期刊论文详细信息
Implementation Science
Feasibility of a rapid response mechanism to meet policymakers’ urgent needs for research evidence about health systems in a low income country: a case study
Nelson K Sewankambo1  Ulysses Panisset2  Andrew D Oxman3  Rhona M Mijumbi1 
[1] College of Health Sciences, Makerere University, Kampala, Uganda;World Health Organization, Avenue Appia 20, Geneva 27, 1211, Switzerland;Norwegian Knowledge Center for the Health Services, St Olavs plass, Oslo, 0130, Norway
关键词: Low and middle income countries;    Uganda;    Rapid response mechanisms;    Barriers for evidence-based policies;    Health policy;    Health systems research;    Evidence-informed policy;    Knowledge translation;   
Others  :  1146601
DOI  :  10.1186/s13012-014-0114-z
 received in 2014-01-27, accepted in 2014-08-21,  发布年份 2014
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【 摘 要 】

Objectives

Despite the recognition of the importance of evidence-informed health policy and practice, there are still barriers to translating research findings into policy and practice. The present study aimed to establish the feasibility of a rapid response mechanism, a knowledge translation strategy designed to meet policymakers¿ urgent needs for evidence about health systems in a low income country, Uganda. Rapid response mechanisms aim to address the barriers of timeliness and relevance of evidence at the time it is needed.

Methods

A rapid response mechanism (service) designed a priori was offered to policymakers in the health sector in Uganda. In the form of a case study, data were collected about the profile of users of the service, the kinds of requests for evidence, changes in answers, and courses of action influenced by the mechanism and their satisfaction with responses and the mechanism in general.

Results

We found that in the first 28 months, the service received 65 requests for evidence from 30 policymakers and stakeholders, the majority of whom were from the Ministry of Health. The most common requests for evidence were about governance and organization of health systems. It was noted that regular contact between the policymakers and the researchers at the response service was an important factor in response to, and uptake of the service. The service seemed to increase confidence for policymakers involved in the policymaking process.

Conclusion

Rapid response mechanisms designed to meet policymakers¿ urgent needs for research evidence about health systems are feasible and acceptable to policymakers in low income countries.

