822 results match your criteria Health Research Policy and Systems [Journal]


Hepatitis C virus-related policy-making in Iran: a stakeholder and social network analysis.

Health Res Policy Syst 2019 Apr 16;17(1):42. Epub 2019 Apr 16.

Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.

Background: Hepatitis C virus (HCV) infection is a major public health challenge worldwide. Implementing policies to cope with this challenge requires commitment from all stakeholders at various levels, and all necessary resources should be mobilised. Support for various HCV-related stakeholders can reduce the challenges and obstacles that can be encountered during the programme implementation. Read More

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https://health-policy-systems.biomedcentral.com/articles/10.
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http://dx.doi.org/10.1186/s12961-019-0442-1DOI Listing
April 2019
2 Reads

How are evidence generation partnerships between researchers and policy-makers enacted in practice? A qualitative interview study.

Health Res Policy Syst 2019 Apr 15;17(1):41. Epub 2019 Apr 15.

South Eastern Sydney Local Health District (SESLHD), Carringbah, Australia.

Background: Evidence generation partnerships between researchers and policy-makers are a potential method for producing more relevant research with greater potential to impact on policy and practice. Little is known about how such partnerships are enacted in practice, however, or how to increase their effectiveness. We aimed to determine why researchers and policy-makers choose to work together, how they work together, which partnership models are most common, and what the key (1) relationship-based and (2) practical components of successful research partnerships are. Read More

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http://dx.doi.org/10.1186/s12961-019-0441-2DOI Listing

RE-AIMing conferences: evaluating the adoption, implementation and maintenance of the Rick Hansen Institute's Praxis 2016.

Health Res Policy Syst 2019 Apr 11;17(1):39. Epub 2019 Apr 11.

Department of Kinesiology and Physical Education, McGill University, Montreal, QC, Canada.

Background: In April 2016, the Rick Hansen Institute (RHI) hosted an innovative, 2-day conference called Praxis 2016. RHI aimed to bring together a diverse group of stakeholders to develop solutions for overcoming the challenges of translating spinal cord injury (SCI) research into practice. To understand the impact of Praxis, RHI funded an independent team to evaluate Praxis at the individual and setting level using the RE-AIM framework. Read More

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http://dx.doi.org/10.1186/s12961-019-0434-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6458740PMC

Programme theory development and formative evaluation of a provincial knowledge translation unit.

Health Res Policy Syst 2019 Apr 11;17(1):40. Epub 2019 Apr 11.

Alberta Research Centre for Health Evidence, Department of Pediatrics, University of Alberta and Alberta SPOR SUPPORT UNIT Knowledge Translation Platform, 4-476 Edmonton Clinic Health Academy (ECHA), 11405 87 Ave NW, Edmonton, AB, T6G 1C9, Canada.

Background: Research shows a significant gap between healthcare research and evidence-based healthcare policy and practice. Knowledge translation (KT) has an important role in addressing this gap by bolstering evidence-informed healthcare. Canada's Strategy for Patient-Oriented Research (SPOR) is a nationally mandated and supported initiative developed to respond to the gap between research and practice. Read More

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http://dx.doi.org/10.1186/s12961-019-0437-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6458605PMC

Fostering access to and use of contextualised knowledge to support health policy-making: lessons from the Policy Information Platform in Nigeria.

Health Res Policy Syst 2019 Apr 8;17(1):38. Epub 2019 Apr 8.

Alliance for Health Policy and Systems Research, World Health Organization, Avenue Appia 20, 1211, Geneva 27, Switzerland.

Background: Contextualising evidence to inform policy-making is increasingly recognised as key to developing and implementing effective health policies. Creating a one-stop shop for evidence is an approach that can facilitate timely access to the best evidence to inform policy decisions. We report outcomes after implementation of the Policy Information Platform (PIP), a pilot one-stop evidence repository in Nigeria designed to alleviate barriers to accessing policy-relevant knowledge. Read More

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http://dx.doi.org/10.1186/s12961-019-0431-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454691PMC
April 2019
1 Read

Health research systems in change: the case of 'Push the Pace' in the National Institute for Health Research.

Health Res Policy Syst 2019 Apr 8;17(1):37. Epub 2019 Apr 8.

Health Economics Research Group, Brunel University London, Uxbridge, United Kingdom.

