The Listening Project, a signature activity of AcademyHealth's Translation and Dissemination Institute, seeks to identify the most pressing research needs of leaders in health policy and health care delivery for the next three to five years. The goal of the project is to foster greater interaction among the producers, funders, and users of health services and policy research (HSR) and to spur the production and use of timely, relevant evidence to improve health and health care. This report explores the stated evidence and data needs of leaders in safety net provider organizations. Sample. In 2014 and 2015, AcademyHealth staff conducted semi-structured key informant interviews with 43 individuals with extensive experience and/or expertise in the delivery and financing of safety net care. The individuals interviewed represent diversity along several dimensions, including their position and employer type, geographic location, and area of expertise within safety net care. To maintain the anonymity of our respondents and in keeping with our Institutional Review Board exemption,1 we do not provide more specific information about the individuals included in the interviews. Methods. Staff used qualitative data analysis techniques to identify and synthesize major themes, which were validated by an external review committee comprised of interviewees and other content experts. The full report draws heavily on the use of verbatim quotes to illustrate each finding and in some cases, quotes were edited for grammar and length. While we do not identify interviewees by name or organization, we precede the verbatim quotes with information about the respondent's role relative to safety net care, for example, as a leader of a community health center, physician at a safety net hospital, or researcher with safety net expertise. The report includes results presented in four sections: (1) background on safety net health care in the United States; (2) interviewees' stated evidence needs; (3) interviewees' experiences with data, quality improvement, and research activities; and (4) interviewees' advice for researchers.
Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)