Skip to main content
Top
Published in: BMC Primary Care 1/2005

Open Access 01-12-2005 | Debate

A framework to evaluate research capacity building in health care

Author: Jo Cooke

Published in: BMC Primary Care | Issue 1/2005

Login to get access

Abstract

Background

Building research capacity in health services has been recognised internationally as important in order to produce a sound evidence base for decision-making in policy and practice. Activities to increase research capacity for, within, and by practice include initiatives to support individuals and teams, organisations and networks. Little has been discussed or concluded about how to measure the effectiveness of research capacity building (RCB)

Discussion

This article attempts to develop the debate on measuring RCB. It highlights that traditional outcomes of publications in peer reviewed journals and successful grant applications may be important outcomes to measure, but they may not address all the relevant issues to highlight progress, especially amongst novice researchers. They do not capture factors that contribute to developing an environment to support capacity development, or on measuring the usefulness or the 'social impact' of research, or on professional outcomes.
The paper suggests a framework for planning change and measuring progress, based on six principles of RCB, which have been generated through the analysis of the literature, policy documents, empirical studies, and the experience of one Research and Development Support Unit in the UK. These principles are that RCB should: develop skills and confidence, support linkages and partnerships, ensure the research is 'close to practice', develop appropriate dissemination, invest in infrastructure, and build elements of sustainability and continuity. It is suggested that each principle operates at individual, team, organisation and supra-organisational levels. Some criteria for measuring progress are also given.