Background: Those running well-organised health research systems are likely to be alert for ways in which they might increase the quality of the services they provide and address any problems identified. This is important because the efficiency of the research system can have a major impact on how long it takes for new treatments to be developed and reach patients. This opinion piece reflects on the experience and learning of the United Kingdom-based National Institute for Health Research (NIHR) when it implemented continuous improvement activity to improve its processes. Read More

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http://dx.doi.org/10.1186/s12961-019-0433-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454738PMC
April 2019
1 Read

Incremental cost and health gains of the 2016 WHO antenatal care recommendations for Rwanda: results from expert elicitation.

Health Res Policy Syst 2019 Apr 5;17(1):36. Epub 2019 Apr 5.

Department of Epidemiology and Global Health, Umeå University, SE 901 87, Umeå, Sweden.

Objectives: High-quality evidence of effectiveness and cost-effectiveness is rarely available and relevant for health policy decisions in low-resource settings. In such situations, innovative approaches are needed to generate locally relevant evidence. This study aims to inform decision-making on antenatal care (ANC) recommendations in Rwanda by estimating the incremental cost-effectiveness of the recent (2016) WHO antenatal care recommendations compared to current practice in Rwanda. Read More

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http://dx.doi.org/10.1186/s12961-019-0439-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6451275PMC
April 2019
1 Read

Perspectives of Australian policy-makers on the potential benefits and risks of technologically enhanced communicable disease surveillance - a modified Delphi survey.

Health Res Policy Syst 2019 Apr 4;17(1):35. Epub 2019 Apr 4.

Sydney Health Ethics, Sydney School of Public Health, University of Sydney, Sydney, NSW, Australia.

Background: Event-based social media monitoring and pathogen whole genome sequencing (WGS) will enhance communicable disease surveillance research and systems. If linked electronically and scanned systematically, the information provided by these technologies could be mined to uncover new epidemiological patterns and associations much faster than traditional public health approaches. The benefits of earlier outbreak detection are significant, but implementation could be opposed in the absence of a social licence or if ethical and legal concerns are not addressed. Read More

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http://dx.doi.org/10.1186/s12961-019-0440-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6449976PMC

Studying social accountability in the context of health system strengthening: innovations and considerations for future work.

Health Res Policy Syst 2019 Mar 29;17(1):34. Epub 2019 Mar 29.

Human Reproduction Program, World Health Organization, Geneva, Switzerland.

There is a growing body of research on the role of social accountability in bringing about more accessible and better-quality healthcare. Here, we refer to social accountability as "citizens' efforts at ongoing meaningful collective engagement with public institutions for accountability in the provision of public goods" (Joshi, World Dev 99:160-172, 2017). These processes have multiple interrelated components and sub-processes and engage a range of actors in community-driven, often unpredictable and context-dependent actions, which pose many methodological challenges for researchers. Read More

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http://dx.doi.org/10.1186/s12961-019-0438-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6440124PMC

The dark side of coproduction: do the costs outweigh the benefits for health research?

Health Res Policy Syst 2019 Mar 28;17(1):33. Epub 2019 Mar 28.

Department of Health Services Research and Policy, Faculty of Public Health Policy, London School of Hygiene and Tropical Medicine, London, UK.

Background: Coproduction, a collaborative model of research that includes stakeholders in the research process, has been widely advocated as a means of facilitating research use and impact. We summarise the arguments in favour of coproduction, the different approaches to establishing coproductive work and their costs, and offer some advice as to when and how to consider coproduction.

Debate: Despite the multiplicity of reasons and incentives to coproduce, there is little consensus about what coproduction is, why we do it, what effects we are trying to achieve, or the best coproduction techniques to achieve policy, practice or population health change. Read More

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http://dx.doi.org/10.1186/s12961-019-0432-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6437844PMC

Supporting implementation of Cochrane methods in complex communication reviews: resources developed and lessons learned for editorial practice and policy.

Health Res Policy Syst 2019 Mar 28;17(1):32. Epub 2019 Mar 28.

Cochrane Consumers and Communication Group, Centre for Health Communication and Participation, School of Psychology and Public Health, College of Science, Health and Engineering, La Trobe University, Victoria, 3086, Australia.

