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Mapping health evidence ecosystem in Brazil: a mixed-methods study protocol for developing a framework.

Rebeca Cardoso Pedra^1,2, Tamille Sales Dias³, Maritsa Carla de Bortoli⁴

¹Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.

Health Research Policy and Systems

|October 24, 2025

Summary

This summary is machine-generated.

This study maps Brazil's health evidence ecosystem, revealing how evidence is produced, used, and shared across regions. Findings will identify barriers and facilitators to policy-making, strengthening evidence use in Brazil and globally.

Keywords:

Brazil Evidence ecosystem Evidence-informed policy Knowledge translation Public policy

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Area of Science:

Health Policy and Systems Research
Evidence Ecosystem Analysis
Science of Science

Background:

Evidence ecosystems are crucial for policy but poorly understood globally.
This study systematically maps Brazil's health evidence ecosystem for the first time.
It focuses on institutions, actors, and practices across Brazil's five regions.

Purpose of the Study:

To map, describe, and analyze the ecosystem of policy evidence production, use, and dissemination in Brazil.
To understand regional differences and institutional practices.
To identify barriers and facilitators for effective evidence utilization in policy.

Main Methods:

A five-step mixed-method approach was employed.
Methods included cultural adaptation of tools, digital ethnography, autoethnography workshops, interviews, and focus groups.
Analysis covered evidence producers, users, intermediaries, demand, institutionalization, and governance.

Main Results:

The study provides a comprehensive map of Brazil's health evidence ecosystem.
It details the complex interactions between evidence producers, users, and intermediaries.
Regional variations in evidence production, dissemination, and utilization were identified.

Conclusions:

Understanding regional differences and institutional practices is key to improving evidence use in policy.
The findings can inform strategies to strengthen Brazil's evidence ecosystem.
This study serves as a potential roadmap for similar analyses in other countries.