Summary

This paper highlights the need to identify ways of measuring RCB. It points out the limitations of current measurements that exist in the literature, and proposes a framework for measuring progress, which may form the basis of comparison of RCB activities. In this way it could contribute to establishing the effectiveness of these interventions, and establishing a knowledge base to inform the science of RCB.
Appendix
Available only for authorised users
Literature
1.
go back to reference Muir Gray JA: Evidence-based Healthcare. How to make health policy and management decisions. 1997, Edinburgh, Churchill Livingstone Muir Gray JA: Evidence-based Healthcare. How to make health policy and management decisions. 1997, Edinburgh, Churchill Livingstone
2.
go back to reference Department of Health: Research and Development for a First Class Service. 2000, Leeds, DoH Department of Health: Research and Development for a First Class Service. 2000, Leeds, DoH
3.
go back to reference Mant D: National working party on R&D in primary care. Final Report. 1997, London, NHSE South and West. Mant D: National working party on R&D in primary care. Final Report. 1997, London, NHSE South and West.
4.
go back to reference Department of Health: Strategic review of the NHS R&D Levy (The Clarke Report). 1999, , Central Research Department, Department of Health, 11- Department of Health: Strategic review of the NHS R&D Levy (The Clarke Report). 1999, , Central Research Department, Department of Health, 11-
5.
go back to reference Campbell SM, Roland M, Bentley E, Dowell J, Hassall K, Pooley J, Price H: Research capacity in UK primary care. British Journal of General Practice. 1999, 49: 967-970.PubMedPubMedCentral Campbell SM, Roland M, Bentley E, Dowell J, Hassall K, Pooley J, Price H: Research capacity in UK primary care. British Journal of General Practice. 1999, 49: 967-970.PubMedPubMedCentral
6.
go back to reference Department of Health: Towards a strategy for nursing research and development. 2000, London, Department of Health Department of Health: Towards a strategy for nursing research and development. 2000, London, Department of Health
7.
go back to reference Ross F, Vernon S, Smith E: Mapping research in primary care nursing: Current activity and future priorities. NT Research. 2002, 7: 46-59.CrossRef Ross F, Vernon S, Smith E: Mapping research in primary care nursing: Current activity and future priorities. NT Research. 2002, 7: 46-59.CrossRef
8.
go back to reference Marks L, Godfrey M: Developing Research Capacity within the NHS: A summary of the evidence. 2000, Leeds, Nuffield Portfolio Programme Report. Marks L, Godfrey M: Developing Research Capacity within the NHS: A summary of the evidence. 2000, Leeds, Nuffield Portfolio Programme Report.
9.
go back to reference Lee M, Saunders K: Oak trees from acorns? An evaluation of local bursaries in primary care. Primary Health Care Research and Development. 2004, 5: 93-95. 10.1191/1463423604pc197xx.CrossRef Lee M, Saunders K: Oak trees from acorns? An evaluation of local bursaries in primary care. Primary Health Care Research and Development. 2004, 5: 93-95. 10.1191/1463423604pc197xx.CrossRef
10.
go back to reference Bateman H, Walter F, Elliott J: What happens next? Evaluation of a scheme to support primary care practitioners with a fledgling interest in research. Family Practice. 2004, 21: 83-86. 10.1093/fampra/cmh118.CrossRefPubMed Bateman H, Walter F, Elliott J: What happens next? Evaluation of a scheme to support primary care practitioners with a fledgling interest in research. Family Practice. 2004, 21: 83-86. 10.1093/fampra/cmh118.CrossRefPubMed
11.
12.
go back to reference Griffiths F, Wild A, Harvey J, Fenton E: The productivity of primary care research networks. British Journal of General Practice. 2000, 50: 913-915.PubMedPubMedCentral Griffiths F, Wild A, Harvey J, Fenton E: The productivity of primary care research networks. British Journal of General Practice. 2000, 50: 913-915.PubMedPubMedCentral
13.
go back to reference Fenton F, Harvey J, Griffiths F, Wild A, Sturt J: Reflections from organization science of primary health care networks. Family Practice. 2001, 18: 540-544. 10.1093/fampra/18.5.540.CrossRefPubMed Fenton F, Harvey J, Griffiths F, Wild A, Sturt J: Reflections from organization science of primary health care networks. Family Practice. 2001, 18: 540-544. 10.1093/fampra/18.5.540.CrossRefPubMed
14.
go back to reference Department of Health: Research Capacity Development Strategy. 2004, London, Department of Health Department of Health: Research Capacity Development Strategy. 2004, London, Department of Health
15.
go back to reference Farmer E, Weston K: A conceptual model for capacity building in Australian primary health care research. Australian Family Physician. 2002, 31: 1139-1142.PubMed Farmer E, Weston K: A conceptual model for capacity building in Australian primary health care research. Australian Family Physician. 2002, 31: 1139-1142.PubMed
16.
go back to reference Carter YH, Shaw S, Sibbald B: Primary care research networks: an evolving model meriting national evaluation. British Journal of General Practice. 2000, 50: 859-860.PubMedPubMedCentral Carter YH, Shaw S, Sibbald B: Primary care research networks: an evolving model meriting national evaluation. British Journal of General Practice. 2000, 50: 859-860.PubMedPubMedCentral
