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Consuming research, producing policy?

Robert G Evans1, Greg L Stoddart

  • 1Department of Economics and the Centre for Health Services and Policy Research, University of British Columbia, Vancouver, British Columbia, Canada.

American Journal of Public Health
|February 27, 2003
PubMed
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This reflection revisits a 1990 article on nonmedical health determinants, evaluating its impact and lessons for interdisciplinary communication and public policy. It considers evolving frameworks and potential revisions with current knowledge.

Area of Science:

  • Public Health
  • Health Policy
  • Interdisciplinary Communication

Background:

  • The 1990 article "Producing Health, Consuming Health Care" introduced a framework for understanding nonmedical health determinants.
  • The article garnered significant positive attention, prompting a re-evaluation of its content and communication style.
  • Extensive research on health determinants has emerged since 1990, with various frameworks developed.

Purpose of the Study:

  • To reflect on lessons learned from the response to the 1990 article regarding effective interdisciplinary communication.
  • To situate the original framework within the broader literature on health determinants.
  • To consider potential modifications to the framework based on current knowledge and assess its impact on public policy.

Main Methods:

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  • Retrospective analysis of the impact and reception of the 1990 article.
  • Literature review and synthesis of research on health determinants and interdisciplinary communication.
  • Self-reflection on the original framework and potential improvements.

Main Results:

  • The 1990 article's framework was well-received, highlighting the importance of nonmedical determinants of health.
  • The authors identified key lessons for improving interdisciplinary communication in health research.
  • The broader research stream on health determinants has influenced policy, though the specific impact of the authors' framework requires further consideration.

Conclusions:

  • Effective interdisciplinary communication is crucial for synthesizing complex health research.
  • The conceptual framework on nonmedical health determinants remains relevant, with potential for refinement.
  • Continued evaluation is needed to fully understand the policy impact of research on health determinants.