Literature DB >> 18522611

"Developing good taste in evidence": facilitators of and hindrances to evidence-informed health policymaking in state government.

Christopher J Jewell1, Lisa A Bero.   

Abstract

CONTEXT: Policymaking is a highly complex process that is often difficult to predict or influence. Most of the scholarship examining the role of research evidence in policymaking has focused narrowly on characteristics of the evidence and the interactions between scientists and government officials. The real-life context in which policymakers are situated and make decisions also is crucial to the development of evidence-informed policy.
METHODS: This qualitative study expands on other studies of research utilization at the state level through interviews with twenty-eight state legislators and administrators about their real-life experiences incorporating evidence into policymaking. The interviews were coded inductively into the following categories: (1) the important or controversial issue or problem being addressed, (2) the information that was used, (3) facilitators, and (4) hindrances.
FINDINGS: Hindrances to evidence-informed policymaking included institutional features; characteristics of the evidence supply, such as research quantity, quality, accessibility, and usability; and competing sources of influence, such as interest groups. The policymakers identified a number of facilitators to the use of evidence, including linking research to concrete impacts, costs, and benefits; reframing policy issues to fit the research; training to use evidence-based skills; and developing research venues and collaborative relationships in order to generate relevant evidence.
CONCLUSIONS: Certain hindrances to the incorporation of research into policy, like limited budgets, are systemic and not readily altered. However, some of the barriers and facilitators of evidence-informed health policymaking are amenable to change. Policymakers could benefit from evidence-based skills training to help them identify and evaluate high-quality information. Researchers and policymakers thus could collaborate to develop networks for generating and sharing relevant evidence for policy.

Mesh:

Year:  2008        PMID: 18522611      PMCID: PMC2690362          DOI: 10.1111/j.1468-0009.2008.00519.x

Source DB:  PubMed          Journal:  Milbank Q        ISSN: 0887-378X            Impact factor:   4.911


  19 in total

1.  Power of information: closing the gap between research and policy.

Authors:  Richard Sorian; Terry Baugh
Journal:  Health Aff (Millwood)       Date:  2002 Mar-Apr       Impact factor: 6.301

Review 2.  Health policy-makers' perceptions of their use of evidence: a systematic review.

Authors:  Simon Innvaer; Gunn Vist; Mari Trommald; Andrew Oxman
Journal:  J Health Serv Res Policy       Date:  2002-10

3.  How can research organizations more effectively transfer research knowledge to decision makers?

Authors:  John N Lavis; Dave Robertson; Jennifer M Woodside; Christopher B McLeod; Julia Abelson
Journal:  Milbank Q       Date:  2003       Impact factor: 4.911

4.  Use of research to inform public policymaking.

Authors:  John N Lavis; Francisco Becerra Posada; Andy Haines; Eric Osei
Journal:  Lancet       Date:  2004 Oct 30-Nov 5       Impact factor: 79.321

5.  Towards systematic reviews that inform health care management and policy-making.

Authors:  John Lavis; Huw Davies; Andy Oxman; Jean-Louis Denis; Karen Golden-Biddle; Ewan Ferlie
Journal:  J Health Serv Res Policy       Date:  2005-07

Review 6.  Researchers and policymakers: travelers in parallel universes.

Authors:  Ross C Brownson; Charles Royer; Reid Ewing; Timothy D McBride
Journal:  Am J Prev Med       Date:  2006-02       Impact factor: 5.043

7.  The reforming states group and the promotion of federalism.

Authors:  K S Andersen
Journal:  Milbank Q       Date:  1998       Impact factor: 4.911

8.  The role of health services research in developing state health policy.

Authors:  A F Coburn
Journal:  Health Aff (Millwood)       Date:  1998 Jan-Feb       Impact factor: 6.301

9.  Research use in children's mental health policy in Canada: maintaining vigilance amid ambiguity.

Authors:  Charlotte Waddell; John N Lavis; Julia Abelson; Jonathan Lomas; Cody A Shepherd; Twylla Bird-Gayson; Mita Giacomini; David R Dan Offord
Journal:  Soc Sci Med       Date:  2005-04-26       Impact factor: 4.634

10.  The utilisation of health research in policy-making: concepts, examples and methods of assessment.

Authors:  Stephen R Hanney; Miguel A Gonzalez-Block; Martin J Buxton; Maurice Kogan
Journal:  Health Res Policy Syst       Date:  2003-01-13
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  62 in total

1.  Translation of evidence-based clinical standards into a new prehospital resuscitation policy in Los Angeles County.

Authors:  Corita R Grudzen; Lynne D Richardson; William J Koenig; Jerome R Hoffman; Karl A Lorenz; Steven M Asch
Journal:  Health Serv Res       Date:  2011-10-27       Impact factor: 3.402

2.  Making the case for laws that improve health: a framework for public health law research.

Authors:  Scott Burris; Alexander C Wagenaar; Jeffrey Swanson; Jennifer K Ibrahim; Jennifer Wood; Michelle M Mello
Journal:  Milbank Q       Date:  2010-06       Impact factor: 4.911

3.  Communicating evidence-based information on cancer prevention to state-level policy makers.

Authors:  Ross C Brownson; Elizabeth A Dodson; Katherine A Stamatakis; Christopher M Casey; Michael B Elliott; Douglas A Luke; Christopher G Wintrode; Matthew W Kreuter
Journal:  J Natl Cancer Inst       Date:  2011-01-06       Impact factor: 13.506

4.  State legislators' sources and use of information: bridging the gap between research and policy.

Authors:  Elizabeth A Dodson; Nora A Geary; Ross C Brownson
Journal:  Health Educ Res       Date:  2015-10-13

5.  Understanding evidence-based public health policy.

Authors:  Ross C Brownson; Jamie F Chriqui; Katherine A Stamatakis
Journal:  Am J Public Health       Date:  2009-07-16       Impact factor: 9.308

6.  Evidence summaries tailored to health policy-makers in low- and middle-income countries.

Authors:  Sarah E Rosenbaum; Claire Glenton; Charles Shey Wiysonge; Edgardo Abalos; Luciano Mignini; Taryn Young; Fernando Althabe; Agustín Ciapponi; Sebastian Garcia Marti; Qingyue Meng; Jian Wang; Ana Maria De la Hoz Bradford; Suzanne N Kiwanuka; Elizeus Rutebemberwa; George W Pariyo; Signe Flottorp; Andrew D Oxman
Journal:  Bull World Health Organ       Date:  2010-11-24       Impact factor: 9.408

Review 7.  Systematic reviews and health policy: the influence of a project on perinatal care since 1988.

Authors:  Daniel M Fox
Journal:  Milbank Q       Date:  2011-09       Impact factor: 4.911

8.  Systematic reviews in medicine.

Authors:  Bradford H Gray
Journal:  Milbank Q       Date:  2009-12       Impact factor: 4.911

9.  The cycle of bias in health research: a framework and toolbox for critical appraisal training.

Authors:  Donna H Odierna; Susan R Forsyth; Jenny White; Lisa A Bero
Journal:  Account Res       Date:  2013       Impact factor: 2.622

10.  Better Health Faster: The 5 Essential Public Health Law Services.

Authors:  Scott Burris; Marice Ashe; Doug Blanke; Jennifer Ibrahim; Donna E Levin; Gene Matthews; Matthew Penn; Martha Katz
Journal:  Public Health Rep       Date:  2016-10-13       Impact factor: 2.792

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