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      Building a Workforce for Future Health Systems: Reflections from Health Policy and Systems Research

      1 , 1 , 1
      Health Services Research
      Wiley

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          Abstract

          <div class="section"> <a class="named-anchor" id="hesr12978-sec-0001"> <!-- named anchor --> </a> <h5 class="section-title" id="d423854e151">Introduction</h5> <p id="d423854e153">The era of the Sustainable Development Goals calls for multidisciplinary research and intersectoral approaches to addressing health challenges. This presents a unique opportunity for multidisciplinary fields concerned with complex systems. Those working in system‐oriented fields such as health policy and systems research ( <span style="fixed-case">HPSR</span>) and health services research must be forward‐thinking in optimizing their collective ability to address these global challenges. </p> </div><div class="section"> <a class="named-anchor" id="hesr12978-sec-0002"> <!-- named anchor --> </a> <h5 class="section-title" id="d423854e159">Objectives</h5> <p id="d423854e161">The objective of this commentary was to share reflections on challenges and strategies in managing the <span style="fixed-case">HPSR</span> workforce in order to stimulate dialogue and cross‐learning across similar fields. </p> </div><div class="section"> <a class="named-anchor" id="hesr12978-sec-0003"> <!-- named anchor --> </a> <h5 class="section-title" id="d423854e167">Strategies/Findings</h5> <p id="d423854e169">The following strategies are discussed here: definitional clarity of expected competencies and coordination across <span style="fixed-case">HPS</span> researchers, national investment in <span style="fixed-case">HPSR</span>, institutional capacity for coproduction of knowledge across different types of actors, and participatory leadership. </p> </div><div class="section"> <a class="named-anchor" id="hesr12978-sec-0004"> <!-- named anchor --> </a> <h5 class="section-title" id="d423854e178">Conclusions</h5> <p id="d423854e180">Creative approaches in training, financing, developing, and leading the diverse workforce required to strengthen health systems can pave the way for its full‐time and part‐time members to work together. </p> </div>

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          The application of systems thinking in health: why use systems thinking?

          This paper explores the question of what systems thinking adds to the field of global health. Observing that elements of systems thinking are already common in public health research, the article discusses which of the large body of theories, methods, and tools associated with systems thinking are more useful. The paper reviews the origins of systems thinking, describing a range of the theories, methods, and tools. A common thread is the idea that the behavior of systems is governed by common principles that can be discovered and expressed. They each address problems of complexity, which is a frequent challenge in global health. The different methods and tools are suited to different types of inquiry and involve both qualitative and quantitative techniques. The paper concludes by emphasizing that explicit models used in systems thinking provide new opportunities to understand and continuously test and revise our understanding of the nature of things, including how to intervene to improve people’s health.
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            Building the Field of Health Policy and Systems Research: Social Science Matters

            In the second in a series of articles addressing the current challenges and opportunities for the development of Health Policy and Systems Research (HPSR), Lucy Gilson and colleagues argue the importance of insights from the social sciences.
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              People-centred science: strengthening the practice of health policy and systems research

              Health policy and systems research (HPSR) is a transdisciplinary field of global importance, with its own emerging standards for creating, evaluating, and utilizing knowledge, and distinguished by a particular orientation towards influencing policy and wider action to strengthen health systems. In this commentary, we argue that the ability of the HPSR field to influence real world change hinges on its becoming more people-centred. We see people-centredness as recognizing the field of enquiry as one of social construction, requiring those conducting HPSR to locate their own position in the system, and conduct and publish research in a manner that foregrounds human agency attributes and values, and is acutely attentive to policy context. Change occurs at many layers of a health system, shaped by social, political, and economic forces, and brought about by different groups of people who make up the system, including service users and communities. The seeds of transformative practice in HPSR lie in amplifying the breadth and depth of dialogue across health system actors in the conduct of research – recognizing that these actors are all generators, sources, and users of knowledge about the system. While building such a dialogic practice, those conducting HPSR must strive to protect the autonomy and integrity of their ideas and actions, and also clearly explain their own positions and the value-basis of their work. We conclude with a set of questions that health policy and systems researchers may wish to consider in making their practice more people-centred, and hence more oriented toward real-world change.
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                Author and article information

                Journal
                Health Services Research
                Health Serv Res
                Wiley
                00179124
                October 2018
                October 2018
                May 24 2018
                : 53
                : 4024-4033
                Affiliations
                [1 ]Alliance for Health Policy and Systems Research; World Health Organization; Geneva Switzerland
                Article
                10.1111/1475-6773.12978
                6149357
                29797708
                4b6206ec-0fcc-4181-87e6-9305e581fb72
                © 2018

                http://doi.wiley.com/10.1002/tdm_license_1.1

                http://creativecommons.org/licenses/by/4.0/

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