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Evidence and Health Policy: Using and Regulating Systematic Reviews.
1Daniel M. Fox is with the Milbank Memorial Fund, New York, NY.
Systematic reviews increasingly inform policy across various sectors. However, reluctance persists among professionals and policymakers, hindering their effective use in decision-making.
Area of Science:
- Health Policy
- Evidence-Based Practice
- Systematic Reviews
Background:
- Systematic reviews have informed policy for nearly 30 years in public health, healthcare, and other sectors.
- Despite increased production and use, significant reluctance exists among clinicians, public health officials, and policymakers to adopt them.
Purpose of the Study:
- To analyze the barriers and potential changes needed for more effective policy informing by systematic reviews.
- To address the assumptions hindering the integration of systematic reviews into policy and practice.
Main Methods:
- Analysis of current practices and underlying assumptions in the production and utilization of systematic reviews.
- Examination of the roles of researchers, funders, and publishing organizations in the systematic review process.
Main Results:
- A gap exists between the potential of systematic reviews and their actual application in policy.
- Resistance to using systematic reviews stems from practices and assumptions held by various stakeholders.
Conclusions:
- Changes in current practices and assumptions are necessary for systematic reviews to more effectively inform policy.
- Addressing stakeholder perspectives is crucial for enhancing the impact of systematic reviews on policy and practice.
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