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Health Research Policy and Systems

Shai Mulinari, Courtney Davis
The Swedish Medical Products Agency (MPA) objects to the fact that we occasionally refer to one of its senior ex-employees by name. However, names of individual MPA assessors, Food and Drug Administration (FDA) reviewers, and European Medicines Agency rapporteurs and co-rapporteurs are cited in regulatory documents and are a matter of public record. In our paper (Health Res Policy Syst 15:93, 2017), we in no way suggest that regulatory decisions were left to individual reviewers or assessors, although we do emphasise that individual MPA and FDA employees' scientific assessments and benefit-risk evaluations are critical to the decision-making process...
November 15, 2018: Health Research Policy and Systems
Catarina Andersson Forsman
No abstract text is available yet for this article.
November 15, 2018: Health Research Policy and Systems
Sanjeev Sridharan, Madeleine Bondy, April Nakaima, Richard F Heller
BACKGROUND: This paper reports on an online platform, People's Open Access Education Initiative (Peoples-uni), as a means of enhancing access to master's level public health education for health professionals. Peoples-uni seeks to improve population health in low- and middle-income countries by building public health capacity through e-learning at very low cost. We report here an evaluation of the Peoples-uni programme, conducted within the context of Sustainable Development Goal 4, which seeks to "ensure inclusive and quality education for all and promote lifelong learning" by 2030...
November 12, 2018: Health Research Policy and Systems
Femke Hoekstra, Kathleen A Martin Ginis, Veronica Allan, Anita Kothari, Heather L Gainforth
BACKGROUND: Conducting and/or disseminating research together with community stakeholders (e.g. policy-makers, practitioners, community organisations, patients) is a promising approach to generating relevant and impactful research. However, creating strong and successful partnerships between researchers and stakeholders is complex. Thus far, an in-depth understanding of how, when and why these research partnerships are successful is lacking. The aim of this study is to evaluate and explain the outcomes and impacts of a national network of researchers and community stakeholders over time in order to gain a better understanding of how, when and why research partnerships are successful (or not)...
November 12, 2018: Health Research Policy and Systems
Lydia Kapiriri, Corinne Schuster-Wallace, Pascalina Chanda-Kapata
Priority-setting (PS) for health research presents an opportunity for the relevant stakeholders to identify and create a list of priorities that reflects the country's knowledge needs. Zambia has conducted several health research prioritisation exercises that have never been evaluated. Evaluation would facilitate gleaning of lessons of good practices that can be shared as well as the identification of areas of improvement. This paper describes and evaluates health research PS in Zambia from the perspectives of key stakeholders using an internationally validated evaluation framework...
November 7, 2018: Health Research Policy and Systems
Sara A Kreindler
BACKGROUND: Integrated knowledge translation (IKT) flows from the premise that knowledge co-produced with decision-makers is more likely to inform subsequent decisions. However, evaluations of manager/policy-maker-focused IKT often concentrate on intermediate outcomes, stopping short of assessing whether research findings have contributed to identifiable organisational action. Such hesitancy may reflect the difficulty of tracing the causes of this distal, multifactorial outcome. This paper elucidates how an approach based on realistic evaluation could advance the field...
November 6, 2018: Health Research Policy and Systems
Jennifer Baumbusch, Sarah Wu, Sandra B Lauck, Davina Banner, Tamar O'Shea, Leslie Achtem
BACKGROUND: Issues with the uptake of research findings in applied health services research remain problematic. Part of this disconnect is attributed to the exclusion of knowledge users at the outset of a study, which often results in the generation of knowledge that is not usable at the point of care. Integrated knowledge translation blended with qualitative methodologies has the potential to address this issue by working alongside knowledge users throughout the research process. Nevertheless, there is currently a paucity of literature about how integrated knowledge translation can be integrated into qualitative methodology; herein, we begin to address this gap in methodology discourse...
November 3, 2018: Health Research Policy and Systems
Pedro Graça, Maria João Gregório, Sofia Mendes de Sousa, Sónia Brás, Tatiana Penedo, Telmo Carvalho, Narcisa M Bandarra, Rui Matias Lima, Ana Paula Simão, Francisco Goiana-da-Silva, Maria Graça Freitas, Fernando Ferreira Araújo
OBJECTIVE: To describe the implementation, main intervention areas and initial results of the Integrated Strategy for the Promotion of Healthy Eating (EIPAS) in Portugal. METHODS: EIPAS was published as a Law, in December of 2017, as a result of a collaboration between several ministries, including the Finance, Internal Affairs, Education, Health, Economy, Agriculture, and Sea Ministries, aiming at improving the dietary habits of the Portuguese population. The working group, led by the Ministry of Health, developed this strategy for over a year...
October 30, 2018: Health Research Policy and Systems
Jennifer A Boyko, Barbara L Riley, Cameron D Willis, Lisa Stockton, Dana Zummach, Jon Kerner, Kerry Robinson, Marie Chia
BACKGROUND: Knowledge syntheses that use a realist methodology are gaining popularity. Yet, there are few reports in the literature that describe how results are summarised, shared and used. This paper aims to inform knowledge translation (KT) for realist reviews by describing the process of developing a KT strategy for a review on pathways for scaling up complex public health interventions. METHODS: The participatory approach used for the realist review was also used to develop the KT strategy...
October 22, 2018: Health Research Policy and Systems
Claire Gear, Elizabeth Eppel, Jane Koziol-Mclain
BACKGROUND: Integrating sustainable responses to intimate partner violence in health care is a persistent and complex problem internationally. New Zealand holds a leading role, having established national health system infrastructure for responding to intimate partner violence within hospital and selected community settings. However, resources for, and engagement with, the primary health care sector has been limited. The present study focuses on what affects a sustainable response to intimate partner violence within New Zealand primary health care settings...
