Research capacity and training needs for non-communicable diseases in the public health arena in Turkey

详细信息    查看全文

• 作者：Bulent Kilic (8)
  Peter Phillimore (9)
  Duygu Islek (8)
  Dilek Oztoprak (8)
  Eren Korkmaz (10)
  Niveen Abu-Rmeileh (11)
  Shahaduz Zaman (12)
  Belgin Unal (8)
  
  8. Department of Public Health ; Dokuz Eylul University Faculty of Medicine ; 35340 ; Izmir ; Turkey
  9. Department of Sociology ; Newcastle University ; Newcastle Upon Tyne ; UK
  10. Department of Public Health ; Dokuz Eylul University Institute of Health Sciences ; 35340 ; Izmir ; Turkey
  11. Institute of Community and Public Health ; Birzeit University ; Occupied Palestinian Territory ; oPt ; Ramallah ; Palestine
  12. Institute of Health and Society ; Newcastle University ; Newcastle Upon Tyne ; UK
  
• 关键词：Training needs assessment ; Research capacity ; Mapping ; Non ; communicable diseases ; Public health
• 刊名：BMC Health Services Research
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：14
• 期：1
• 全文大小：697 KB
• 参考文献：Technical advisory paper, No:2. Oxford University Press, NY, USA
  The 10/90 Report on Health Research 2003-2004. Published by Global Forum for Health Research, Geneva, Switzerland
  Working together for health. The World Health Report, 2006. WHO Press, Geneva, Switzerland CrossRef
  1. Lavis, JN, Ross, SE, Hurley, JE, Hohenadel, JM, Stoddart, GL, Woodward, CA, Abelson, J (2002) Examining the role of health services research in public policymaking. Milbank Q 1: pp. 125-154 1111/1468-0009.00005" target="_blank" title="It opens in new window">CrossRef
  2. El-Jardali, F, Makhoul, J, Jamal, D, Ranson, MK, Kronfol, NM, Tchaghchagian, V (2010) Eliciting policymakers鈥?and stakeholders鈥?opinions to help shape health system research priorities in the Middle East and North Africa region. Health Policy Plan 25: pp. 15-27 CrossRef
  3. Bank, W (2012) World development indicators 2012. International Bank, Washington D.C., USA
  Results of research & development in 2011. Bulletin of TUBITAK. Scientific and Technological Research Council of Turkey (in Turkish), Ankarapp. 27
  Ministry of Health Central Organization and Related Institutions. MoH Pub, Ankara: (in Turkish)
  4. Hanney, S, Kuruvilla, S, Soper, B, Mays, N (2010) Who needs what from a national health research system:lessons from reforms to the English Department of Health鈥檚 R&D system. Health Res Pol Syst 8: pp. 11 1186/1478-4505-8-11" target="_blank" title="It opens in new window">CrossRef
  5. Eser, E, Camur, D (2010) Inventory of public health specialists. HASUDER-Turkish Public Health Specialist Association, Ankara: (in Turkish)
  6. Kilic, B, Kalaca, S, Unal, B, Phillimore, P, Zaman, S (2014) Health policy analysis for prevention and control of cardiovascular diseases and diabetes mellitus in Turkey. Int J Public Health.
  7. Fedorowicz, Z, Waters, E, Tugwell, P, Nasser, M (2007) Health research priority setting in developing countries of the Eastern Mediterranean region: partnering with the Cochrane Collaboration. Eastern Mediterranean Health J 13: pp. 727-730
  8. Kennedy, A, Khoja, TA, Abou-Zeid, AH, Ghannem, H, Ijssellmuiden, C (2008) National health research system mapping in 10 Eastern Mediterranean countries. Eastern Mediterranean Health J 14: pp. 502-517
  Strategic plan, 2010-2014. MoH Pub.No:788, Ankara: (in Turkish)
  Policies for tackling non-communicable diseases and risk factors in Turkey. Erkoc, eds. (2011) Directorate General Primary Health Care. MoH Pub.No:809, Ankara
  9. Akgun, S, Rao, C, Yardim, N, Basara, BB, Aydin, O, Mollahaliloglu, S, Lopez, AD (2007) Estimating mortality and causes of death in Turkey: methods, results and policy implications. Eur J Public Health 17: pp. 593-599 CrossRef
  10. Unuvar, N, Mollahaliloglu, S, Yardim, N, Basara, BB, Dirimese, V, Ozkan, E, Varol, O (2006) Turkey Burden of Disease Study. Refik Saydam School of Public Health. MoH Pub.No:701, Ankara
  11. Satman, I, Omer, B, Tutuncu, Y, Kalaca, S, Gedik, S, Dinccag, N, Karsidag, K, Genc, S, Telci, A, Canbaz, B, Turker, F, Yilmaz, T, Cakir, B, Tuomilehto, J (2013) Twelve-year trends in the prevalence and risk factors of diabetes and prediabetes in Turkish adults. Eur J Epidemiol.
  12. Phillimore, P, Zaman, S, Ahmad, B, Shoaibi, A, Khatib, R, Khatib, R, Husseini, A, Fouad, F, Elias, M, Maziak, W, Tlili, F, Tinsa, F, Ben Romdhane, H, Kilic, B, Kalaca, S, Unal, B, Critchley, J (2013) Health system challenges of cardiovascular disease and diabetes in four Eastern Mediterranean countries. Glob Public Health Int J Res Policy Pract 8: pp. 875-889 CrossRef
  13. Brown, J (2002) Training needs assessment: a must for developing an effective training programs. Publ Person Manag 31: pp. 569-578
