Thursday, January 31, 2008

[EQ] Evidence-informed health policy report

Evidence-Informed Health Policy: Using Research to Make Health Systems Healthier

 

Report from Kunnskapssenteret  (Norwegian Knowledge Centre for the Health Services)

No 1–2008 A Multimethod Study

Moynihan R, Oxman AD, Lavis JN, Paulsen E. A Multi-method Study.

 

The full report can be downloaded as a PDF file at http://www.kunnskapssenteret.no/filer/Rapport_08_01_EIHP.pdf

 

The video documentaries can be found at http://www.kunnskapssenteret.no/index.php?artikkelid=1030&back=2

 

Background

Over the past several years there has been a great deal of international discussion about how to harness health research more effectively to achieve the United Nations’ Millennium Development Goals (MDGs) as well as other national health goals in low- and middle-income countries (LMICs). In November 2004, country delegations at the Ministerial Summit on Health Research held in Mexico City backed calls for establishing mechanisms to support the use of research evidence in policy and practice, as did the World Health Assembly in May 2005 when it approved a resolution arising from the Mexico Summit. We sought to inform  deliberations about next steps by identifying organisations around the world, and especially in LMICs, which are in some way successful or innovative in supporting the use of research evidence in the development of clinical practice guidelines (CPGs), health technology assessments (HTAs), and health policy, and by describing their experiences.

 

Key messages

The study’s seven main implications for those establishing or administering organisations to produce clinical practice guidelines or health technology assessments or organisations to support the use of research evidence in developing health policy include:

1. Collaborate with other organisations

2. Establish strong links with policymakers and involve stakeholders in the work

3. Be independent and manage conflicts of interest among those involved in the work

4. Build capacity among those working in the organisation

5. Use good methods and be transparent in the work

6. Start small, have a clear audience and scope, and address important questions

7. Be attentive to implementation considerations even if implementation is not a remit

 

 

The study’s four main implications for the World Health Organisation and other international organisations include:

1. Support collaborations among organisations

2. Support local adaptation efforts

3. Mobilize support

4. Create knowledge-related global public goods, including methods and evidence syntheses

 

Video documentaries

Case study

Brief description

Length of the video

(minutes)

Introduction

A short introduction to the eight case studies

01:30

REACH Policy
Initiative, East
Africa

An initiative to create a multi-national unit that will act as a bridge between research and policy in the East African Community (comprising Kenya, Tanzania, and Uganda)

08:26

Thailand

A constellation of research units that informed the development and evaluated the implementation of Thailand’s nascent universal health insurance program, known popularly as the 30 Baht scheme

07:46

Free State, South Africa

A set of long term relationships between provincial policy-makers and researchers and the tensions that can arise in these relationships

09:55

Pharmaceutical Benefits Scheme, Australia & South Africa

An evidence-based drug assessment and pricing scheme in Australia and South Africa

09:18

Philippines

An initiative to address conflicts of interest and inequity in the production of clinical practice guidelines

09:01

Chile

An initiative to use clinical practice guidelines to make the best use of scarce resources

07:48

National Institute of Clinical Excellence (NICE), United Kingdom

A unit producing guidelines and health technology assessments with a new focus on producing evidence-based pubic health guidelines to address health inequalities

06:12

Mexico

A comprehensive effort to draw on research evidence to inform the development, implementation and evaluation of the new Popular Health Insurance scheme

 

08:41

 

 

EXECUTIVE SUMMARY

Background

Methods

Results

Evidence-Informed Health Policy: Using research to make health systems healthier Discussion


Tables - Survey results

Table 1: Description of the units

Table 2: Organisation and establishment

Table 4: Focus

Table 5: People involved in producing a product or delivering a service

Table 6: Methods used in producing a product or delivering a service

Table 7: Products and implementation

Table 8: Evaluation and update procedures


Case descriptions

Case description 1: East Africa – An initiative to create a multi-national organisation that will act as a bridge between research and policy in the East African Community (comprising Kenya, Tanzania, and Uganda)

Case description 2: Thailand – A constellation of research organisations that informed the

development and evaluated the implementation of Thailand’s nascent universal health insurance

program, known popularly as the 30 Baht scheme

Case description 3: Free State, South Africa – A set of long-term relationships between

provincial policymakers and researchers and the tensions that can arise in these relationships

Case description 4: Australia and South Africa – An evidence-based drug assessment and

pricing scheme in Australia and South Africa

Case description 5: Philippines – An initiative to address conflicts of interest and inequity in

the production of clinical practice guidelines

Case description 6: Chile – An initiative to use clinical practice guidelines to make the best

use of scarce resources

Case description 7: United Kingdom – An organisation producing guidelines and health

technology assessments with a new focus on producing evidence-based public health guidelines

to address health inequalities

Case description 8: Mexico - A comprehensive effort to draw on research evidence to inform

the development, implementation and evaluation of the new health insurance scheme

 


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