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Health Research Policy and Systems

Sergio C Kowalski, Rebecca L Morgan, Maicon Falavigna, Iván D Florez, Itziar Etxeandia-Ikobaltzeta, Wojtek Wiercioch, Yuan Zhang, Faria Sakhia, Liudmila Ivanova, Nancy Santesso, Holger J Schünemann
BACKGROUND: Guidelines in the healthcare field generally should contain evidence-based recommendations to inform healthcare decisions. Guidelines often require 2 years or more to develop, but certain circumstances necessitate the development of rapid guidelines (RGs) in a short period of time. Upholding methodological rigor while meeting the reduced development timeframe presents a challenge for developing RGs. Our objective was to review current practices and standards for the development of RGs...
July 13, 2018: Health Research Policy and Systems
Ivan D Florez, Rebecca L Morgan, Maicon Falavigna, Sérgio C Kowalski, Yuan Zhang, Itziar Etxeandia-Ikobaltzeta, Nancy Santesso, Wojtek Wiercioch, Holger J Schünemann
BACKGROUND: Situations such as public health emergencies and outbreaks necessitate the development and publication of high-quality recommendations within a condensed timeframe. For example, WHO has produced examples of and guidance for the development of rapid guidelines (RGs). However, more information is needed to understand the experiences and perceptions of guideline developers. This is the second of a series of three articles addressing methodological issues around RGs. This study describes the perceptions and experiences of guideline developers at WHO about RGs...
July 13, 2018: Health Research Policy and Systems
Rebecca L Morgan, Ivan Florez, Maicon Falavigna, Sergio Kowalski, Elie A Akl, Kristina A Thayer, Andrew Rooney, Holger J Schünemann
BACKGROUND: Practice guidelines require a substantial investment of resources and time, often taking between 1 and 3 years from conceptualisation to publication. However, urgent situations require the development of recommendations in a shorter timeframe. In this third and final article in the series exploring challenges and solutions in developing rapid guidelines (RGs), we propose guiding principles for the development of RGs. METHODS: We utilised the Guideline International Network-McMaster Guideline Development Checklist (GDC) as a starting point for elements to consider during RG development...
July 13, 2018: Health Research Policy and Systems
Annette Boaz, Stephen Hanney, Robert Borst, Alison O'Shea, Maarten Kok
BACKGROUND: Closing the gap between research production and research use is a key challenge for the health research system. Stakeholder engagement is being increasingly promoted across the board by health research funding organisations, and indeed by many researchers themselves, as an important pathway to achieving impact. This opinion piece draws on a study of stakeholder engagement in research and a systematic literature search conducted as part of the study. MAIN BODY: This paper provides a short conceptualisation of stakeholder engagement, followed by 'design principles' that we put forward based on a combination of existing literature and new empirical insights from our recently completed longitudinal study of stakeholder engagement...
July 11, 2018: Health Research Policy and Systems
Laura K Busert, Margot Mütsch, Christina Kien, Aline Flatz, Ursula Griebler, Manfred Wildner, Jan M Stratil, Eva A Rehfuess
BACKGROUND: Systematic reviews are an important source of evidence for public health decision-making, but length and technical jargon tend to hinder their use. In non-English speaking countries, inaccessibility of information in the native language often represents an additional barrier. In line with our vision to strengthen evidence-based public health in the German-speaking world, we developed a German language summary format for systematic reviews of public health interventions and undertook user-testing with public health decision-makers in Germany, Austria and Switzerland...
July 9, 2018: Health Research Policy and Systems
Rosemary Morgan, Richard Mangwi Ayiasi, Debjani Barman, Stephen Buzuzi, Charles Ssemugabo, Nkoli Ezumah, Asha S George, Kate Hawkins, Xiaoning Hao, Rebecca King, Tianyang Liu, Sassy Molyneux, Kelly W Muraya, David Musoke, Tumaini Nyamhanga, Bandeth Ros, Kassimu Tani, Sally Theobald, Sreytouch Vong, Linda Waldman
BACKGROUND: Gender is often neglected in health systems, yet health systems are not gender neutral. Within health systems research, gender analysis seeks to understand how gender power relations create inequities in access to resources, the distribution of labour and roles, social norms and values, and decision-making. This paper synthesises findings from nine studies focusing on four health systems domains, namely human resources, service delivery, governance and financing. It provides examples of how a gendered and/or intersectional gender approach can be applied by researchers in a range of low- and middle-income settings (Cambodia, Zimbabwe, Uganda, India, China, Nigeria and Tanzania) to issues across the health system and demonstrates that these types of analysis can uncover new and novel ways of viewing seemingly intractable problems...
