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More than "using research": the real challenges in promoting evidence-informed decision-making
Sarah Bowen1, Tannis Erickson, Patricia J Martens
1School of Public Health, University of Alberta, Edmonton, AB.
Healthcare Policy = Politiques De Sante
|April 21, 2009
Summary
Decision-makers in Manitoba
Area of Science:
- Public Health
- Health Services Research
Background:
- Evidence-informed decision-making (EIDM) is crucial for effective healthcare delivery.
- Planners and decision-makers in Manitoba's Regional Health Authorities (RHAs) were surveyed.
- Understanding their perspectives on evidence use is vital for improving EIDM.
Purpose of the Study:
- To explore decision-makers' views on the definition and application of evidence.
- To identify barriers hindering evidence-informed decision-making (EIDM) in regional health authorities.
- To understand how the use of evidence is demonstrated in practice.
Main Methods:
- Conducted 17 focus groups and 53 semi-structured interviews.
- Involved 205 planners and decision-makers across all 11 RHAs in Manitoba, Canada.
- Explored perspectives on evidence and barriers to EIDM.
Main Results:
- Widespread agreement on the principle of using evidence, but little consensus on what constitutes appropriate evidence.
- Significant skepticism regarding EIDM was noted among participants.
- Barriers identified include workload, politicized decision-making, organizational factors, and external influences.
Conclusions:
- Effective EIDM strategies must tackle the multifaceted barriers faced by decision-makers.
- Focus should shift from mere access to evidence or individual capacity building.
- Interventions must aim to transform decision-making processes to better support evidence utilization.
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