Ellen Moriah E, Panisset Ulysses, Araujo de Carvalho Islene, Goodwin James, Beard John
McMaster Health Forum, McMaster University, 1280 Main St. West, CRL 209, Hamilton, Ontario L8S 4K1, Canada; Jerusalem College of Technology, Ha-Va'ad ha-Le'umi St. 21, Jerusalem 93721, Israel; Institute of Health Policy, Management and Evaluation, University of Toronto, 4th Floor, 155 College St., Toronto, ON M5T 3M6, Canada.
World Health Organization, Avenue Appia 20, 1211 Geneva, Switzerland.
Health Policy. 2017 Mar;121(3):282-291. doi: 10.1016/j.healthpol.2016.12.009. Epub 2017 Jan 6.
The world's population aged 60 and over will more than triple from 600 million to 2 billion between the years 2000 to 2050. This demographic change has significant impact on health, social, and economic sectors. The need to ensure that research into older peoples' health is effectively translated to policy is immediate.
The purpose of this paper is to present a proposed framework to support evidence informed policymaking in ageing and health.
We undertook a two stage process to develop the framework. We (a) conducted a review of the literature, and (b) convened an expert panel to provide feedback.
Numerous frameworks have been proposed yet the majority do not address all the barriers. The Lavis et al., framework addresses a majority of the obstacles associated with evidence-informed policymaking and this framework was modified to include sub-elements important to ageing and health and to reflect the order of importance of the elements. The main elements are: a climate and/or context for research use, linkage and exchange efforts, creation of new knowledge, push efforts, facilitating pull efforts, pull efforts, and evaluation. A four-step implementation process is proposed.
This paper offers an approach to Knowledge Translation within the field of ageing and health. The framework and proposed implementation could be used to conceptualize and implement evidence-informed policymaking.
2000年至2050年间,全球60岁及以上人口将增长两倍多,从6亿增至20亿。这一人口结构变化对健康、社会和经济领域产生了重大影响。当下迫切需要确保有关老年人健康的研究能有效转化为政策。
本文旨在提出一个框架,以支持老龄化与健康领域基于证据的政策制定。
我们分两个阶段来制定该框架。(a)进行文献综述;(b)召集专家小组提供反馈。
虽然已经提出了众多框架,但大多数都未能解决所有障碍。拉维斯等人的框架解决了与基于证据的政策制定相关的大部分障碍,我们对该框架进行了修改,纳入了对老龄化与健康至关重要的子要素,并反映了各要素的重要性顺序。主要要素包括:研究成果应用的氛围和/或背景、联系与交流工作、新知识的创造、推动工作、促进拉动工作、拉动工作以及评估。我们还提出了一个四步实施过程。
本文提供了一种老龄化与健康领域知识转化的方法。该框架及提议的实施方法可用于概念化和实施基于证据的政策制定。