July 6, 2018: Health Research Policy and Systems
Abbas Badakhshan, Mohammad Arab, Arash Rashidian, Neda Mehrdad, Kazem Zendehdel
BACKGROUND: Priority-setting is a complicated and time-consuming process; however, if appropriately conducted, it could efficiently divert resources to the most important studies. A considerable body of evidence indicates that priority-setting measures in health research taken so far in Iran have not satisfied decision-makers, policy-makers, funders, communities, or even researchers. This study was designed to explore the flaws of these measures and their deciding factors. METHODS: We conducted semi-structured interviews with 23 key participants and used a thematic data-analysis approach to analyse verbatim transcripts and documents...
July 2, 2018: Health Research Policy and Systems
Robyn Newson, Lucie Rychetnik, Lesley King, Andrew Milat, Adrian Bauman
BACKGROUND: Citation of research in policy documents has been suggested as an indicator of the potential longer-term impacts of research. We investigated the use of research citations in childhood obesity prevention policy documents from New South Wales (NSW), Australia, considering the feasibility and value of using research citation as a proxy measure of research impact. METHODS: We examined childhood obesity policy documents produced between 2000 and 2015, extracting childhood obesity-related references and coding these according to reference type, geographical origin and type of research...
June 28, 2018: Health Research Policy and Systems
Robyn Newson, Lesley King, Lucie Rychetnik, Andrew Milat, Adrian Bauman
BACKGROUND: Measuring the policy and practice impacts of research is becoming increasingly important. Policy impacts can be measured from two directions - tracing forward from research and tracing backwards from a policy outcome. In this review, we compare these approaches and document the characteristics of studies assessing research impacts on policy and the policy utilisation of research. METHODS: Keyword searches of electronic databases were conducted in December 2016...
June 25, 2018: Health Research Policy and Systems
Yuri Cartier, Maria I Creatore, Steven J Hoffman, Louise Potvin
BACKGROUND: Priority-driven funding streams for population and public health are an important part of the health research landscape and contribute to orienting future scholarship in the field. While research priorities are often made public through targeted calls for research, less is known about how research funding organisations arrive at said priorities. Our objective was to explore how public health research funding organisations develop priorities for strategic extramural research funding programmes...
June 22, 2018: Health Research Policy and Systems
Ellen Kuhlmann, Ronald Batenburg, Matthias Wismar, Gilles Dussault, Claudia B Maier, Irene A Glinos, Natasha Azzopardi-Muscat, Christine Bond, Viola Burau, Tiago Correia, Peter P Groenewegen, Johan Hansen, David J Hunter, Usman Khan, Hans H Kluge, Marieke Kroezen, Claudia Leone, Milena Santric-Milicevic, Walter Sermeus, Marius Ungureanu
The importance of a sustainable health workforce is increasingly recognised. However, the building of a future health workforce that is responsive to diverse population needs and demographic and economic change remains insufficiently understood. There is a compelling argument to be made for a comprehensive research agenda to address the questions. With a focus on Europe and taking a health systems approach, we introduce an agenda linked to the 'Health Workforce Research' section of the European Public Health Association...
June 20, 2018: Health Research Policy and Systems
Melissa C Brouwers, Denis Ako-Arrey, Karen Spithoff, Marija Vukmirovic, Ivan D Florez, John N Lavis, Francoise Cluzeau, Govin Permanand, Xavier Bosch-Capblanch, Yaolong Chen
BACKGROUND: Health systems guidance (HSG) provides recommendations to address health systems challenges. No tools exist to inform HSG developers and users about the components of high quality HSG and to differentiate between HSG of varying quality. In response, we developed a tool to assist with the development, reporting and appraisal of HSG - the Appraisal of Guidelines for Research and Evaluation-Health Systems (AGREE-HS). This paper reports on the validity, usability and initial measurement properties of the AGREE-HS...
June 20, 2018: Health Research Policy and Systems
Péter Mihalicza, Mark Leys, Ilona Borbás, Szabolcs Szigeti, Olivia Biermann, Tanja Kuchenmüller
BACKGROUND: In evidence-informed policy-making (EIP), major knowledge gaps remain in understanding the context and possibilities for institutionalisation of knowledge translation. In 2014, the WHO Evidence-informed Policy Network (EVIPNet) Europe initiated a number of pilot countries, with Hungary among them, to engage in a 'situation analysis' (SA) in order to fill some of those gaps. This contribution discusses the results of the SA in Hungary on research-policy interactions, facilitating factors and potential barriers to establish a knowledge translation platform (KTP)...
