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[The role of research-based evidence in health system policy decision-making]
Daniel Patiño1, John N Lavis2, Kaelan Moat1
1McMaster University, Hamilton, Canada, patinodf@mcmaster.ca; moatka@mcmaster.ca.
Abstract:
Different models may be used for explaining how research-based evidence is used in healthcare system policy-making. It is argued that models arising from a clinical setting (i.e. evidence-based policy-making model) could be useful regarding some types of healthcare system decision-making. However, such models are "silent" concerning the influence of political contextual factors on healthcare policy-making and are thus inconsistent with decision-making regarding the modification of healthcare system arrangements. Other political science-based models would seem to be more useful for understanding that research is just one factor affecting decision-making and that different types of research-based evidence can be used instrumentally, conceptual or strategically during different policy-making stages.
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