  14. Abu-Rmeileh N: RESCAP-MED training needs assessment report. uk/media/sites/researchwebsites/rescapmed/RESCAP-MED_Policy_Brief_1_PP_FINAL.pdf" class="a-plus-plus">http://research.ncl.ac.uk/media/sites/researchwebsites/rescapmed/RESCAP-MED_Policy_Brief_1_PP_FINAL.pdf access date: January 2013
  15. Hennessy D, Hicks C: / Hennessy-Hicks Training Needs Analysis Questionnaire and Manual. University of Birmingham; Licensed to WHO for On-line use. http://www.who.int/workforcealliance/knowledge/HennessyHicks_trainingneedstool.pdf. access date: 14.05.2012
  National health research system mapping in the Eastern Mediterranean Region: a study of ten countries. WHO-EM/RPC/027/E, Regional Office for the Eastern Mediterranean, Cairo
  16. Onat, A, Sansoy, V, Soydan, I, Tokgozoglu, SL, Adalet, K (2003) TEKHARF: Heart Health in Turkish Adults:According to the results of 12 years follow-up. Argos publications (in Turkish), Istanbul
  17. Satman, I, Y谋lmaz, T, Sengul, A, Salman, S, Salman, F, Uygur, S, Bastar, I, Tutuncu, Y, Sargin, M, Dinccag, N, Karsidag, K, Kalaca, S, Ozcan, C, King, H (2002) Population-based study of diabetes and risk characteristics in Turkey: results of the Turkish diabetes epidemiology study (TURDEP). Diabetes Care 25: pp. 1551-1556 CrossRef
  18. Hatemi, H, Turan, N, Arik, N, Yumuk, V (2002) Results of the screening for obesity and hipertension in Turkey (TOHTA) in Turkish. J Endocrinolojide Yonelisler 11: pp. 1-16
  Turkey Demographic and Health Survey, 2003. Hacettepe University Publications, (in Turkish), Ankara
  Turkey Demographic and Health Survey, 2008. Hacettepe University Publications, Ankara
  19. Ergor, G, Soysal, A, Sozmen, K, Unal, B, Ucku, R, Kilic, B, Gunay, T, Ergor, A, Demiral, Y, Saatli, G, Meseri, R, Baydur, H, Simsek, H, Budak, R, Arik, H, Karakus, N (2012) Balcova heart study: rationale and methodology of the Turkish cohort. Int J Public Health 57: pp. 535-542 11-0309-x" target="_blank" title="It opens in new window">CrossRef
  20. Unal, B, Sozmen, K, Ucku, R, Ergor, G, Soysal, A, Baydur, H, Meseri, R, Simsek, H, Gerceklioglu, G, Doganay, S, Budak, R, Kilic, B, Gunay, T, Ergor, A, Demiral, Y, Aslan, O, Cimrin, D, Akvardar, Y, Tuncel, P (2013) High prevalence of cardiovascular risk factors in a Western urban Turkish population:a community-based study. Anadolu Kardiyol Derg 13: pp. 000
  21. Mendis, S, Chestnov, O (2013) Policy reform to realize the commitments of the political declaration on noncommunicable diseases. Br Med Bull 105: pp. 7-27 CrossRef
  22. Boulton, M, Abellera, J, Lemmings, J, Robinson, L (2005) Assessment of epidemiologic capacity in state and territorial health departments, United States, 2004. MMWR 54: pp. 457-459
  23. Nachega, J, Uthman, OA, Ho, YS, Lo, M, Anude, C, Kayembe, P, Wabwire-Mangen, F, Gomo, E, Sow, PS, Obike, U, Kusiaku, T, Mills, EJ, Mayosi, BM, Ijsselmuiden, C (2012) Current status and future prospects of epidemiology and public health training and research in the WHO African region. Int J Epidemiol 41: pp. 1829-1846 CrossRef
  24. Boulton, M, Hadler, J, Beck, AJ, Ferland, L, Lichtveld, M (2011) Assessment of epidemiology capacity in state health departments, 2004-2009. Public Health Rep 126: pp. 84-93
  25. El-Jardali, F, Lavis, JN, Ataya, N, Jamal, D (2012) Use of health systems and policy research evidence in the health policy making in Eastern Mediterranean countries: views and practices of researchers. Implementation Sci 7: pp. 2 1186/1748-5908-7-2" target="_blank" title="It opens in new window">CrossRef
  26. El-Jardali, F, Lavis, JN, Ataya, N, Jamal, D, Ammar, W, Raouf, S (2012) Use of health systems evidence by policymakers in Eastern Mediterranean countries: views, practices and contextual influences. BMC Health Serv Res 12: pp. 200 1186/1472-6963-12-200" target="_blank" title="It opens in new window">CrossRef
  27. Gonzalez-Block, M (2004) Health policy and systems research agendas in developing countries. Health Res Policy Syst 2: pp. 6 1186/1478-4505-2-6" target="_blank" title="It opens in new window">CrossRef
  Priority setting for health research: lessons from developing countries. Health Policy Plan 15: pp. 130-136 CrossRef
  28. Viergever, RF, Olifson, S, Ghaffar, A, Terry, RF (2010) A checklist for health research priority setting:nine common themes of good practice. Health Res Policy Syst 8: pp. 36
  29. Potter, M, Pistella, C, Fertman, C, Dato, VM (2000) Needs assessment and a model agenda for training the public health workforce. Am J Public Health 90: pp. 1294-1296 CrossRef
  30. The pre-publication history for this paper can be accessed here: http://www.biomedcentral.com/1472-6963/14/373/prepub
  
