National policy-makers speak out: are researchers giving them what they need?
National policy-makers speak out: are researchers giving them what they need?
复制标题
DOI：
10.1093/heapol/czq020
复制
发表时间：
2011-01-01
影响因子：
3.2
通讯作者：
Ghaffar, Abdul
中科院分区：
文献类型：
--
作者：
Hyder, Adnan A.;Corluka, Adrijana;Ghaffar, Abdul
这项实证研究的目的是了解中低收入国家决策者对卫生部门研究的使用和影响的观点和态度。该研究使用的数据来自83个半结构化的深度访谈，访谈对象是阿根廷、埃及、伊朗、马拉维、阿曼和新加坡的国家级决策者。访谈围绕根据现有文献并与所有六个国家调查人员协商制定的访谈指南进行。使用主题分析方法处理转录本。接受本研究采访的政策制定者毫不含糊地表示支持卫生研究，并认为卫生研究具有很高的价值。然而，他们指出，在研究对政策进程的贡献、研究对知识的普遍贡献以及在具体的卫生决策中使用研究方面，存在结构性和非正式的障碍。关于循证决策障碍的主要调查结果包括沟通和传播不良、政策过程中缺乏技术能力以及政治环境的影响。决策者对经济分析、公平和疾病负担措施的理解各不相同，在国家决策中使用这些措施方面也含糊其词。决策者就促进将研究纳入政策的战略提出的建议包括提高决策者的技术能力、更好地包装研究成果、利用社会网络以及建立论坛和信息交流中心功能，以帮助以证据为基础的决策。
The objective of this empirical study was to understand the perspectives and attitudes of policy-makers towards the use and impact of research in the health sector in low- and middle-income countries. The study used data from 83 semi-structured, in-depth interviews conducted with purposively selected policy-makers at the national level in Argentina, Egypt, Iran, Malawi, Oman and Singapore. The interviews were structured around an interview guide developed based on existing literature and in consultation with all six country investigators. Transcripts were processed using a thematic-analysis approach. Policy-makers interviewed for this study were unequivocal in their support for health research and the high value they attribute to it. However, they stated that there were structural and informal barriers to research contributing to policy processes, to the contribution research makes to knowledge generally, and to the use of research in health decision-making specifically. Major findings regarding barriers to evidence-based policy-making included poor communication and dissemination, lack of technical capacity in policy processes, as well as the influence of the political context. Policy-makers had a variable understanding of economic analysis, equity and burden of disease measures, and were vague in terms of their use in national decisions. Policy-maker recommendations regarding strategies for facilitating the uptake of research into policy included improving the technical capacity of policy-makers, better packaging of research results, use of social networks, and establishment of fora and clearinghouse functions to help assist in evidence-based policy-making.