s acute hospitals. The research leaders identified a wide range of beneficial impacts that they expected might be felt at local hospitals as a result of their research activity. They expected the impact of their research activity on patient care to be generally positive. The senior clinicians responsible for patient care at those hospitals presented a more mixed picture, identifying many positive impacts, but also a smaller number of negative impacts, from research activity, including that of the Oxford BRC. We found the existing taxonomy of benefit types to be helpful in organising the findings, and propose modifications to further improve its usefulness. CONCLUSIONS: Impacts from research activity on the effectiveness and efficiency of patient care at the local acute hospitals, as perceived by senior clinicians, were more often beneficial than harmful. The Oxford BRC contributed to those impacts. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12961-016-0163-7) contains supplementary material, which is available to authorized users. BioMed Central 2017-01-21 /pmc/articles/PMC5251230/ /pubmed/28109282 http://dx.doi.org/10.1186/s12961-016-0163-7 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Lichten, Catherine A
Marsden, Grace
Pollitt, Alexandra
Kiparoglou, Vasiliki
Channon, Keith M
Sussex, Jon
Does a biomedical research centre affect patient care in local hospitals?
title Does a biomedical research centre affect patient care in local hospitals?
title_full Does a biomedical research centre affect patient care in local hospitals?
title_fullStr Does a biomedical research centre affect patient care in local hospitals?
title_full_unstemmed Does a biomedical research centre affect patient care in local hospitals?
title_short Does a biomedical research centre affect patient care in local hospitals?
title_sort does a biomedical research centre affect patient care in local hospitals?
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5251230/
https://www.ncbi.nlm.nih.gov/pubmed/28109282
http://dx.doi.org/10.1186/s12961-016-0163-7
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