17.
go back to reference Trostle J: Research Capacity building and international health: Definitions, evaluations and strategies for success. Social Science and Medicine. 1992, 35: 1321-1324. 10.1016/0277-9536(92)90035-O.CrossRefPubMed Trostle J: Research Capacity building and international health: Definitions, evaluations and strategies for success. Social Science and Medicine. 1992, 35: 1321-1324. 10.1016/0277-9536(92)90035-O.CrossRefPubMed
18.
go back to reference Albert E, Mickan S: Closing the gap and widening the scope. New directions for research capacity building in primary health care. Australian Family Physician. 2002, 31: 1038 -10341. Albert E, Mickan S: Closing the gap and widening the scope. New directions for research capacity building in primary health care. Australian Family Physician. 2002, 31: 1038 -10341.
19.
go back to reference Crisp BR, Swerissen H, Duckett SJ: Four approaches to capacity building in health: consequences for measurement and accountability. Health Promotion International. 2000, 15: 99-107. 10.1093/heapro/15.2.99.CrossRef Crisp BR, Swerissen H, Duckett SJ: Four approaches to capacity building in health: consequences for measurement and accountability. Health Promotion International. 2000, 15: 99-107. 10.1093/heapro/15.2.99.CrossRef
20.
go back to reference Ryan , Wyke S: The evaluation of primary care research networks in Scotland. British Journal of General Practice. 2001, 154-155. Ryan , Wyke S: The evaluation of primary care research networks in Scotland. British Journal of General Practice. 2001, 154-155.
21.
go back to reference Gillies P: Effectiveness of alliances and partnerships for health promotion. Health Promotion International. 1998, 13: 99-120. 10.1093/heapro/13.2.99.CrossRef Gillies P: Effectiveness of alliances and partnerships for health promotion. Health Promotion International. 1998, 13: 99-120. 10.1093/heapro/13.2.99.CrossRef
22.
go back to reference Pitkethly M, Sullivan F: Four years of TayRen, a primary care research and development network. Primary Care Research and Development. 2003, 4: 279-283. 10.1191/1463423603pc167oa.CrossRef Pitkethly M, Sullivan F: Four years of TayRen, a primary care research and development network. Primary Care Research and Development. 2003, 4: 279-283. 10.1191/1463423603pc167oa.CrossRef
23.
go back to reference Lester H, Carter YH, Dassu D, Hobbs F: Survey of research activity, training needs. departmental support, and career intentions of junior academic general practitioners. British Journal of General Practice. 1998, 48: 1322-1326.PubMedPubMedCentral Lester H, Carter YH, Dassu D, Hobbs F: Survey of research activity, training needs. departmental support, and career intentions of junior academic general practitioners. British Journal of General Practice. 1998, 48: 1322-1326.PubMedPubMedCentral
24.
go back to reference North American Primary Care Research Group: What does it mean to build research capacity?. Family Medicine. 2002, 34: 678-684. North American Primary Care Research Group: What does it mean to build research capacity?. Family Medicine. 2002, 34: 678-684.
26.
go back to reference Sarre G: Capacity and activity in research project (CARP): supporting R&D in primary care trusts. 2002 Sarre G: Capacity and activity in research project (CARP): supporting R&D in primary care trusts. 2002
27.
go back to reference Del Mar C, Askew D: Building family/general practice research capacity. Annals of Family Medicine. 2004, 2: 535-540.CrossRef Del Mar C, Askew D: Building family/general practice research capacity. Annals of Family Medicine. 2004, 2: 535-540.CrossRef
28.
go back to reference Carter YH, Shaw S, Macfarlane F: Primary Care research team assessment (PCRTA): development and evaluation. Occasional paper (Royal College of General Practitioners). 2002, 81: 1-72. Carter YH, Shaw S, Macfarlane F: Primary Care research team assessment (PCRTA): development and evaluation. Occasional paper (Royal College of General Practitioners). 2002, 81: 1-72.
29.
go back to reference Jowett S, Macleod J, Wilson S, Hobbs F: Research in Primary Care: extent of involvement and perceived determinants among practitioners for one English region. British Journal of General Practice. 2000, 50: 387-389.PubMedPubMedCentral Jowett S, Macleod J, Wilson S, Hobbs F: Research in Primary Care: extent of involvement and perceived determinants among practitioners for one English region. British Journal of General Practice. 2000, 50: 387-389.PubMedPubMedCentral
30.
go back to reference Cooke J, Owen J, Wilson A: Research and development at the health and social care interface in primary care: a scoping exercise in one National Health Service region. Health and Social Care in the Community. 2002, 10: 435 -4444. 10.1046/j.1365-2524.2002.00395.x.CrossRefPubMed Cooke J, Owen J, Wilson A: Research and development at the health and social care interface in primary care: a scoping exercise in one National Health Service region. Health and Social Care in the Community. 2002, 10: 435 -4444. 10.1046/j.1365-2524.2002.00395.x.CrossRefPubMed
31.