June 19, 2018: Health Research Policy and Systems
Mohammed AlKhaldi, Yehia Abed, Constanze Pfeiffer, Saleem Haj-Yahia, Abdulsalam Alkaiyat, Marcel Tanner
BACKGROUND: The importance of a health research system (HRS), namely an instrument for developing and enabling health systems, is increasing, particularly in developing countries. Assessing the perceptions of system performers is a necessary part of system analysis, which seeks to recognize a system's strengths and limitations aiming towards improvement. This study assesses the perceptions of policy-makers, academicians and experts regarding the HRS concept and its importance to generate insights for system strengthening...
June 18, 2018: Health Research Policy and Systems
Moriah E Ellen, Michael G Wilson, Marcela Vélez, Ruth Shach, John N Lavis, Jeremy M Grimshaw, Kaelan A Moat
BACKGROUND: Health systems are increasingly focusing on the issue of 'overuse' of health services and how to address it. We developed a framework focused on (1) the rationale and context for health systems prioritising addressing overuse, (2) elements of a comprehensive process and approach to reduce overuse and (3) implementation considerations for addressing overuse. METHODS: We conducted a critical interpretive synthesis informed by a stakeholder-engagement process...
June 15, 2018: Health Research Policy and Systems
Tikki Pang, Gianna Gayle Herrera Amul
No abstract text is available yet for this article.
June 12, 2018: Health Research Policy and Systems
Valentina Tudisca, Adriana Valente, Tommaso Castellani, Timo Stahl, Petru Sandu, Diana Dulf, Hilde Spitters, Ien Van de Goor, Christina Radl-Karimi, Mohamed Ahmed Syed, Natasa Loncarevic, Cathrine Juel Lau, Susan Roelofs, Maja Bertram, Nancy Edwards, Arja R Aro
BACKGROUND: Ensuring health policies are informed by evidence still remains a challenge despite efforts devoted to this aim. Several tools and approaches aimed at fostering evidence-informed policy-making (EIPM) have been developed, yet there is a lack of availability of indicators specifically devoted to assess and support EIPM. The present study aims to overcome this by building a set of measurable indicators for EIPM intended to infer if and to what extent health-related policies are, or are expected to be, evidence-informed for the purposes of policy planning as well as formative and summative evaluations...
May 31, 2018: Health Research Policy and Systems
M E Nyström, J Karltun, C Keller, B Andersson Gäre
BACKGROUND: Getting research into policy and practice in healthcare is a recognised, world-wide concern. As an attempt to bridge the gap between research and practice, research funders are requesting more interdisciplinary and collaborative research, while actual experiences of such processes have been less studied. Accordingly, the purpose of this study was to gain more knowledge on the interdisciplinary, collaborative and partnership research process by investigating researchers' experiences of and approaches to the process, based on their participation in an inventive national research programme...
May 30, 2018: Health Research Policy and Systems
Jenny Moberg, Andrew D Oxman, Sarah Rosenbaum, Holger J Schünemann, Gordon Guyatt, Signe Flottorp, Claire Glenton, Simon Lewin, Angela Morelli, Gabriel Rada, Pablo Alonso-Coello
OBJECTIVE: To describe a framework for people making and using evidence-informed health system and public health recommendations and decisions. BACKGROUND: We developed the GRADE Evidence to Decision (EtD) framework for health system and public health decisions as part of the DECIDE project, in which we simultaneously developed frameworks for these and other types of healthcare decisions, including clinical recommendations, coverage decisions and decisions about diagnostic tests...
May 29, 2018: Health Research Policy and Systems
Robert K D McLean, Ian D Graham, Jacqueline M Tetroe, Jimmy A Volmink
BACKGROUND: It is widely accepted that research can lead to improved health outcomes. However, translating research into meaningful impacts in peoples' lives requires actions that stretch well beyond those traditionally associated with knowledge creation. The research reported in this manuscript provides an international review of health research funders' efforts to encourage this process of research uptake, application and scaling, often referred to as knowledge translation. METHODS: We conducted web-site review, document review and key informant interviews to investigate knowledge translation at 26 research funding agencies...
May 24, 2018: Health Research Policy and Systems
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