A decision-maker's perspective on Lavis and Lomas.

Advancement in research synthesis, so well articulated and advocated by Lomas (2005) and Lavis et al. (2005), is a necessary but not sufficient development for the systematized use of research in managerial practice. Although significant progress in the use of evidence-based approaches can be witnessed, enriching efforts need to progress within both the management and research communities. Contextualized by direct experience with harm reduction approaches to population health improvement, this commentary offers propositions concerning the nature of the researcher/decision-maker interchange, arguing for a pronounced strengthening of involvement and activity at all levels in the service delivery system.