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In this afterword of a special supplement of the American Journal of Preventive Medicine, the authors summarize some of the insights gleaned from efforts to establish a research agenda in public health services and systems research (PHSSR).
They express surprise at the paucity of information presented on quality improvement initiatives and present two possible explanations and solutions:
The authors propose that long-term, longitudinal studies be conducted to build the databases for studies that can answer complex research questions in a changing public health environment. PHSSR needs a commitment of resources, including funding for the development of young and rigorous new researchers and faculty, to carry out the work called for by the new public health research agenda.