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“ Evidence-Informed Health Policymaking

“ Evidence-Informed Health Policymaking. Teaching Evidence Assimilation for Collaborative Healthcare New York Academy of Medicine , 7 August 2014. Andy Oxman, Global Health Unit Norwegian Knowledge Centre for the Health Services. What is evidence?.

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“ Evidence-Informed Health Policymaking

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  1. “Evidence-Informed Health Policymaking Teaching Evidence Assimilation for Collaborative Healthcare New York Academy of Medicine, 7 August 2014 Andy Oxman, Global Health Unit Norwegian Knowledge Centre for the Health Services

  2. What is evidence? “Evidence concerns facts (actual or asserted) intended for use in support of a conclusion.” • A fact is something known by experience or observation. • Evidence is used to support a conclusion; it is not the same as the conclusion.

  3. What is the role of evidence in policy and practice? • The role of evidence is to inform policy and practice • Evidence is essential, but not sufficient • Judgements are needed, including judgements about confidence (the certainty of the evidence), what to expect in a specific setting, equity and trade-offs

  4. What is evidence-informed health policymaking? • An approach to policy decisions that aims to ensure that decision making is well-informed by the best available research evidence • Characterised by access to, and appraisal of, evidence as an input into the policymaking process that is • Systematic to ensure that relevant research is identified, appraised and used appropriately • Transparent so that others can examine what research evidence was used to inform policy decisions, as well as the judgements made about the evidence and its implications

  5. Comments or questions about what evidence, its role in policymaking or what evidence-informed health policy is?

  6. Determinants of EIHP

  7. Strategies to facilitate EIHP

  8. Strategies to facilitate EIHP

  9. Strategies to facilitate EIHP

  10. Strategies to facilitate EIHP

  11. Strategies to facilitate EIHP

  12. Strategies to facilitate EIHP

  13. Strategies to facilitate EIHP

  14. Strategies to facilitate EIHP

  15. Strategies to facilitate EIHP

  16. Strategies to facilitate EIHP

  17. Strategies to facilitate EIHP

  18. Strategies to facilitate EIHP

  19. Strategies to facilitate EIHP

  20. Strategies to facilitate EIHP

  21. Strategies to facilitate EIHP

  22. Strategies to facilitate EIHP

  23. Strategies to facilitate EIHP

  24. There are many reasons why decision makers may not access and usehigh quality health system and public health evidence. Strategies to address each of those are needed.

  25. “Both politically, in terms of being accountable to those who fund the system, and also ethically, in terms of making sure that you make the best use possible of available resources, evaluation is absolutely critical.” Dr Julio Frenk, Minister of Health, Mexico

  26. Final message • Both policymakers and researchers must continue struggling to help ensure that judgments about health policies are well informed by research evidence • The alternative is to acquiesce to poorly informed health policies Informing Judgment: Case Studies of Health Policy and Research in Six Countries. Milbank Memorial Fund, September 2001 http://www.milbank.org/2001cochrane/010903cochrane.html

  27. Comments or questions?

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