Using media to impact health policy-making: an integrative systematic review

Implementation Science

Maher Shahrour¹  Etienne V. Langlois²  Lama Bou-Karroum³  Andrea Darzi³  Elie A. Akl³  Fadi El-Jardali³  Jad Melki⁴  Nour Hemadi⁵  Yasmine Faraj⁵  Carine Doumit⁶  Maha Ali⁷  Gladys Honein AbouHaidar⁸  Utkarsh Ojha⁹ 

[1] Al-Makassed Hospital;Alliance for Health Policy and Systems Research, World Health Organization;Center for Systematic Review for Health Policy and Systems Research, American University of Beirut;Department of Communication Arts, Lebanese American University;Department of Health Management and Policy, Faculty of Health Sciences, American University of Beirut;Department of Health Promotion and Community Health, Faculty of Health Sciences, American University of Beirut;Department of Nutrition and Food Sciences, Faculty of Agricultural and Food Sciences, American University of Beirut;Hariri School of Nursing, American University of Beirut;Imperial College London;

关键词: Media interventions;    Media campaigns;    Health communication;    Health policy-making;    Systematic review;   

DOI  :  10.1186/s13012-017-0581-0

来源: DOAJ

【 摘 要 】

Abstract Introduction Media interventions can potentially play a major role in influencing health policies. This integrative systematic review aimed to assess the effects of planned media interventions—including social media—on the health policy-making process. Methods Eligible study designs included randomized and non-randomized designs, economic studies, process evaluation studies, stakeholder analyses, qualitative methods, and case studies. We electronically searched Medline, EMBASE, Communication and Mass Media Complete, Cochrane Central Register of Controlled Trials, and the WHO Global Health Library. We followed standard systematic review methodology for study selection, data abstraction, and risk of bias assessment. Results Twenty-one studies met our eligibility criteria: 10 evaluation studies using either quantitative (n = 7) or qualitative (n = 3) designs and 11 case studies. None of the evaluation studies were on social media. The findings of the evaluation studies suggest that media interventions may have a positive impact when used as accountability tools leading to prioritizing and initiating policy discussions, as tools to increase policymakers’ awareness, as tools to influence policy formulation, as awareness tools leading to policy adoption, and as awareness tools to improve compliance with laws and regulations. In one study, media-generated attention had a negative effect on policy advocacy as it mobilized opponents who defeated the passage of the bills that the media intervention advocated for. We judged the confidence in the available evidence as limited due to the risk of bias in the included studies and the indirectness of the evidence. Conclusion There is currently a lack of reliable evidence to guide decisions on the use of media interventions to influence health policy-making. Additional and better-designed, conducted, and reported primary research is needed to better understand the effects of media interventions, particularly social media, on health policy-making processes, and the circumstances under which media interventions are successful. Trial registration PROSPERO 2015: CRD42015020243

【 授权许可】

Unknown