Every healthcare encounter involves some form of communication and there is growing recognition that effective health communication is central to the delivery of safe, high-quality healthcare. Conversely, poor communication has a range of adverse consequences for those receiving healthcare and the systems delivering care, including elevated patient safety risks. Increasing understanding and documentation of the key role that good communication plays in healthcare design and delivery has meant there is growing demand from policy-makers and other decision-makers for evidence on the effects of health communication interventions - that is, how best to communicate. Read More

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http://dx.doi.org/10.1186/s12961-019-0435-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6437949PMC

Ambulances are for emergencies: shifting attitudes through a research-informed behaviour change campaign.

Health Res Policy Syst 2019 Mar 28;17(1):31. Epub 2019 Mar 28.

BehaviourWorks Australia, Monash Sustainable Development Institute, Monash University, 8 Scenic Boulevard, Clayton, Victoria, 3800, Australia.

Background: In Victoria, Australia, emergency calls requesting an ambulance have been increasing at a rate higher than population growth. While most of these calls are for genuine emergencies, many do not require an immediate ambulance response. A collaborative research approach was undertaken to address this issue. Read More

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http://dx.doi.org/10.1186/s12961-019-0430-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6437887PMC

The hepatitis C infection in Iran: a policy analysis of agenda-setting using Kingdon's multiple streams framework.

Health Res Policy Syst 2019 Mar 27;17(1):30. Epub 2019 Mar 27.

School of Public Health, Department of Health Sciences (DISSAL), University of Genoa, Genoa, Italy.

Background: Hepatitis C virus (HCV) infection causes a large number of deaths annually worldwide. Policies play an important role in regulating healthcare agendas and prioritising of health-related issues. Understanding these priorities is very important in health. Read More

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http://dx.doi.org/10.1186/s12961-019-0436-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6438031PMC

Taking stock of 10 years of published research on the ASHA programme: examining India's national community health worker programme from a health systems perspective.

Health Res Policy Syst 2019 Mar 25;17(1):29. Epub 2019 Mar 25.

National Health Systems Resource Centre, New Delhi, India.

Background: As India's accredited social health activist (ASHA) community health worker (CHW) programme enters its second decade, we take stock of the research undertaken and whether it examines the health systems interfaces required to sustain the programme at scale.

Methods: We systematically searched three databases for articles on ASHAs published between 2005 and 2016. Articles that met the inclusion criteria underwent analysis using an inductive CHW-health systems interface framework. Read More

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http://dx.doi.org/10.1186/s12961-019-0427-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6434894PMC

What do the implementation outcome variables tell us about the scaling-up of the antiretroviral treatment adherence clubs in South Africa? A document review.

Health Res Policy Syst 2019 Mar 14;17(1):28. Epub 2019 Mar 14.

School of Public Health, University of the Western Cape, Cape Town, South Africa.

Background: The successful initiation of people living with HIV on antiretroviral treatment (ART) in South Africa fomented challenges of poor retention in care and suboptimal adherence to medication. Following evidence of the potential of adherence clubs (ACs) to improve patient retention in ART and adherence to medication, the South African National Department of Health drafted a policy in 2016 encouraging the rollout of ACs nationwide. However, little guidance on the rollout strategy has been provided to date, and the national adoption status of the AC programme is unclear. Read More

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http://dx.doi.org/10.1186/s12961-019-0428-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6419395PMC
March 2019
1 Read
2.100 Impact Factor

How have researchers defined and used the concept of 'continuity of care' for chronic conditions in the context of resource-constrained settings? A scoping review of existing literature and a proposed conceptual framework.

Health Res Policy Syst 2019 Mar 7;17(1):27. Epub 2019 Mar 7.

Guelph International Health Consulting, Amsterdam, The Netherlands.

Background: Within the context of the growing burden of non-communicable diseases (NCDs) globally, there is limited evidence on how researchers have explored the response to chronic health needs in the context of health policy and systems in low- and middle-income countries. Continuity of care (CoC) is one concept that represents several elements of a long-term model of care. This scoping review aims to map and describe the state of knowledge regarding how researchers in resource-constrained settings have defined and used the concept of CoC for chronic conditions in primary healthcare. Read More

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http://dx.doi.org/10.1186/s12961-019-0426-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407241PMC

Using narratives to impact health policy-making: a systematic review.

Health Res Policy Syst 2019 Mar 5;17(1):26. Epub 2019 Mar 5.