【 授权许可】

   
2014 Mijumbi et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Cummings M: The National Library of Medicine. In Coping With the Biomedical Literature: A Primer for the Scientist and the Clinician. Praeger, New York; 1981:161-173.
  • [2]Bastian H, Glasziou P, Chalmers I: Seventy-five trials and eleven systematic reviews a day: how will we ever keep up? PLoS Med 2010, 7(9):e1000326. doi:10.1371/journal.pmed.1000326
  • [3]Chalmers I, Glasziou P: Avoidable waste in the production and reporting of research evidence. Obstet Gynecol 2009, 114(6):1341-1345.
  • [4][www.who.int/rpc/summit/agenda/en/mexico_statement_onhealth_research.pdf] webcite World Health Organization: The Mexico statement on health research: knowledge for better health: strengthening health systems. 2004, [cited 2011]; Available from: .
  • [5]The Bamako Call to Action on Research for Health. 2008.
  • [6]The Mexico Statement on Health Research; Knowledge for Better Health: Strengthening Health Systems. The Ministerial Summit on Health Research, Mexico City; 2004.
  • [7]Cheung A, Lavis JN, Hamandi A, El-Jardali F, Sachs J, Sewankambo N: Climate for evidence-informed health systems: a print media analysis in 44 low- and middle-income countries that host knowledge-translation platforms. Health Res Policy Syst 2011, 9:7. BioMed Central Full Text
  • [8]Lavis JN: How can we support the use of systematic reviews in policymaking? PLoS Med 2009, 6:11.
  • [9]Uneke CJ, Ezeoha AE, Ndukwe CD, Oyibo PG, Onwe F: Promotion of evidence-informed health policymaking in Nigeria: bridging the gap between researchers and policymakers. Glob Public Health 2012, 12:750-765.
  • [10]Lavis JN: Research, public policymaking, and knowledge-translation processes: Canadian efforts to build bridges. J Contin Educ Health Prof 2006, 26(1):37-45.
  • [11]Granados A, Jonsson E, Banta HD, Bero L, Bonair A, Cochet C, Freemantle N, Grillia R, Grimshaw J, Harvey E, Levia R, Marshall D, Oxman A, Pasar TL, Räisänen V, Rius E, Espinas JA: EUR-assess project subgroup report on dissemination and impact. Int J Technol Assess Health Care 1997, 13:220-286.
  • [12]Nabyonga Orem J, Mafigiri DK, Marchal B, Ssengooba F, Macq J, Criel B: Research, evidence and policymaking: the perspectives of policy actors on improving uptake of evidence in health policy development and implementation in Uganda. BMC Public Health 2012, 12:109. BioMed Central Full Text
  • [13]Davis DA, Thomson MA, Oxman AD, Haynes RB: Changing physician performance: a systematic review of the effect of continuing medical education strategies. JAMA 1995, 274(9):700-705.
  • [14]The Know-Do Gap. Knowledge Translation in Global Health, Geneva; 2005.
  • [15]Straus SE, Tetroe J, Graham I: Defining knowledge translation. Can Med Assoc J 2009, 181(3¿4):165-168.
  • [16]Panisset U, Koehlmoos TP, Alkhatib AH, Pantoja T, Singh P, Kengey-Kayondo J, McCutchen B, Miguel GB: Implementation research evidence uptake and use for policy-making.Health Res Policy Syst 2012, 10(20): doi:10.1186/1478-4505-10-20.
  • [17]Lavis JN, Guindon GE, Cameron D, Boupha B, Dejman M, Osei EJ, Sadana R: Bridging the gaps between research, policy and practice in low- and middle-income countries: a survey of researchers. CMAJ 2010, 182(9):E350-E361.
  • [18]Oxman AD, Lavis JN, Lewin S, Fretheim A: SUPPORT Tools for evidence-informed health Policymaking (STP) 1: what is evidence-informed policymaking? Health Res Policy Syst 2009, 7(Suppl 1):S1. BioMed Central Full Text
  • [19][http://www.who.int/evidence/resources/country_reports/africa/en/index5.html] webcite World Health Organisation: EVIPNet Africa; Evidence-Informed Policy-Making. Geneva: 2006. [cited 2013]; Available from: .
  • [20]Knowledge Translation Network Africa. 2013.
  • [21]Grimshaw JM, Santesso N, Cumpston M, Mayhew A, McGowan J: Knowledge for knowledge translation: the role of the Cochrane Collaboration. J Contin Educ Health Prof 2006, 26(1):55-62.
  • [22]Hill PS: Aligning research with policy: the evidence for health policy in Viet Nam (VINE) project. J Sci (T?p chí Khoa) 2010, 27(61):179-184.
  • [23][http://www.afidep.org/] webcite AFIDEP: African Institute for Development Policy - Bridging Development Research, Policy and Practice. [cited 2014]; Available from: .
  • [24]Malawi¿s Knowledge Translation Platform. 2014.
  • [25]El-Jardali F, Lavis JN, Ataya N, Jamal D: Use of health systems and policy research evidence in the health policymaking in eastern Mediterranean countries: views and practices of researchers. Implement Sci 2012, 7:2. BioMed Central Full Text
  • [26]Innvaer S, Vist G, Trommald M, Oxman A: Health policy-makers¿ perceptions of their use of evidence: a systematic review. J Health Serv Res Policy 2002, 7:239-244.
  • [27]Oliver K, Innvaer S, Lorenc T, Woodman J, Thomas J: Barriers and Facilitators of the Use of Evidence by Policy makers: an updated systematic review Second Conference on Knowledge Exchange in Public Health Holland Fuse Conference. How to get practice into science, Noorwijkhout, Netherlands; 2013.
  • [28]Lavis J, Davies H, Oxman A, Denis JL, Golden-Biddle K, Ferlie E: Towards systematic reviews that inform health care management and policy-making. J Health Serv Res Policy 2005, Suppl 1:35-48.
  • [29]Black N: Evidence based policy: proceed with care. Br Med J Adv Nurs 2001, 323:275-279.
  • [30]Kasonde JM, Campbell S: Creating a knowledge translation platform: nine lessons from the Zambia forum for health research. Health Res Policy Syst 2012, 10:31. BioMed Central Full Text
  • [31]Ritter A: How do drug policy makers access research evidence? Int J Drug Policy 2009, 20(1):70-75.
  • [32]Lavis JN, Lomas J, Hamid M, Sewankambo NK: Assessing country-level efforts to link research to action. Bull World Health Organ 2007, 84:620-628.
  • [33]Healy J, Maxwell J, Hong PK, Lin V: Responding to Requests for Information on Health Systems from Policy Makers in Asian Countries. 2007.
  • [34]Titler MG: The evidence for evidence-based practice implementation. In Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Edited by Hughes RG. Agency for Healthcare Research and Quality: AHRQ Publication No. 08¿0043, Rockville, MD; 2008.
  • [35]Yin RK: Case Study Research: Design and Methods. Sage Publications, Thousand Oaks, CA; 2009.
  • [36][www.uchpsr.org/] webcite REACH-PI (U), SURE Project: Uganda Clearing House for Policy and Systems Research (UCHPSR) [Online]. Makerere University: Regional East African Community Health - Policy Initiative (Uganda country node); Available: 2014.r.
  • [37]Wallace J, Nwosu B, Clarke M: Barriers to the uptake of evidence from systematic reviews and meta-analyses: a systematic review of decision makers¿ perceptions. BMJ Open 2012, 2:1-14.
  • [38]Adam T, Hsu J, De Savigny D, Lavis JN, Røttingen JA, Bennett S: Evaluating health systems strengthening interventions in low-income and middle-income countries: are we asking the right questions? Health Policy Plan 2012, 27:iv9-iv19.
  • [39]Koon AD, Rao KD, Tran NT, Ghaffar A: Embedding health policy and systems research into decision-making processes in low- and middle-income countries. Health Res Policy Syst 2013, 11:30. BioMed Central Full Text
  • [40]Ganann R, Ciliska D, Thomas H: Expediting systematic reviews: methods and implications of rapid reviews. Implement Sci 2010, 19(5):56. BioMed Central Full Text
  • [41]Khangura S, Konnyu K, Cushman R, Grimshaw J, Moher D: Evidence summaries: the evolution of a rapid review approach. Syst Rev 2012, 1(1):10. BioMed Central Full Text
  • [42]Saul JE, Willis CD, Bitz J, Best A: A time-responsive tool for informing policy making: rapid realist review. Implement Sci 2013, 5(8):103. BioMed Central Full Text
  • [43]Dobbins M, DeCorby K, Twiddy T: A knowledge transfer strategy for public health decision makers. Worldviews Evid Based Nurs 2004, 1:120-128.
  • [44]Hawkins R, Kreuter M, Resnicow K, Fishbein M, Dijkstra A: Understanding tailoring in communicating about health. Health Educ Res 2008, 23:454-466.
  • [45]Campbel S, Benita S, Coates E, Davies P, Penn G: Analysis for Policy: Evidence-Based Policy in Practice. Government Social Research Unit, London; 2007.
  • [46]Strydom WF, FunkeI N, NienaberI S, NortjeI K, SteynII M: Evidence-based policymaking: a review. S Afr J Sci 2010, 106:5-6.
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