SUPPORT Tools for evidence-informed health Policymaking (STP) 4: Using research evidence to clarify a problem
Tóm tắt
This article is part of a series written for people responsible for making decisions about health policies and programmes and for those who support these decision makers.
Policymakers and those supporting them often find themselves in situations that spur them on to work out how best to define a problem. These situations may range from being asked an awkward or challenging question in the legislature, through to finding a problem highlighted on the front page of a newspaper. The motivations for policymakers wanting to clarify a problem are diverse. These may range from deciding whether to pay serious attention to a particular problem that others claim is important, through to wondering how to convince others to agree that a problem is important. Debates and struggles over how to define a problem are a critically important part of the policymaking process. The outcome of these debates and struggles will influence whether and, in part, how policymakers take action to address a problem. Efforts at problem clarification that are informed by an appreciation of concurrent developments are more likely to generate actions. These concurrent developments can relate to policy and programme options (e.g. the publication of a report demonstrating the effectiveness of a particular option) or to political events (e.g. the appointment of a new Minister of Health with a personal interest in a particular issue). In this article, we suggest questions that can be used to guide those involved in identifying a problem and characterising its features. These are: 1. What is the problem? 2. How did the problem come to attention and has this process influenced the prospect of it being addressed? 3. What indicators can be used, or collected, to establish the magnitude of the problem and to measure progress in addressing it? 4. What comparisons can be made to establish the magnitude of the problem and to measure progress in addressing it? 5. How can the problem be framed (or described) in a way that will motivate different groups?
Tài liệu tham khảo
Lavis JN, Oxman AD, Lewin S, Fretheim A: SUPPORT Tools for evidence-informed health Policymaking (STP). Introduction. Health Res Policy Syst. 2009, 7 (Suppl 1): I1-10.1186/1478-4505-7-S1-I1.
Lavis JN, Wilson MG, Oxman AD, Grimshaw J, Lewin S, Fretheim A: SUPPORT Tools for evidence-informed health Policymaking (STP). 5. Using research evidence to frame options to address a problem. Health Res Policy Syst. 2009, 7 (Suppl 1): S5-10.1186/1478-4505-7-S1-S5.
Fretheim A, Munabi-Babigumira S, Oxman AD, Lavis JN, Lewin S: SUPPORT Tools for evidence-informed health Policymaking (STP). 6. Using research evidence to address how an option will be implemented. Health Res Policy Syst. 2009, 7 (Suppl 1): S6-10.1186/1478-4505-7-S1-S6.
Lavis JN, Oxman AD, Lewin S, Fretheim A: SUPPORT Tools for evidence-informed health Policymaking (STP). 3. Setting priorities for supporting evidence-informed policymaking. Health Res Policy Syst. 2009, 7 (Suppl 1): S3-10.1186/1478-4505-7-S1-S3.
Rochefort DA, Cobb RW: Problem definition, agenda access, and policy choice. Policy Studies Journal . 1993, 21: 56-71. 10.1111/j.1541-0072.1993.tb01453.x.
Stone D: Policy Paradox: The Art of Political Decision Making. 1997, W. W. Norton and Company
Kingdon JW: Agendas, Alternatives, and Public Policies. 2003, Longman, 2nd
Lavis JN, Oxman AD, Grimshaw J, Johansen M, Boyko JA, Lewin S, Fretheim A: SUPPORT Tools for evidence-informed health Policymaking (STP). 7. Finding systematic reviews. Health Res Policy Syst. 2009, 7 (Suppl 1): S7-10.1186/1478-4505-7-S1-S7.
Lewin S, Oxman AD, Lavis JN, Fretheim A, García Martí S, Munabi-Babigumira S: SUPPORT Tools for evidence-informed health Policymaking (STP). 11. Finding and using research evidence about local conditions. Health Res Policy Syst. 2009, 7 (Suppl 1): S11-10.1186/1478-4505-7-S1-S11.
Oxman AD, Lavis JN, Lewin S, Fretheim A: SUPPORT Tools for evidence-informed health Policymaking (STP). 10. Taking equity into consideration when assessing the findings of a systematic review. Health Res Policy Syst. 2009, 7 (Suppl 1): S10-1. 10.1186/1478-4505-7-S1-S10.
World Health Organization (WHO): Guidelines for the Treatment of Malaria. 2006, World Health Organization
Wilczynski NL, Haynes RB, Lavis JN, Ramkissoonsingh R, Arnold-Oatley AE: Optimal search strategies for detecting health services research studies in MEDLINE. CMAJ. 2004, 171: 1179-85.