Center for Systematic Review for Health Policy and Systems Research, American University of Beirut, Beirut, Lebanon.

Background: There is increased interest in using narratives or storytelling to influence health policies. We aimed to systematically review the evidence on the use of narratives to impact the health policy-making process.

Methods: Eligible study designs included randomised studies, non-randomised studies, process evaluation studies, economic studies, qualitative studies, stakeholder analyses, policy analyses, and case studies. Read More

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http://dx.doi.org/10.1186/s12961-019-0423-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6402129PMC
March 2019
3 Reads

Health researchers' experiences, perceptions and barriers related to sharing study results with participants.

Health Res Policy Syst 2019 Mar 4;17(1):25. Epub 2019 Mar 4.

College of Medicine, University of Arkansas for Medical Sciences Northwest, 1125 N. College Ave, Fayetteville, AR, 72703, United States of America.

Background: Although research participants are generally interested in receiving results from studies in which they participate, health researchers rarely communicate study findings to participants. The present study was designed to provide opportunity for a broad group of health researchers to describe their experiences and concerns related to sharing results (i.e. Read More

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http://dx.doi.org/10.1186/s12961-019-0422-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6399828PMC

Blending integrated knowledge translation with global health governance: an approach for advancing action on a wicked problem.

Health Res Policy Syst 2019 Mar 4;17(1):24. Epub 2019 Mar 4.

McMaster University, 1280 Main Street West, Hamilton, ON, Canada.

Background: The persistence of health inequities is a wicked problem for which there is strong evidence of causal roots in the maldistribution of power, resources and money within and between countries. Though the evidence is clear, the solutions are far from straightforward. Integrated knowledge translation (IKT) ought to be well suited for designing evidence-informed solutions, yet current frameworks are limited in their capacity to navigate complexity. Read More

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http://dx.doi.org/10.1186/s12961-019-0424-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6399857PMC
March 2019
2 Reads

'Virus Carriers' and HIV testing: navigating Ukraine's HIV policies and programming for female sex workers.

Health Res Policy Syst 2019 Feb 28;17(1):23. Epub 2019 Feb 28.

Athena Institute, Faculty of Science, Vrije Universiteit Amsterdam, De Boelelaan, 1085, NL-1081 HV, Amsterdam, Netherlands.

Background: There are an estimated 80,100 female sex workers (FSWs) in Ukraine, of whom 7% are living with HIV. Early HIV diagnosis continues to be a public health priority in Ukraine as only approximately 54% of people living with HIV are diagnosed nationwide. This study aims to analyse the content, context and discourse of HIV testing policies among female sex workers in Ukraine and how these policies are understood and implemented in practice. Read More

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http://dx.doi.org/10.1186/s12961-019-0415-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394058PMC
February 2019

The impact generated by publicly and charity-funded research in the United Kingdom: a systematic literature review.

Health Res Policy Syst 2019 Feb 28;17(1):22. Epub 2019 Feb 28.

School of Health Sciences, City, University of London, Northampton Square, EC1V 0HB, London, UK.

Objective: To identify, synthesise and critically assess the empirical evidence of the impact generated by publicly and charity-funded health research in the United Kingdom.

Methods: We conducted a systematic literature review of the empirical evidence published in English in peer-reviewed journals between 2006 and 2017. Studies meeting the inclusion criteria were selected and their findings were analysed using the Payback Framework and categorised into five main dimensions, namely knowledge, benefits to future research and research use, benefits from informing policy and product development, health and health sector benefits, and broader economic benefits. Read More

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http://dx.doi.org/10.1186/s12961-019-0425-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394081PMC
February 2019
1 Read

The place of learning in a universal health coverage health policy process: the case of the RAMED policy in Morocco.

Health Res Policy Syst 2019 Feb 21;17(1):21. Epub 2019 Feb 21.

Institute of Tropical Medicine, Antwerp, Belgium.

Background: To progress towards universal health coverage (UHC), each country will have to develop its systemic learning capacity. This study aims at documenting how, across time, learning can feed into a UHC policy process, and how the latter can itself strengthen (or not) the learning capacity of the health system. It specifically focuses on the development of a major health financing policy aligned with the UHC goal in Morocco, the RAMED, a health financing scheme covering hospital costs for the poorest segment of the population. Read More

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http://dx.doi.org/10.1186/s12961-019-0421-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6383252PMC
February 2019

Addressing fragility through community-based health programmes: insights from two qualitative case study evaluations in South Sudan and Haiti.

