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Table 4 Responses from in-depth interviews and focus group discussions on what we gain and lose from health research systems

From: Understanding the concept and importance of the health research system in Palestine: a qualitative study

Theme

Code

Sub-code

Quotes from sectors

Government

Academic

NGOs

HRS Understanding

Gains

Population

Identify hidden issues to find solutions, identify causes and risk factors of disease and formulate plans to eliminate them

Prevent health problems, improve health status, guide health research to address social needs, tackle the problems facing patient and environment

Understand national indicators and problems, produce knowledge to reduce BODs, address community threats, all health challenges will be tackled, and improve people conditions

HRS-HCS

Health system and HRS are two sides of the same coin, steer the wheel of health work, support health system pillars, evaluate the system and update staff knowledge

Clear path to see where we are heading, HCS improvement, reform health system policies and evaluate interventions

Determine HCS strengths and gaps, developed a health system

Planning, policy, development

Proper planning, develop effective health policies based on evidence

The essence of development devoted to solving health dilemmas based on evidence and scientific approach, solving problems by converting its results into policies, policies based on evidence

Gives guidelines for strategies, changing policies

Technical-services

No repetitions of programs, equity,

Collaboration with great outputs and gives an advantage to the interdisciplinary spirit, improve certain medications, public health and health services promoted, better health services and our goals will be achieved

Better health care, evaluate programs, minimize duplicated studies, increase the quality of care, organized research actions, management-based evidence, care effectiveness, efficiency, quality, care cost containment, effective interventions, improve health care, technology and knowledge, regulated duties and satisfied clients and decision makers

Priorities-needs

Generate priorities reflect needs, determine our real needs

 

Prioritize needs, meeting our needs

Evidences-decisions

Perfect solutions based on concrete evidence, findings to be considered in policies

Add value to rational and evidence-based decisions, better effectiveness in decisions and efficiency, having evidence-based policies and actions

Reliable evidence-based answers for use by policymakers, evidence-based information, help decision making, new policies, expanding knowledge, evidence on problems, results from available resources

Resources

 

Better resources, a guidance to harness limited resources effectively

Save resources

Loses

Population

Economic collapse, unknown risk factors, and causes

Will not get a good health status for people, many unsolved problems

Increase economic and social burden of disease, the high prevalence of diseases and disabilities

HRS- HCS

HS problems cannot be solved and tackling them will be random and improvisational, losing everything within health system pillars

We cannot dispense of HRS, the value and importance of research will be declined, failure will be our fate due toHRS missing which is the essence of HCS, we would not lose if research is done appropriately

Cannot improve health system

Planning, policy, development

Different visions and agendas, random policies, the picture will be unclear as we work in the darkroom which affects negatively on health

Lack of policies based on research, we cannot measure, predict and change in the health field

We cannot improve and evaluate health sector

Technical-services

No cooperation and each Institute works separately, repeating our efforts without progress, research conducted unsystematically-randomly which will not reflect reality, research duplication, losing connections

Will lose harmonic work among partners, health care will be disorganized, ineffective and inefficient

Ineffective management, evidence to measure the quality of care will be lost, duplication of studies and activities, health care will be duplicated and cost ineffective, quality of care cannot be improved

Priorities-needs

 

Cannot determine priorities and needs

Inability to identify serious problems, losing solutions for problems

Evidences-decisions

Limited knowledge and poor application, accidental and random decisions

HRS outputs unexploited in decision making then unconsidered actions, actions taken without evidence, inaccurate and ineffective decisions, a total disaster for decision makers

 

Resources

Losing human resources to be updated with knowledge and skill

Missing resources, wasting efforts, time and resources, disperse our efforts

Ineffective resources allocation, wasting human resources, resources can be lost if research did not add value, wasting efforts, inability to control research resources and meet the society needs