go back to reference Raghunath AS, Innes A: The case of multidisciplinary research in primary care. Primary Care Research and Development. 2004, 5: 265-273. Raghunath AS, Innes A: The case of multidisciplinary research in primary care. Primary Care Research and Development. 2004, 5: 265-273.
32.
go back to reference Reagans RZER: Networks, Diversity and Productivity: The Social Capital of Corporate R&D Teams. Organisational Science. 2001, 12: 502-517. 10.1287/orsc.12.4.502.10637.CrossRef Reagans RZER: Networks, Diversity and Productivity: The Social Capital of Corporate R&D Teams. Organisational Science. 2001, 12: 502-517. 10.1287/orsc.12.4.502.10637.CrossRef
33.
go back to reference Ovretveit J: Evaluating Health Interventions. 1998, Buckingham, Open University Ovretveit J: Evaluating Health Interventions. 1998, Buckingham, Open University
34.
go back to reference Meyrick J, Sinkler P: An evaluation Resource for Healthy Living Centres. 1999, London, Health Education Authority Meyrick J, Sinkler P: An evaluation Resource for Healthy Living Centres. 1999, London, Health Education Authority
35.
go back to reference Hakansson A, Henriksson K, Isacsson A: Research methods courses for GPs: ten years' experience in southern Sweden. British Journal of General Practice. 2000, 50: 811-812.PubMedPubMedCentral Hakansson A, Henriksson K, Isacsson A: Research methods courses for GPs: ten years' experience in southern Sweden. British Journal of General Practice. 2000, 50: 811-812.PubMedPubMedCentral
36.
go back to reference Bacigalupo B, Cooke J, Hawley M: Research activity, interest and skills in a health and social care setting: a snapshot of a primary care trust in Northern England. Health and Social Care in the Community. Bacigalupo B, Cooke J, Hawley M: Research activity, interest and skills in a health and social care setting: a snapshot of a primary care trust in Northern England. Health and Social Care in the Community.
37.
go back to reference Kernick D: Evaluating primary care research networks - exposing a wider agenda. British Journal of General Practice. 2001, 51: 63-PubMedPubMedCentral Kernick D: Evaluating primary care research networks - exposing a wider agenda. British Journal of General Practice. 2001, 51: 63-PubMedPubMedCentral
38.
go back to reference Owen J, Cooke J: Developing research capacity and collaboration in primary care and social care: is there enough common ground?. Qualitative Social Work. 2004, 3: 398-410. 10.1177/1473325004048022.CrossRef Owen J, Cooke J: Developing research capacity and collaboration in primary care and social care: is there enough common ground?. Qualitative Social Work. 2004, 3: 398-410. 10.1177/1473325004048022.CrossRef
39.
go back to reference Hurst: Building a research conscious workforce. Journal of Health Organization and management. 2003, 17: 373-384.CrossRefPubMed Hurst: Building a research conscious workforce. Journal of Health Organization and management. 2003, 17: 373-384.CrossRefPubMed
40.
go back to reference Gillibrand WP, Burton C, Watkins GG: Clinical networks for nursing research. International Nursing Review. 2002, 49: 188-193. 10.1046/j.1466-7657.2002.00124.x.CrossRefPubMed Gillibrand WP, Burton C, Watkins GG: Clinical networks for nursing research. International Nursing Review. 2002, 49: 188-193. 10.1046/j.1466-7657.2002.00124.x.CrossRefPubMed
41.
go back to reference Campbell J, Longo D: Building research capacity in family medicine: Evaluation of the Grant Generating Project. Journal of Family Practice. 2002, 51: 593-PubMed Campbell J, Longo D: Building research capacity in family medicine: Evaluation of the Grant Generating Project. Journal of Family Practice. 2002, 51: 593-PubMed
42.
go back to reference Cooke J, Nancarrow S, Hammersley V, Farndon L, Vernon W: The "Designated Research Team" approach to building research capacity in primary care. Primary Health Care Research and Development. Cooke J, Nancarrow S, Hammersley V, Farndon L, Vernon W: The "Designated Research Team" approach to building research capacity in primary care. Primary Health Care Research and Development.
43.
go back to reference Innvaer S, Vist G, Trommald M, Oxman A: Health policy- makers' perceptions of their use of evidence: a systematic review. Journal of Health Services Research and Policy. 2002, 7: 239-244. 10.1258/135581902320432778.CrossRefPubMed Innvaer S, Vist G, Trommald M, Oxman A: Health policy- makers' perceptions of their use of evidence: a systematic review. Journal of Health Services Research and Policy. 2002, 7: 239-244. 10.1258/135581902320432778.CrossRefPubMed
44.
go back to reference NHS Service Delivery Organisation : NHS Service Delivery and Against National R&D programme, National listening exercise. 2000, London, NHS SDO NHS Service Delivery Organisation : NHS Service Delivery and Against National R&D programme, National listening exercise. 2000, London, NHS SDO
45.
go back to reference Hanley J, Bradburn S, Gorin M, Barnes M, Evans C, Goodare HB: Involving consumers in research and development in the NHS: briefing notes for researchers. 2000, Winchester, Consumers in NHS Research Support Unit, Hanley J, Bradburn S, Gorin M, Barnes M, Evans C, Goodare HB: Involving consumers in research and development in the NHS: briefing notes for researchers. 2000, Winchester, Consumers in NHS Research Support Unit,
46.
