Debeck Kora, Kerr Thomas
Open Med. 2010;4(3):e167-70. Epub 2010 Sep 21.
There is growing recognition, particularly in the areas of illicit drug policy and HIV prevention, that policy-makers are in many instances implementing suboptimal programs and services because they are not basing their decisions on the best available scientific evidence. One notable example where a policy-making body has failed to use scientific evidence to inform policy is the Canadian federal government's opposition to Vancouver's supervised injection facility despite a large body of scientific evidence indicating that the program is associated with a range of health and social benefits. Two of the key strategies that have been used to try to shift drug policy toward an evidence-based approach and maintain the operation of this evidence-based health facility are knowledge translation and legal actions. We provide an overview of these two strategies and hope it will offer lessons for the implementation of evidence-based approaches in other controversial areas of public policy.
人们越来越认识到，尤其是在非法药物政策和艾滋病毒预防领域，政策制定者在许多情况下实施的项目和服务并不理想，因为他们的决策并非基于现有的最佳科学证据。一个政策制定机构未能利用科学证据为政策提供依据的显著例子是，尽管大量科学证据表明该项目带来了一系列健康和社会效益，但加拿大联邦政府仍反对温哥华的受监管注射设施。为了使毒品政策转向基于证据的方法并维持这一基于证据的健康设施的运营，人们采用了两项关键策略，即知识转化和法律行动。我们概述了这两项策略，希望能为在其他有争议的公共政策领域实施基于证据的方法提供借鉴。