October 19, 2018: Health Research Policy and Systems
Rama V Baru, Malu Mohan
In this paper, we draw upon and build on three presentations which were part of the plenary session on 'Structural Drivers of Health Inequities' at the National Conference on Health Inequities in India: Transformative Research for Action, organised by the Achutha Menon Centre for Health Science Studies in Trivandrum, India. The three presentations discussed the influential role played by globalisation and neoliberalism in shaping economic, social and political relationships across developed and developing countries...
October 9, 2018: Health Research Policy and Systems
T K Sundari Ravindran, Tanya Seshadri
BACKGROUND: This paper describes the process and outcome of a consultative exercise undertaken to develop a medium-term agenda for the next decade, and to identify a short list of immediate priorities for health equity research in India. This exercise was undertaken over 2014-2017 as part of 'Closing the Gap: Health Equity Research Initiative in India', implemented by the Achutha Menon Centre for Health Science Studies, at the Sree Chitra Tirunal Institute of Medical Sciences and Technology, Trivandrum, in south India...
October 9, 2018: Health Research Policy and Systems
N Nakkeeran, Barathi Nakkeeran
BACKGROUND: This paper focuses on inequities in health in the context of disability, mental health, sexual orientation and gender identity (The authors' location outside of these identities is acknowledged as a serious limitation in discussing experience as a framework to understand health inequity in the dimensions of disability, mental health, sexual orientation and gender identity). These are dimensions that lead to health inequity primarily through the pathways of stigma and discrimination...
October 9, 2018: Health Research Policy and Systems
Q Louw, K Grimmer, J M Dizon, S Machingaidze, H Parker, D Ernstzen
BACKGROUND: The large number of South Africans with disability who cannot access good quality rehabilitation presents a public health and human rights challenge. A cost-effective, efficient approach is required to address this. Implementation of high-quality, contextually relevant clinical practice guidelines (CPGs) could be a solution; however, this requires significant investment in innovative capacity-building. METHODS: A qualitative descriptive national study was conducted to explore the perspectives of South African stakeholders in rehabilitation, regarding CPG capacity-building...
September 29, 2018: Health Research Policy and Systems
Mark Embrett, Glen E Randall
BACKGROUND: Reducing monies spent on unnecessary medical care is one possible target to improve value in healthcare systems. Regional variation in the provision of medical care suggests physician behaviour and patient demands influence the provision of unnecessary medical care. Recently, Choosing Wisely campaigns began using 'top 5 do-not-do' lists to target unnecessary medical care by encouraging greater physician and patient dialogue at the point of care. The present study aims to examine the rationale for Choosing Wisely Canada's (CWC) design and to analyse physician perceptions regarding the features of CWC aimed to reduce unnecessary medical care...
September 26, 2018: Health Research Policy and Systems
Malebogo Tlhajoane, Tidings Masoka, Edith Mpandaguta, Rebecca Rhead, Kathryn Church, Alison Wringe, Noah Kadzura, Nimalan Arinaminpathy, Constance Nyamukapa, Nadine Schur, Owen Mugurungi, Morten Skovdal, Jeffrey W Eaton, Simon Gregson
BACKGROUND: In recent years, WHO has made major changes to its guidance on the provision of HIV care and treatment services. We conducted a longitudinal study from 2013 to 2015 to establish how these changes have been translated into national policy in Zimbabwe and to measure progress in implementation within local health facilities. METHODS: National HIV programme policy guidelines published between 2003 and 2013 (n = 9) and 2014 and 2015 (n = 5) were reviewed to assess adoption of WHO recommendations on HIV testing services, prevention of mother-to-child transmission (PMTCT) of HIV, and provision of antiretroviral therapy (ART)...
September 21, 2018: Health Research Policy and Systems
Jo Cooke, Paolo Gardois, Andrew Booth
BACKGROUND: Research capacity development (RCD) is considered fundamental to closing the evidence-practice gap, thereby contributing to health, wealth and knowledge for practice. Numerous frameworks and models have been proposed for RCD, but there is little evidence of what works for whom and under what circumstances. There is a need to identify mechanisms by which candidate interventions or clusters of interventions might achieve RCD and contribute to societal impact, thereby proving meaningful to stakeholders...
September 21, 2018: Health Research Policy and Systems
Hudson Pacifico Silva, Pascale Lehoux, Fiona Alice Miller, Jean-Louis Denis
The scholarship on responsible research and innovation (RRI) aims to align the processes and outcomes of innovation with societal values by involving a broad range of stakeholders from a very early stage. Though this scholarship offers a new lens to consider the challenges new health technologies raise for health systems around the world, there is a need to define the dimensions that specifically characterise responsible innovation in health (RIH). The present article aims to introduce an integrative RIH framework drawing on the RRI literature, the international literature on health systems as well as specific bodies of knowledge that shed light on key dimensions of health innovations...
September 10, 2018: Health Research Policy and Systems
Bahareh Yazdizadeh, Farideh Mohtasham, Ashraf Velayati
It has been highlighted that the original article [1] contains a typesetting mistake in affiliation 2.
September 7, 2018: Health Research Policy and Systems
Helen Elizabeth Denise Burchett, Laurence Blanchard, Dylan Kneale, James Thomas
BACKGROUND: Public health interventions can be complicated, complex and context dependent, making the assessment of applicability challenging. Nevertheless, for them to be of use beyond the original study setting, they need to be generalisable to other settings and, crucially, research users need to be able to identify to which contexts it may be applicable. There are many tools with set criteria for assessing generalisability/applicability, yet few seem to be widely used and there is no consensus on which should be used, or when...
September 4, 2018: Health Research Policy and Systems
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