go back to reference Frenk J: Balancing relevance and excellence: organisational responses to link research with decision making. Social Science and Medicine. 1992, 35: 1397-1404. 10.1016/0277-9536(92)90043-P.CrossRefPubMed Frenk J: Balancing relevance and excellence: organisational responses to link research with decision making. Social Science and Medicine. 1992, 35: 1397-1404. 10.1016/0277-9536(92)90043-P.CrossRefPubMed
47.
go back to reference National Audit Office.: An international review on Governments' research procurement strategies. A paper in support of Getting the evidence: Using research in policy making. 2003, London, The Stationary Office. National Audit Office.: An international review on Governments' research procurement strategies. A paper in support of Getting the evidence: Using research in policy making. 2003, London, The Stationary Office.
48.
go back to reference Thomas P, While A: Increasing research capacity and changing the culture of primary care towards reflective inquiring practice: the experience of West London Research Network (WeLReN). Journal of Interprofessional Care. 2001, 15: 133-139. 10.1080/13561820120039865.CrossRefPubMed Thomas P, While A: Increasing research capacity and changing the culture of primary care towards reflective inquiring practice: the experience of West London Research Network (WeLReN). Journal of Interprofessional Care. 2001, 15: 133-139. 10.1080/13561820120039865.CrossRefPubMed
49.
go back to reference Rowlands G, Crilly T, Ashworth M, Mager J, Johns C, Hilton S: Linking research and development in primary care: primary care trusts, primary care research networks and primary care academics. Primary Care Research and Development. 2004, 5: 255-263. 10.1191/1463423604pc201oa.CrossRef Rowlands G, Crilly T, Ashworth M, Mager J, Johns C, Hilton S: Linking research and development in primary care: primary care trusts, primary care research networks and primary care academics. Primary Care Research and Development. 2004, 5: 255-263. 10.1191/1463423604pc201oa.CrossRef
50.
go back to reference Davies S: R&D for the NHS- Delivering the research agenda: ; London. 2005, National Coordinating Centre for Research Capacity Development Davies S: R&D for the NHS- Delivering the research agenda: ; London. 2005, National Coordinating Centre for Research Capacity Development
51.
go back to reference Department of Health.: Best Research for Best Health: A New National Health Research Strategy. The NHS contribution to health research in England: A consultation. 2005, London, Department of Health Department of Health.: Best Research for Best Health: A New National Health Research Strategy. The NHS contribution to health research in England: A consultation. 2005, London, Department of Health
52.
go back to reference Buxton M, Hanney S, Jones T: Estimating the economic value to societies of the impact of health research: a critical review. Bulletin of the World Health Organisation. 2004, 82: 733-739. Buxton M, Hanney S, Jones T: Estimating the economic value to societies of the impact of health research: a critical review. Bulletin of the World Health Organisation. 2004, 82: 733-739.
53.
go back to reference Department of Health.: The NHS as an innovative organisation: A framework and guidance on the management of intellectual property in the NHS. 2002, London, Department of Health Department of Health.: The NHS as an innovative organisation: A framework and guidance on the management of intellectual property in the NHS. 2002, London, Department of Health
54.
go back to reference Sarre G: Trent Focus Supporting research and development in primary care organisations: report of the capacity and activity in research project (CARP). 2003 Sarre G: Trent Focus Supporting research and development in primary care organisations: report of the capacity and activity in research project (CARP). 2003
55.
go back to reference Department of Health: Research Governance Framework for Health and Social Care. 2001, London, Department of Health. Department of Health: Research Governance Framework for Health and Social Care. 2001, London, Department of Health.
56.
go back to reference Hill J, Foster N, Hughes R, Hay E: Meeting the challenges of research governance. Rheumatology. 2005, 44: 571-572. 10.1093/rheumatology/keh579.CrossRefPubMed Hill J, Foster N, Hughes R, Hay E: Meeting the challenges of research governance. Rheumatology. 2005, 44: 571-572. 10.1093/rheumatology/keh579.CrossRefPubMed
57.
go back to reference Shaw S: Developing research management and governance capacity in primary care organizations: transferable learning from a qualitative evaluation of UK pilot sites. Family Practice. 2004, 21: 92-98. 10.1093/fampra/cmh120.CrossRefPubMed Shaw S: Developing research management and governance capacity in primary care organizations: transferable learning from a qualitative evaluation of UK pilot sites. Family Practice. 2004, 21: 92-98. 10.1093/fampra/cmh120.CrossRefPubMed
Metadata
Title
A framework to evaluate research capacity building in health care
Author
Jo Cooke
Publication date
01-12-2005
Publisher
BioMed Central
Published in
BMC Primary Care / Issue 1/2005
Electronic ISSN: 2731-4553
DOI
https://doi.org/10.1186/1471-2296-6-44

Other articles of this Issue 1/2005

BMC Primary Care 1/2005 Go to the issue