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审视和情境化建立政策支持组织的方法——批判解释性综合。

Examining and Contextualizing Approaches to Establish Policy Support Organizations - A Critical Interpretive Synthesis.

机构信息

Health Policy PhD Program, McMaster University, Hamilton, ON, Canada.

McMaster Health Forum, McMaster University, Hamilton, ON, Canada.

出版信息

Int J Health Policy Manag. 2022 May 1;11(5):551-566. doi: 10.34172/ijhpm.2020.181.

Abstract

BACKGROUND

In response to worldwide calls for the need to support evidence-informed policy-making (EIPM), more countries are increasingly interested in enhancing their efforts to use research to inform policy-making. In order to inform the efforts of those asked to lead the support of EIPM, our aim is to develop a conceptual framework to guide the process of establishing a policy support organization (PSO).

METHODS

We conducted a critical interpretive synthesis (CIS). We conducted a two steps literature review. In the second step, we systematically searched OVID EMBASE, PsychInfo, HealthStar, CINAHL, Web of Science, Social Science Abstract, Health Systems Evidence, and ProQuest Dissertations and Theses Global databases for documents reporting the establishment of PSOs and the contextual factors influencing the process of establishing these organizations. We assessed the eligibility of the retrieved articles and synthesized the findings iteratively.

RESULTS

We included 52 documents in the synthesis. Our findings suggest that a PSO establishment process has four interconnected stages: awareness, development, assessment, and maturation. The process of establishing a PSO is iterative and influenced by political, research and health systems contextual factors, which determine the availability of the resources and the trust between researchers and policy-makers. The contextual factors have an impact on each other, and the challenges that arise from one factor can be mitigated by other factors.

CONCLUSION

For those interested in establishing a PSO, our framework provides a road map for identifying the most appropriate starting point and the factors that might influence the establishment process. Leaders of such PSOs can use our findings to expand or refine their scope of work. Given that this framework focuses only on PSOs in the health sector, an important next step for research would be to include other sectors from social systems and identify any additional insight that can enhance our framework.

摘要

背景

为响应全球对支持循证决策(EIPM)的呼吁,越来越多的国家对加强利用研究为决策提供信息的工作表示关注。为了为那些被要求领导支持 EIPM 的人提供信息,我们的目的是开发一个概念框架来指导建立政策支持组织(PSO)的过程。

方法

我们进行了批判性解释性综合(CIS)。我们进行了两步文献综述。在第二步中,我们系统地在 OVID EMBASE、PsychInfo、HealthStar、CINAHL、Web of Science、Social Science Abstract、Health Systems Evidence 和 ProQuest Dissertations and Theses Global 数据库中搜索报告建立 PSO 和影响建立这些组织过程的背景因素的文件。我们评估了检索到的文章的资格,并迭代地综合了研究结果。

结果

我们将 52 篇文献纳入综合分析。我们的研究结果表明,PSO 建立过程有四个相互关联的阶段:意识、发展、评估和成熟。建立 PSO 的过程是迭代的,并受到政治、研究和卫生系统背景因素的影响,这些因素决定了资源的可用性和研究人员与决策者之间的信任。背景因素相互影响,一个因素带来的挑战可以通过其他因素来缓解。

结论

对于那些有兴趣建立 PSO 的人来说,我们的框架为确定最合适的起点和可能影响建立过程的因素提供了路线图。此类 PSO 的领导者可以利用我们的研究结果来扩展或细化他们的工作范围。鉴于该框架仅关注卫生部门的 PSO,下一步的研究重点将是纳入社会系统的其他部门,并确定任何可以增强我们框架的额外见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/274b/9309922/04262f6f77c6/ijhpm-11-551-g001.jpg

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