Linking research and policy in Dutch healthcare: infrastructure, innovations and impacts

Linking research and policy in Dutch healthcare: infrastructure, innovations and impacts
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DOI:
10.1332/174426410x502464
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发表时间:
2010-05-01
期刊:
影响因子:
2.1
通讯作者:
Bal, Roland
Bal, Roland
中科院分区:
法学3区
文献类型:
--
作者:
Bekker, Marleen;van Egmond, Stans;Bal, Roland

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在荷兰,“以证据为基础的卫生政策”的呼吁迄今为止已经被这个国家的共识政策传统以及研究资金,研究人员职业发展和研究问责制度的制度化安排所容纳。本文的目的是从社会学的角度来描述和解释这些双向研究政策互动的安排,使共同生产的可用知识“可行的问题”在卫生政策制定。我们的结论是,许多安排的功能作为边界对象,允许研究和政策之间的调解。这种中介通过前台和后台流程进行。后台进程是在前台共同制作可接受的证据、政策咨询和政策的必要先决条件。然而,由于越来越强调以证据为基础的政策,并伴随着在政策过程中使用的研究工具化,一些特点,直到现在的生产力,荷兰系统的元素受到威胁。
The call for 'evidence-based health policy' in the Netherlands has to date been accommodated by the consensual policy tradition in this country and by the institutionalised arrangements for research funding, researcher career development and research accountability systems. The aim of this paper is to describe and explain from a sociological perspective how these arrangements for two-way research policy interactions enable the co-production of useable knowledge' for doable problems' in health policy making. We conclude that many arrangements function as boundary objects that allow for mediation between research and policy. This mediation occurs via both frontstage and backstage processes. The backstage processes are an essential precondition for the co-production of acceptable evidence, policy advice and policy in the frontstage. However, as a result of the increasing emphasis on evidence-based policy, and an accompanying instrumentalisation of research use in the policy process, some of the characteristic, and until now productive, elements of the Dutch system are threatened.