Mijumbi Rhona M, Oxman Andrew D, Panisset Ulysses, Sewankambo Nelson K
Implement Sci. 2014 Sep 10;9:114. doi: 10.1186/s13012-014-0114-z.
Despite the recognition of the importance of evidence-informed health policy and practice, there are still barriers to translating research findings into policy and practice. The present study aimed to establish the feasibility of a rapid response mechanism, a knowledge translation strategy designed to meet policymakers' urgent needs for evidence about health systems in a low income country, Uganda. Rapid response mechanisms aim to address the barriers of timeliness and relevance of evidence at the time it is needed.
A rapid response mechanism (service) designed a priori was offered to policymakers in the health sector in Uganda. In the form of a case study, data were collected about the profile of users of the service, the kinds of requests for evidence, changes in answers, and courses of action influenced by the mechanism and their satisfaction with responses and the mechanism in general.
We found that in the first 28 months, the service received 65 requests for evidence from 30 policymakers and stakeholders, the majority of whom were from the Ministry of Health. The most common requests for evidence were about governance and organization of health systems. It was noted that regular contact between the policymakers and the researchers at the response service was an important factor in response to, and uptake of the service. The service seemed to increase confidence for policymakers involved in the policymaking process.
Rapid response mechanisms designed to meet policymakers' urgent needs for research evidence about health systems are feasible and acceptable to policymakers in low income countries.
尽管人们认识到循证卫生政策和实践的重要性,但将研究成果转化为政策和实践仍存在障碍。本研究旨在确定一种快速反应机制的可行性,这是一种知识转化策略,旨在满足政策制定者对低收入国家乌干达卫生系统证据的迫切需求。快速反应机制旨在解决在需要证据时证据的及时性和相关性方面的障碍。
向乌干达卫生部门的政策制定者提供一种事先设计好的快速反应机制(服务)。以案例研究的形式,收集了有关该服务用户概况、证据请求类型、答案变化、受该机制影响的行动方案以及他们对回复和该机制总体满意度的数据。
我们发现,在最初的28个月里,该服务收到了30名政策制定者和利益相关者提出的65项证据请求,其中大多数来自卫生部。最常见的证据请求是关于卫生系统的治理和组织。值得注意的是,政策制定者与回复服务的研究人员之间的定期联系是回应和采用该服务的一个重要因素。该服务似乎增强了参与决策过程的政策制定者的信心。
旨在满足政策制定者对卫生系统研究证据迫切需求的快速反应机制在低收入国家是可行的,并且为政策制定者所接受。