Health Res Policy Syst 2019 Feb 14;17(1):20. Epub 2019 Feb 14.

Swiss Tropical and Public Health Institute, P.O. Box, CH-4002, Basel, Switzerland.

Background: Fragility can have a negative effect on health systems and people's health, and poses considerable challenges for actors implementing health programmes. However, how such programmes, in turn, affect the overall fragility of a context is rarely considered. The Swiss Red Cross has been active in South Sudan and Haiti since 2008 and 2011, respectively, and commissioned a scoping study to shed new light on this issue within the frame of a learning process launched in 2015. Read More

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http://dx.doi.org/10.1186/s12961-019-0420-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6376698PMC
February 2019

The National Institute for Health Research Hyperacute Stroke Research Centres and the ENCHANTED trial: the impact of enhanced research infrastructure on trial metrics and patient outcomes.

Health Res Policy Syst 2019 Feb 13;17(1):19. Epub 2019 Feb 13.

The George Institute for Global Health, Faculty of Medicine, University of New South Wales, Sydney, NSW, Australia.

Background: The English National Institute for Health Research Clinical Research Network first established Hyperacute Stroke Research Centres (HSRCs) in 2010 to support multicentre hyperacute (< 9 h) and complex stroke research. We assessed the impact of this investment on research performance and patient outcomes in a post-hoc analysis of country-specific data from a large multicentre clinical trial.

Methods: Comparisons of baseline, outcome and trial metric data were made for participants recruited to the alteplase-dose arm of the international Enhanced Control of Hypertension and Thrombolysis Stroke study (ENCHANTED) at National Institute for Health Research Clinical Research Network HSRCs and non-HSRCs between June 2012 and October 2015. Read More

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http://dx.doi.org/10.1186/s12961-019-0417-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6375185PMC
February 2019
1 Read

A bibliometric analysis of health-related literature on natural disasters from 1900 to 2017.

Authors:
Waleed M Sweileh

Health Res Policy Syst 2019 Feb 11;17(1):18. Epub 2019 Feb 11.

Department of Physiology, Pharmacology/Toxicology, Division of Biomedical Sciences, College of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.

Background: Worldwide, natural disasters have caused a large number of deaths and considerable morbidity. Nevertheless, limited information is available on how the health-related literature on natural disasters has evolved. The current study aims to assess the growth and pattern of health-related literature on natural disasters. Read More

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http://dx.doi.org/10.1186/s12961-019-0418-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6371570PMC
February 2019

Evidence map of knowledge translation strategies, outcomes, facilitators and barriers in African health systems.

Health Res Policy Syst 2019 Feb 7;17(1):16. Epub 2019 Feb 7.

School of Public Health and Family Medicine, Faculty of Health Sciences, University of Cape Town, Anzio Road, Observatory, Cape Town, 7925, South Africa.

Background: The need for research-based knowledge to inform health policy formulation and implementation is a chronic global concern impacting health systems functioning and impeding the provision of quality healthcare for all. This paper provides a systematic overview of the literature on knowledge translation (KT) strategies employed by health system researchers and policy-makers in African countries.

Methods: Evidence mapping methodology was adapted from the social and health sciences literature and used to generate a schema of KT strategies, outcomes, facilitators and barriers. Read More

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http://dx.doi.org/10.1186/s12961-019-0419-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367796PMC
February 2019

Addressing the affordability of cancer drugs: using deliberative public engagement to inform health policy.

Health Res Policy Syst 2019 Feb 7;17(1):17. Epub 2019 Feb 7.

McMaster Health Forum, 1280 Main Street West, MML-417, Ontario, Hamilton, L8S 4L6, Canada.

Background: Health system expenditure on cancer drugs is rising rapidly in many OECD countries given the costly new treatments and increased rates of use due to a growing and ageing population. These factors put considerable strain on the sustainability of health systems worldwide, sparking public debate among clinicians, pharmaceutical companies, policy-makers and citizens on issues of affordability and equity. We engaged Canadians through a series of deliberative public engagement events to determine their priorities for making cancer drug funding decisions fair and sustainable in Canada's publicly financed health system. Read More

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http://dx.doi.org/10.1186/s12961-019-0411-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367823PMC
February 2019
1 Read

Kenya's Health in All Policies strategy: a policy analysis using Kingdon's multiple streams.

