Reducing the gap between Public Health Researchers and Health Managers: Determinants of Collaborative Research

1. Reducing the gap between Public Health Researchers and Health Managers: Determinants of Collaborative Research Jalila Jbilou* MD, MSc, PhD candidate Réjean Landry* PhD, Professor Nabil Amara* PhD, Associate Professor * Chaire FCRSS/IRSC sur le transfert des connaissances et l’innovation, Université Laval, Québec

2. AcknowledgementsAuthors are thankful for the financial support provided to Jalila Jbilou by:the Public Health Agency of Canadaand the Institute of Public and Population Health from the Canadian Institute of Health Research to make it possible for her to attend the 5th Nordic Health Promotion Research Conference 2006

3. Presentation • Introduction • Methodology • Findings • Implications • Research perspectives Jalila Jbilou 5th Nordic Health Promotion Research Conference 2006

4. Introduction • EBDM remains the best option that would ensure the most effective decision • Collaborative Research (CR) is an activity of knowledge (explicit, implicit, experiential, popular…) and evidence sharing, creation and transfer • CR impacts on KU and EBDM are explored since the 70ties Jalila Jbilou 5th Nordic Health Promotion Research Conference 2006

5. Introduction • CR: strategy of links between research and action in health (decision-making and practice) ≠ PAR • CR: opportunity to make applied research more realistic • What is CR? A systematic review of the literature Jalila Jbilou 5th Nordic Health Promotion Research Conference 2006

6. Introduction • Collaborative Research (CR) implies: • mechanisms of links • shared interests or at least not rival • a favourable organizational environment and • a bilateral motivation • Besides, it involves different communities of practice: • Researchers and • Managers, professionals, or… Jalila Jbilou 5th Nordic Health Promotion Research Conference 2006

7. Introduction • Barriers to Knowledge and/or evidence utilization • Health organization bureaucratization • Decision-making centralization • Conflict of evidences • Nature of evidence and knowledge • Managers capacities, skills and resources And a wide gap between researchers and health managers Jalila Jbilou 5th Nordic Health Promotion Research Conference 2006

8. Introduction • The gap could be reduced through CR • Few is known about determinants of CR among PH Researchers • Few is known about strategies to implement so as to improve PH Researchers’ involvement for CR Jalila Jbilou 5th Nordic Health Promotion Research Conference 2006

9. Research question • What determines PH researchers’ involvement for CR with managers in governmental health organizations? Jalila Jbilou 5th Nordic Health Promotion Research Conference 2006

10. Methodology… • Quantitative methodology based on data from a survey, elaborated for the purpose of an inquiry on KT in Canada, administered in 2001 • Having concerned a representative sample (domains and provinces) of researchers from Canadian health schools and faculties • 117 respondents were PHR Jalila Jbilou 5th Nordic Health Promotion Research Conference 2006

11. Methodology… • A systematic review of the literature • PHRCR is a structural phenomenon (organizational and individual) and a relational phenomenon • Determinants of PHRCR are: • Networks (governmental or private organizations) • Domain of research (health services, health policy, population health) • Self perceptions (efficacy, credibility) • Motivations (knowledge advancement, users’ needs, population informing, adapting research results) • Extra-research activities (group participation, presentation) • Health managers receptive capacities • Individual characteristics (gender, age, education) Jalila Jbilou 5th Nordic Health Promotion Research Conference 2006

12. Findings… DETERMINANTS OF CR among Public Health Researchers (CRPHR) are estimated by a Logistic Regression : CRPHR=β0 + β1INNOVRE + β2ADMNET + β3INDPRINET + β4ADAPRES+ β5PERCRED + β6RECCAP + β7GENDER + β8PUBORIEN + β9COMPART+ β10GROUPRES+ β11PERSEEFPOL + β12USENEED + β13TV&RAD+ β14HESERRES+ β15POLRES+ β16POPHEARES + ε Where, βi (i= 0…….16) are the coefficients to estimate. Jalila Jbilou 5th Nordic Health Promotion Research Conference 2006

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14. Indexes… • Health managers receptive capacities (Research results’ dissemination events creation, Educational activities organizing, Material and/or finance investment in KT) • Adapting research results (Basic, Dialogic, Tactic, Didactic, Thematic) • Administrative Network (Government, RHA, Local Organizations) • Private Network (Private firms, Health Associations and Foundations) • Innovativeness of research results (Customization, New technology, Financial investment, Human resources training, Organizational changes) Jalila Jbilou 5th Nordic Health Promotion Research Conference 2006

15. Findings… Jalila Jbilou 5th Nordic Health Promotion Research Conference 2006

16. Findings… Jalila Jbilou 5th Nordic Health Promotion Research Conference 2006

17. Findings… Jalila Jbilou 5th Nordic Health Promotion Research Conference 2006

18. Implications… A range of changes has to be implemented among PHR to improve involvement for CR: • Culture of collaboration • Networking with decision makers and politics • Adapting research results awareness • Awards or academic recognition for collaboration • PH research results advocacy (marketing) Jalila Jbilou 5th Nordic Health Promotion Research Conference 2006

19. Future research… Develop a model for CR among Canadian health managers (in progress) Compare results from both studies and identify joint strategies to implement a functional CR interface Jalila Jbilou 5th Nordic Health Promotion Research Conference 2006

20. Take home messages • CR among PH Researchers is tightly linked to culture and organizational structures • Intrinsic effort for CR promotion has to be built and to be disseminated among PH Researchers community • New system of awards has to be developed to value CR among PHR Jalila Jbilou 5th Nordic Health Promotion Research Conference 2006

21. Thank you for your attention For further information, would you please contact: jalila.jbilou@fsa.ulaval.ca