National Institute for Health Research, Tehran University of Medical Sciences, Tehran, Iran.
Knowledge Utilization Research Centre, Tehran University of Medical Sciences, Tehran, Iran.
Health Res Policy Syst. 2019 May 17;17(1):50. doi: 10.1186/s12961-019-0455-9.
Many initiatives have been taken in the Islamic Republic of Iran to promote evidence-informed health policy-making (EIHP). However, these initiatives are not systematic. Since the implementation of EIHP is not consistent and the interventions in this regard are complex, a comprehensive plan could be a useful tool for employing initiatives to achieve and promote EIHP. Hence, this study aims to develop a roadmap for strengthening EIHP over a 3-year period in Iran.
Nine projects will be conducted to define the roadmap for strengthening EIHP. These projects include two reviews and a stakeholder analysis to identify the factors that facilitate or hinder achieving EIHP. The next study will be a qualitative study to prioritise the challenges and outline the main causes. The following steps will be a review of reviews to extract global experiences on interventions used for strengthening EIHP and two qualitative studies to examine the adoption of these interventions and develop an operational plan for strengthening EIHP in Iran. The research will be completed through conducting two qualitative-quantitative studies to design a tool for measuring EIHP and assessing EIHP in Iran at baseline.
This national EIHP roadmap will surely be able to identify the gaps and bumps that might exist in the implementation plan for establishing EIHP and eliminate them as needed in the future. This roadmap can be a step in moving towards transparency and accountability in the health system and as thus towards good governance and improvement of the health system's performance. Although the plan can be a good model for developing countries and may promote the use of evidence in health policy-making, we should assume that there are some critical contextual factors that could potentially hinder the complete and successful implementation of EIHP. Thus, to enhance EIHP in these countries with a policy-making context that does not fully support the use of evidence, it is crucial to think about not only those interventions that directly address the EIHP barriers, but also some long-term strategies to make required changes in the context, both beyond and within the health system.
伊朗伊斯兰共和国采取了许多举措来促进循证卫生决策（EIHP）。然而，这些举措并不系统。由于 EIHP 的实施不一致，并且这方面的干预措施很复杂，因此全面的计划可能是利用各项举措实现和促进 EIHP 的有用工具。因此，本研究旨在为伊朗制定一个为期 3 年的强化 EIHP 路线图。
将开展九个项目来制定强化 EIHP 的路线图。这些项目包括两项综述和利益相关者分析，以确定促进或阻碍 EIHP 实现的因素。接下来的研究将是一项定性研究，以确定挑战的优先级并概述主要原因。接下来的步骤将是对综述进行审查，以提取用于强化 EIHP 的干预措施的全球经验，并进行两项定性研究，以检验这些干预措施的采用情况并制定在伊朗强化 EIHP 的行动计划。研究将通过进行两项定性-定量研究来完成，设计用于衡量 EIHP 的工具，并评估伊朗的 EIHP 在基线时的情况。
这个国家的 EIHP 路线图肯定能够确定在建立 EIHP 的实施计划中可能存在的差距和障碍，并在需要时在未来消除这些差距和障碍。该路线图可以作为迈向卫生系统透明度和问责制的一步，进而实现良好的治理和改善卫生系统的绩效。尽管该计划可以作为发展中国家的一个良好模式，并可能促进在卫生决策中使用证据，但我们应该假设存在一些关键的背景因素，这些因素可能会潜在地阻碍 EIHP 的全面和成功实施。因此，在这些政策制定背景不完全支持证据使用的国家，为了加强 EIHP，不仅要考虑直接解决 EIHP 障碍的干预措施，还要考虑一些长期战略，以在卫生系统内外对背景进行必要的变革。