Health Res Policy Syst 2019 Feb 6;17(1):15. Epub 2019 Feb 6.

Heidelberg Institute of Global Health, Heidelberg University, Im Neuenheimer Feld 130.3, 69120, Heidelberg, Germany.

Background: Health in All Policies (HiAP) is an intersectoral approach that facilitates decision-making among policy-makers to maximise positive health impacts of other public policies. Kenya, as a member of WHO, has committed to adopting HiAP, which has been included in the Kenya Health Policy for the period 2014-2030. This study aims to assess the extent to which this commitment is being translated into the process of governmental policy-making and supported by international development partners as well as non-state actors. Read More

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http://dx.doi.org/10.1186/s12961-019-0416-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6366019PMC
February 2019

Understanding political priority development for public health issues in Turkey: lessons from tobacco control and road safety.

Health Res Policy Syst 2019 Feb 6;17(1):13. Epub 2019 Feb 6.

Department of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, 21205, United States of America.

Background: Tobacco use and road traffic injuries are major public health problems in Turkey. During the last decade, the former issue received political priority in the country, while the latter did not despite the immense health and economic burden that road traffic injuries pose on the Turkish population. Political priority can facilitate the attainment of public health goals. Read More

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http://dx.doi.org/10.1186/s12961-019-0412-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6364388PMC
February 2019
2 Reads

Increasing the capacity of policy agencies to use research findings: a stepped-wedge trial.

Health Res Policy Syst 2019 Feb 6;17(1):14. Epub 2019 Feb 6.

The Sax Institute, PO Box K617, Haymarket, Sydney, NSW, 1240, Australia.

Background: This paper describes the trial of a novel intervention, Supporting Policy In health with evidence from Research: an Intervention Trial (SPIRIT). It examines (1) the feasibility of delivering this kind of programme in practice; (2) its acceptability to participants; (3) the impact of the programme on the capacity of policy agencies to engage with research; and (4) the engagement with and use of research by policy agencies.

Methods: SPIRIT was a multifaceted, highly tailored, stepped-wedge, cluster-randomised, trial involving six health policy agencies in Sydney, Australia. Read More

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https://health-policy-systems.biomedcentral.com/articles/10.
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http://dx.doi.org/10.1186/s12961-018-0408-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6366302PMC
February 2019
1 Read

Lessons learned from Evidence-Informed Decision-Making in Nutrition & Health (EVIDENT) in Africa: a project evaluation.

Health Res Policy Syst 2019 Jan 31;17(1):12. Epub 2019 Jan 31.

Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium.

Background: Evidence-informed Decision-making in Nutrition and Health (EVIDENT) is an international partnership that seeks to identify information needs in nutrition and health in Africa and build local capacity in knowledge management to help translate the best available evidence into context-appropriate recommendations aligned to the priorities of decision-makers. This study evaluates the extent to which EVIDENT achieved its intended activities, documents the lessons learned and draws on these lessons learned to inform future activities of EVIDENT, as well as in evidence-informed decision-making (EIDM) in nutrition overall.

Methods: Purposive and snowball sampling were used to identify participants that were either directly or indirectly involved with EVIDENT. Read More

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http://dx.doi.org/10.1186/s12961-019-0413-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6357392PMC
January 2019

Understanding the implementation of Direct Health Facility Financing and its effect on health system performance in Tanzania: a non-controlled before and after mixed method study protocol.

Health Res Policy Syst 2019 Jan 30;17(1):11. Epub 2019 Jan 30.

Department of Global Health and Development, London School of Hygiene & Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, United Kingdom.

Background: Globally, good health system performance has resulted from continuous reform, including adaptation of Decentralisation by Devolution policies, for example, the Direct Health Facility Financing (DHFF). Generally, the role of decentralisation in the health sector is to improve efficiency, to foster innovations and to improve quality, patient experience and accountability. However, such improvements have not been well realised in most low- and middle-income countries, with the main reason cited being the poor mechanism for disbursement of funds, which remain largely centralised. Read More

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https://health-policy-systems.biomedcentral.com/articles/10.
Publisher Site
http://dx.doi.org/10.1186/s12961-018-0400-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6354343PMC
January 2019
5 Reads

New indicators and indexes for benchmarking university-industry-government innovation in medical and life science clusters: results from the European FP7 Regions of Knowledge HealthTIES project.

