Using evidence to inform health policy: case study

MacIntyre, Sally; Chalmers, Iain; Horton, Richard; Smith, Richard L.

doi:10.1136/bmj.322.7280.222

Cited by 178 publications

(133 citation statements)

References 9 publications

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“…In health care, clinical professionals have begun to use the ideas of evidence-based health care to challenge the way that decisions about the management of health care organizations and the delivery of health care are made (Hewison 1997), and to question the basis for health policy initiatives (Florin 1996;Macintyre, Chalmers, Horton, et al 2001) or to urge policymakers to make better use of evidence (Lohr, Eleazeer, and Mauskopf 1998). They argue that if clinicians are expected to justify the decisions they make, or to show that the interventions they use or the services they provide are effective, so should managers and policymakers.…”

mentioning

confidence: 99%

Evidence‐based Management: From Theory to Practice in Health Care

2001

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The rise of evidence‐based clinical practice in health care has caused some people to start questioning how health care managers and policymakers make decisions, and what role evidence plays in the process. Though managers and policymakers have been quick to encourage clinicians to adopt an evidence‐based approach, they have been slower to apply the same ideas to their own practice. Yet, there is evidence that the same problems (of the underuse of effective interventions and the overuse of ineffective ones) are as widespread in health care management as they are in clinical practice. Because there are important differences between the culture, research base, and decision‐making processes of clinicians and managers, the ideas of evidence‐based practice, while relevant, need to be translated for management rather than simply transferred. The experience of the Center for Health Management Research (CHMR) is used to explore how to bring managers and researchers together and promote the use of evidence in managerial decision‐making. However, health care funders, health care organizations, research funders, and academic centers need wider and more concerted action to promote the development of evidence‐based managerial practice.

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confidence: 99%

Evidence‐based Management: From Theory to Practice in Health Care

2001

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“…52,53 In contrast, this lens may be most useful as a strategy to avoid exacerbating inequities and for ensuring that efforts to improve the quality of care routinely focus on addressing equity as well as effectiveness and efficiency.…”

Section: Discussionmentioning

confidence: 99%

Assessing equity in clinical practice guidelines

Dans

Oxman³

et al. 2007

Journal of Clinical Epidemiology

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“…Health advocates, including the WHO, the EU Commission, health researchers, and anti-tobacco advocates organised in a variety of organisations, argued that larger health warnings or banning certain tobacco flavouring, will have palpable positive effect on the health of Europeans by helping decrease smoking prevalence and initiation. However, in the words of Macintyre et al, for changes aiming to modify tobacco consumption "randomised experimental evidence is never likely to be available" [9]. Natural experiments from around the world were cited by the proponents of stricter regulation, but these were limited and criticised as not easily translatable to the European context.…”

Section: Lack Of Consensus Over Evidencementioning

confidence: 99%

Evidence-based policy making? The case of Polish opposition to the EU Tobacco Products Directive

Zatoński¹

2016

jhi

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In December 2012 the European Union (EU) Commission announced that it will propose a revision of the 2001 Tobacco Products Directive (TPD). This paper traces the policy debate that followed, in order to highlight some of the intricacies of the research-policy nexus. It focuses on the voting decisions of the Polish Members of the European Parliament (MEPs) during the European Parliament vote on the TPD in October 2013. The presented analysis employs a variety of theoretical models, including the engineering, enlightenment and strategic models of evidence-based policy making, the "two communities" model, framing, as well as Black's list of reasons for why research evidence has little influence on service policies. The analysis demonstrates that a linear model of relation between research and policy is of little value in understanding the EU TPD voting outcomes due to the broad and strongly antagonistic nature of the advocacy coalitions competing to influence the political decisions of the MEPs on this issue.

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Using evidence to inform health policy: case study

Cited by 178 publications

References 9 publications

Evidence‐based Management: From Theory to Practice in Health Care

Evidence‐based Management: From Theory to Practice in Health Care

Assessing equity in clinical practice guidelines

Evidence-based policy making? The case of Polish opposition to the EU Tobacco Products Directive

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