Université Laval, Pavillon Palasis-Prince, 2325 Rue de la Terrasse, Ville de Québec, QC, G1V 0A6, Canada.
School of Public Health, Université de Montréal, Centre de Recherche du CHUM, 900, rue Saint-Denis, Pavillon R, Montréal, QC, H2X 0A9, Canada.
Health Res Policy Syst. 2018 Dec 17;16(1):122. doi: 10.1186/s12961-018-0393-y.
Implementing research findings into healthcare policy is an enduring challenge made even more difficult when policies must be developed and implemented with the help and support of multiple ideas, agendas and actors taking part in determinants of health. Only looking at mechanisms to feed policy-makers with evidence or to interest researchers in the policy process will simply bring partial clues; implementing evidence-based policy also requires organisations to lead and to partner in the production and intake of scientific evidence from academics and practical evidence from one another.
This Commentary argues for the need to better understand the capacities required by organisations to foster evidence-based policy in a dispersed environment. It proposes a framework of 11 brokering capacities for organisations involved in evidence-based policy. Eight of these capacities are informed by streams of research related to the roles of knowledge broker, innovation broker and policy broker. Three complementary brokering capacities are informed by our experience studying real-life evidence-based policies; these are capturing boundary knowledge, trending know-how on scientific and practical evidence-based policy, and conveying evidence outward.
Previous guidelines on brokering capacities focused on the individual level more than on the organisational level. Beyond the individual capacities of managers, designers and implementers of new policies, there is a need to identify and assess the brokering capacities of organisations involved in evidence-based policy. The three specific organisational brokering capacities for evidence-based policy that we present offer a means for policy-makers and policy designers to reflect upon favourable environments for evidence-based policy. These capacities could also help administrators and implementation scholars to think about and develop measurements to assess the quality and readiness of organisations involved in evidence-based policy design.
将研究结果纳入医疗保健政策是一项持久的挑战，当政策的制定和实施必须在多方的帮助和支持下进行，这些多方涉及健康决定因素中的各种想法、议程和参与者时，这个挑战变得更加困难。仅仅关注向政策制定者提供证据或使研究人员对政策过程感兴趣的机制，只会提供部分线索；实施基于证据的政策还需要组织在学术证据和彼此的实践证据的产生和吸收方面发挥领导作用并建立伙伴关系。
本评论文章认为，有必要更好地了解组织在分散环境中促进基于证据的政策所需的能力。它提出了一个涉及参与基于证据的政策的组织的 11 项中介能力框架。其中八项能力是受与知识经纪人、创新经纪人以及政策经纪人角色相关的研究领域的启发，另外三项互补的中介能力是受我们研究现实生活中的基于证据的政策的经验启发；这些是捕捉边界知识、跟踪有关科学和实践基于证据的政策的诀窍，以及向外传达证据。
以前关于中介能力的指南更侧重于个人层面而不是组织层面。除了新政策的管理者、设计者和实施者的个人能力之外，还需要确定和评估参与基于证据的政策的组织的中介能力。我们提出的三个具体的组织中介能力可以为政策制定者和政策设计者提供一个思考有利于基于证据的政策的环境的方法。这些能力还可以帮助行政人员和实施学者思考和制定衡量标准，以评估参与基于证据的政策设计的组织的质量和准备情况。
