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Related Experiment Videos

Evidence-based health policy: context and utilisation.

Mark J Dobrow1, Vivek Goel, R E G Upshur

  • 1Department of Public Health and Policy, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK. mark.dobrow@lshtm.ac.uk

Social Science & Medicine (1982)
|October 24, 2003
PubMed
Summary

This study introduces a framework for evidence-based decision-making, emphasizing how context influences evidence use in health policy. It highlights that effective utilization of evidence is key for better population health decisions.

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Area of Science:

  • Health Policy
  • Decision Science
  • Knowledge Translation

Background:

  • Evidence-based decision-making (EBDM) shifts from clinical to policy levels, increasing complexity and uncertainty.
  • Contextual factors significantly influence the definition and application of evidence in policy.
  • Existing EBDM models often overlook the critical role of context.

Purpose of the Study:

  • To develop a conceptual framework for EBDM that integrates the impact of context on evidence.
  • To explore different relationships between evidence and context in policy-making.
  • To provide a model for understanding evidence utilization in health policy development.

Main Methods:

  • Development of a conceptual framework for context-based EBDM.
  • Categorization of decision-making contexts and orientations towards evidence.

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  • Review of research and knowledge utilization literature.
  • Illustration with a case study on colorectal cancer screening policy.

    • Main Results:

    • Two distinct orientations of evidence in relation to context were identified.
    • Decision-making contexts were categorized based on their impact on EBDM.
    • A process model of evidence utilization was developed as part of the framework.
    • The study suggests evidence utilization is more critical than its definition in policy.

    Conclusions:

    • Context plays a crucial role in the introduction, interpretation, and application of evidence in health policy.
    • The proposed framework enhances understanding of EBDM in complex, population-level settings.
    • Effective utilization of evidence, considering context, is vital for evidence-based health policy.