The Centre for Rapid Evidence Synthesis, College of Health Sciences Makerere University, 1st Floor, Clinical Research Building, Mulago Hill Road, Kampala, Uganda.
The Regional East African Health Policy Initiative, Uganda country-node, Makerere University, Makerere, Uganda.
Syst Rev. 2022 Jul 30;11(1):154. doi: 10.1186/s13643-022-02021-3.
Rapid reviews have emerged as an approach to provide contextualized evidence in a timely and efficient manner. Three rapid review centers were established in Ethiopia, Lebanon, and South Africa through the Alliance for Health Policy and Systems Research, World Health Organization, to stimulate demand, engage policymakers, and produce rapid reviews to support health policy and systems decision-making. This study aimed to assess the experiences of researchers and policymakers engaged in producing and using rapid reviews for health systems strengthening and decisions towards universal health coverage (UHC).
Using a case study approach with qualitative research methods, experienced researchers conducted semi-structured interviews with respondents from each center (n = 16). The topics covered included the process and experience of establishing the centers, stimulating demand for rapid reviews, collaborating between researchers and policymakers, and disseminating and using rapid reviews for health policies and interventions and the potential for sustaining and institutionalizing the services. Data were analyzed using thematic analysis.
Major themes interacted and contributed to shape the experiences of stakeholders of the rapid review centers, including the following: organizational structural arrangements of the centers, management of their processes as input factors, and the rapid reviews as the immediate policy-relevant outputs. The engagement process and the rapid review products contributed to a final theme of impact of the rapid review centers in relation to the uptake of evidence for policy and systems decision-making.
The experiences of policymakers and researchers of the rapid review centers determined the uptake of evidence. The findings of this study can inform policymakers, health system managers, and researchers on best practices for demanding, developing and using rapid reviews to support decision- and policymaking, and implementing the universal healthcare coverage agenda.
快速审查已成为一种及时、高效提供背景化证据的方法。通过卫生政策和体系研究联盟、世界卫生组织，在埃塞俄比亚、黎巴嫩和南非建立了三个快速审查中心，以激发需求、让政策制定者参与，并制作快速审查报告，为卫生政策和体系决策提供支持。本研究旨在评估参与制作和使用快速审查报告以加强卫生系统和实现全民健康覆盖（UHC）决策的研究人员和政策制定者的经验。
采用案例研究方法和定性研究方法，经验丰富的研究人员对每个中心的受访者（n=16）进行了半结构化访谈。涵盖的主题包括中心的建立过程和经验、快速审查需求的激发、研究人员和政策制定者之间的合作，以及快速审查在卫生政策和干预措施方面的传播和使用，以及服务的可持续性和制度化潜力。使用主题分析对数据进行分析。
主要主题相互作用，有助于塑造快速审查中心利益相关者的经验，包括以下内容：中心的组织结构安排、其流程的管理作为投入因素，以及快速审查报告作为直接与政策相关的产出。参与过程和快速审查报告产品促成了一个最终主题，即快速审查中心在采用证据进行政策和体系决策方面的影响。
政策制定者和快速审查中心研究人员的经验决定了证据的采用。本研究的结果可以为政策制定者、卫生系统管理者和研究人员提供有关需求、制定和使用快速审查报告以支持决策和政策制定以及实施全民医疗保健覆盖议程的最佳实践的信息。
