Lomas J
McMaster University.
J Health Polit Policy Law. 1990 Fall;15(3):525-42. doi: 10.1215/03616878-15-3-525.
The impact of research information depends on its ability to change beliefs or policy assumptions within the relevant audiences. As a hybrid of American and British systems, Canada's chosen decision-making structure for policy-making and its legislative framework for health insurance make these audiences unclear and not readily accessible. This factor and historical characteristics of the research community which made them only partially responsive to the values of decisionmakers provide an explanation for the limited past use of research information in Canadian health policy. More recently, improved responsiveness by researchers and an emerging definition of the audiences by legislative policymakers are bringing about a gradual increase in the potential impact of research at the levels of administrative and clinical policy. Because of continuing decision-making constraints on legislative policy, however, impact at this level is predicted to remain diffuse, with only cautious acceptance of the changes in beliefs implied by research.
研究信息的影响力取决于其改变相关受众信念或政策假设的能力。作为美国和英国体系的混合体，加拿大在政策制定方面所选择的决策结构及其医疗保险立法框架使得这些受众不明确且难以接触到。这一因素以及研究界的历史特征（这些特征使他们仅对决策者的价值观做出部分回应）为加拿大卫生政策过去对研究信息的有限利用提供了解释。最近，研究人员反应能力的提高以及立法政策制定者对受众的新定义正在使研究在行政和临床政策层面的潜在影响力逐渐增加。然而，由于立法政策方面持续存在的决策限制，预计这一层面的影响仍将分散，对研究暗示的信念变化只会谨慎接受。
