Title
High-quality health systems: time for a revolution in research and research funding
Date Issued
01 March 2019
Access level
open access
Resource Type
letter
Author(s)
Beran D.
Chappuis F.
Damasceno A.
Jha N.
Singh S.B.
Somerville C.
Suggs L.S.
CRÓNICAS, Centro de Excelencia en Enfermedades Crónicas
CRÓNICAS, Centro de Excelencia en Enfermedades Crónicas
Publisher(s)
Elsevier Ltd
Start page
e303
End page
e304
Volume
7
Issue
3
Language
English
OCDE Knowledge area
Políticas de salud, Servicios de salud
Scopus EID
2-s2.0-85061372276
PubMed ID
Source
The Lancet Global Health
ISSN of the container
2214109X
Sponsor(s)
Although the authors of the Commission 1 do mention the roles of funders and researchers in creating a high-quality health system, we believe that this discussion should go further because a “revolution” in approaches, methods, and funding is needed. To improve the quality of health systems, it is necessary to thoroughly understand the needs of the community, as well as the existing conditions in which care is delivered and received. Accomplishing this task will require formative research with financial support from funders. As stated in the Crossing the global quality chasm report, 2 “co-design” by communities and providers is needed for the responses from these formative studies to be adapted locally. Researchers will therefore have to work with communities through participatory processes to develop appropriate responses and interventions tailored to the communities' actual needs. 5 They will need skills in communication and engagement to carry out this work successfully, as well as being able to deal with the uncertainty of not knowing what interventions they will implement in particular settings at the start of a grant or research project because the most appropriate interventions will only become apparent at the end of the formative research stage.
Sources of information: Directorio de Producción Científica Scopus