Centre for Health Economics and Policy Analysis, Department of Clinical Epidemiology and Biostatistics, McMaster University, 1200 Main St. West, HSC-2D3, Hamilton, ON L8N 3Z5, Canada.
Implement Sci. 2008 Dec 17;3:53. doi: 10.1186/1748-5908-3-53.
Organizations have been established in many countries and internationally to support the use of research evidence by producing clinical practice guidelines, undertaking health technology assessments, and/or directly supporting the use of research evidence in developing health policy on an international, national, and state or provincial level. Learning from these organizations can reduce the need to 'reinvent the wheel' and inform decisions about how best to organize support for such organizations, particularly in low- and middle-income countries (LMICs).
We undertook a multi-method study in three phases - a survey, interviews, and case descriptions that drew on site visits - and in each of the second and third phases we focused on a purposive sample of those involved in the previous phase. We used the seven main recommendations that emerged from the advice offered in the interviews to organize much of the synthesis of findings across phases and methods. We used a constant comparative method to identify themes from across phases and methods.
Seven recommendations emerged for those involved in establishing or leading organizations that support the use of research evidence in developing health policy: 1) collaborate with other organizations; 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 organization; 5) use good methods and be transparent in the work; 6) start small, have a clear audience and scope, and address important questions; and 7) be attentive to implementation considerations, even if implementation is not a remit. Four recommendations emerged for the World Health Organization (WHO) and other international organizations and networks: 1) support collaborations among organizations; 2) support local adaptation efforts; 3) mobilize support; and 4) create global public goods.
This synthesis of findings from a multi-method study, along with the more detailed findings from each of the three phases of the study (which are reported in the three following articles in the series), provide a strong basis on which researchers, policymakers, international organizations (and networks) like WHO can respond to the growing chorus of voices calling for efforts to support the use of research evidence in developing health policy.
许多国家和国际上都成立了组织,以通过制定临床实践指南、进行卫生技术评估以及/或直接支持在国际、国家和州或省一级制定卫生政策中使用研究证据,来支持研究证据的使用。借鉴这些组织的经验可以减少“重新发明轮子”的需要,并为如何最好地组织支持此类组织的决策提供信息,特别是在低收入和中等收入国家(LMICs)。
我们进行了一项多方法研究,分为三个阶段 - 调查、访谈和案例描述,并在每个第二和第三阶段都集中在参与前一阶段的有目的的样本上。我们使用访谈中提供的建议中出现的七个主要建议来组织整个研究阶段和方法的发现。我们使用恒比方法从各阶段和方法中确定主题。
为那些参与建立或领导支持在制定卫生政策中使用研究证据的组织的人提出了七个建议:1)与其他组织合作;2)与政策制定者建立牢固的联系,并让利益相关者参与工作;3)独立并管理参与工作的人的利益冲突;4)在组织内培养人员能力;5)在工作中使用良好的方法并保持透明;6)从小处着手,有明确的受众和范围,并解决重要问题;7)关注实施注意事项,即使实施不是职权范围。为世界卫生组织(WHO)和其他国际组织和网络提出了四个建议:1)支持组织之间的合作;2)支持当地的适应努力;3)动员支持;4)创造全球公共产品。
这项多方法研究的综合研究结果,以及研究的三个阶段中的更详细结果(在该系列中的三篇后续文章中报告),为研究人员、政策制定者、国际组织(和网络)(如 WHO)提供了强有力的基础,以回应越来越多的呼吁支持使用研究证据制定卫生政策的声音。