• 刊物主题：Public Health; Health Administration; Health Informatics; Nursing Management/Nursing Research;
• 出版者：BioMed Central
• ISSN：1472-6963

文摘

Background The aim of this study is to define the research capacity and training needs for professionals working on non-communicable diseases (NCDs) in the public health arena in Turkey. Methods This study was part of a comparative cross-national research capacity-building project taking place across Turkey and the Mediterranean Middle East (RESCAP-Med, funded by the EU). Identification of research capacity and training needs took place in three stages. The first stage involved mapping health institutions engaged in NCD research, based on a comprehensive literature review. The second stage entailed in-depth interviews with key informants (KIs) with an overview of research capacity in public health and the training needs of their staff. The third stage required interviewing junior researchers, identified by KIs in stage two, to evaluate their perceptions of their own training needs. The approach we have taken was based upon a method devised by Hennessy&Hicks. In total, 55 junior researchers identified by 10 KIs were invited to participate, of whom 46 researchers agreed to take part (84%). The specific disciplines in public health identified in advance by RESCAP-MED for training were: advanced epidemiology, health economics, environmental health, medical sociology-anthropology, and health policy. Results The initial literature review showed considerable research on NCDs, but concentrated in a few areas of NCD research. The main problems listed by KIs were inadequate opportunities for specialization due to heavy teaching workloads, the lack of incentives to pursue research, a lack of financial resources even when interest existed, and insufficient institutional mechanisms for dialogue between policy makers and researchers over national research priorities. Among junior researchers, there was widespread competence in basic epidemiological skills, but an awareness of gaps in knowledge of more advanced epidemiological skills, and the opportunities to acquire these skills were lacking. Self-assessed competencies in each of the four other disciplines considered revealed greater training needs, especially regarding familiarity with the qualitative research skills for medical anthropology/sociology. Conclusions In Turkey there are considerable strengths to build upon. But a combination of institutional disincentives for research, and the lack of opportunities for the rising generation of researchers to acquire advanced training skills.