What Can Policy-Makers Get Out of Systems Thinking? Policy Partners' Experiences of a Systems-Focused Research Collaboration in Preventive Health
What Can Policy-Makers Get Out of Systems Thinking? Policy Partners' Experiences of a Systems-Focused Research Collaboration in Preventive Health
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DOI：
10.15171/ijhpm.2019.86
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发表时间：
2020-02-01
影响因子：
3.5
通讯作者：
Milat, Andrew
中科院分区：
文献类型：
--
作者：
Haynes, Abby;Garvey, Kate;Milat, Andrew
背景资料：越来越多的人对使用系统思维来解决预防性卫生中的“邪恶”政策问题感兴趣，但这对政策制定者来说可能是一个挑战，因为文献是无定形的，而且往往是高度理论化的。鲜为人知的是，如何最好地支持卫生政策制定者获得技能的理解和应用系统思维的政策action.Methods：进行了深入的访谈，与18个决策者谁是参与澳大利亚的研究合作，使用系统的方法。我们的目的是探索支持政策制定者使用系统的方法的因素，并确定任何影响的系统思维的政策思维或action，包括这些影响发生的途径。结果：所有18个政策制定者一致认为，系统思维的优点，但有些人质疑其实际的政策效用。一小部分人对什么是系统思维或合作中使用了哪些方法感到困惑。大多数参与了系统思维，这一组确定了对其工作的具体影响。他们报告说，在政策工作中使用了注重系统的研究、想法、工具和资源，这有助于为政策设计、推广、执行和评价制定切实可行的方法，并有助于新的预防叙述。重要的是，系统思维正在帮助一些决策者重新认识卫生问题和背景、目标、潜在的政策解决方案和方法。总之，他们正在改变他们如何看待预防health.Conclusion：这些结果表明，研究人员和政策制定者可以把系统思维付诸行动，作为研究合作的一部分，这可能会导致对政策过程的明显影响。在这种情况下，为期五年的注重行动的合作和能力发展促进了相互学习和实际应用。这表明，当决策者参与以政策影响为目标并得到响应能力战略支持的扩大的共同制作过程时，他们可以从系统思维中获得实质性的应用价值。
Background: There is increasing interest in using systems thinking to tackle 'wicked' policy problems in preventive health, but this can be challenging for policy-makers because the literature is amorphous and often highly theoretical. Little is known about how best to support health policy-makers to gain skills in understanding and applying systems thinking for policy action.Methods: In-depth interviews were conducted with 18 policy-makers who are participating in an Australian research collaboration that uses a systems approach. Our aim was to explore factors that support policy-makers to use systems approaches, and to identify any impacts of systems thinking on policy thinking or action, including the pathways through which these impacts occurred.Results: All 18 policy-makers agreed that systems thinking has merit but some questioned its practical policy utility. A small minority were confused about what systems thinking is or which approaches were being used in the collaboration. The majority were engaged with systems thinking and this group identified concrete impacts on their work. They reported using systems-focused research, ideas, tools and resources in policy work that were contributing to the development of practical methodologies for policy design, scaling up, implementation and evaluation; and to new prevention narratives. Importantly, systems thinking was helping some policy-makers to reconceptualise health problems and contexts, goals, potential policy solutions and methods. In short, they were changing how they think about preventive health.Conclusion: These results show that researchers and policy-makers can put systems thinking into action as part of a research collaboration, and that this can result in discernible impacts on policy processes. In this case, action-oriented collaboration and capacity development over a 5-year period facilitated mutual learning and practical application. This indicates that policy-makers can get substantial applied value from systems thinking when they are involved in extended co-production processes that target policy impact and are supported by responsive capacity strategies.