Knowledge management and knowledge brokering in the Health Promotion Offices in Hungary: a qualitative study

The Health Promotion Offices (HPOs) are essential institutions in the Hungarian public health system, providing public health services at the community level, operating intersectoral partnerships, and performing knowledge management and knowledge brokerage (KM/KB) functions. The study aimed to map the knowledge, experiences and practices of HPOs in the field of KM/KB and evidence-based decision making.

The qualitative research study used semi-structured individual interviews with HPO members to collect their knowledge, experiences and insights regarding knowledge management, knowledge brokering and evidence-based decision-making. Twenty-two interviews were conducted in the summer of 2023, and a qualitative content analysis method was used to analyze the interview transcripts.

The activities of HPOs are multifaceted, encompassing various KM/KB elements. While HPOs are typically involved in knowledge acquisition, storage, communication and exchange, the evaluation of the social and economic benefits of public health programs and services is an area that requires further development. HPO members have differing views on their role in evidence-based decision-making, but many believe that HPOs actively support local decision-makers. According to HPO members, they are most active as knowledge brokers in community health planning. The barriers to KM/KB are decision-makers disinterest and different organizational or personal motivations. Factors that support KM/KB are the local embeddedness of HPOs, their advocacy practices and their approach to health in all policies.

The HPOs are involved in KM/KB activities and support a more pronounced presence of these functions in their portfolio. However, this requires the improvement of the current funding methodology, the establishment of KM/KB protocols and training, and clarifying the roles and responsibilities of HPOs in the legislation.