Health Res Policy Syst 2019 Jan 28;17(1):10. Epub 2019 Jan 28.

Sir William Dunn School, University of Oxford, Oxford, United Kingdom.

Background: While the European Union is striving to become the 'Innovation Union', there remains a lack of quantifiable indicators to compare and benchmark regional innovation clusters. To address this issue, a HealthTIES (Healthcare, Technology and Innovation for Economic Success) consortium was funded by the European Union's Regions of Knowledge initiative, research and innovation funding programme FP7. HealthTIES examined whether the health technology innovation cycle was functioning differently in five European regional innovation clusters and proposed regional and joint actions to improve their performance. Read More

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https://health-policy-systems.biomedcentral.com/articles/10.
Publisher Site
http://dx.doi.org/10.1186/s12961-019-0414-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350323PMC
January 2019
14 Reads

What, why and how do health systems learn from one another? Insights from eight low- and middle-income country case studies.

Health Res Policy Syst 2019 Jan 21;17(1). Epub 2019 Jan 21.

Oxford Policy Management (OPM), Oxford, United Kingdom.

Background: All health systems struggle to meet health needs within constrained resources. This is especially true for low-income countries. It is critical that they can learn from wider contexts in order to improve their performance. Read More

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http://dx.doi.org/10.1186/s12961-018-0410-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341535PMC
January 2019

Sustainability of public health interventions: where are the gaps?

Health Res Policy Syst 2019 Jan 15;17(1). Epub 2019 Jan 15.

School of Health Studies, Arthur and Sonia Labatt Health Sciences Building, Rm. 222, London, Ontario, N6A 5B9, Canada.

The current scholarly focus on implementation science is meant to ensure that public health interventions are effectively embedded in their settings. Part of this conversation includes understanding how to support the sustainability of beneficial interventions so that limited resources are maximised, long-term public health outcomes are realised, community support is not lost, and ethical research standards are maintained. However, the concept of sustainability is confusing because of variations in terminology and a lack of agreed upon measurement frameworks, as well as methodological challenges. Read More

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http://dx.doi.org/10.1186/s12961-018-0405-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6334403PMC
January 2019
2 Reads

Contemporary issues in north-south health research partnerships: perspectives of health research stakeholders in Zambia.

Health Res Policy Syst 2019 Jan 15;17(1). Epub 2019 Jan 15.

Department of Health Promotion and Education, University of Zambia, School of Public Health, P O Box 50110, Lusaka, Zambia.

Background: The late 1990s and early 2000s have seen a growth in north-south health research partnerships resulting from scientific developments such as those in genetic studies and development of statistical techniques and technological requirements for the analysis of large datasets. Despite these efforts, there is inadequate information representing the voice of African researchers as stakeholders experiencing partnership arrangements, particularly in Zambia. Furthermore, very little attention has been paid to capturing the practice of guidelines within partnerships. Read More

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https://health-policy-systems.biomedcentral.com/articles/10.
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http://dx.doi.org/10.1186/s12961-018-0409-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6334387PMC
January 2019
8 Reads

Novel methods of qualitative analysis for health policy research.

Health Res Policy Syst 2019 Jan 14;17(1). Epub 2019 Jan 14.

Medical School, Autonomous Metropolitan University, Calzada del Hueso 1100, Mexico City, 04960, Mexico.

Background: Currently, thanks to the growing number of public database resources, most evidence on planning and management, healthcare institutions, policies and practices is becoming available to everyone. However, one of the limitations for the advancement of data and literature-driven research has been the lack of flexibility of the methodological resources used in qualitative research. There is a need to incorporate friendly, cheaper and faster tools for the systematic, unbiased analysis of large data corpora, in particular regarding the qualitative aspects of the information (often overlooked). Read More

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http://dx.doi.org/10.1186/s12961-018-0404-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6332644PMC
January 2019
1 Read

Barriers and opportunities in the translation of mobile phone and social media interventions between research and health promotion practice in Australia: a qualitative study of expert perspectives.

Health Res Policy Syst 2019 Jan 10;17(1). Epub 2019 Jan 10.

Centre for Population Health, Burnet Institute, 85 Commercial Rd, Melbourne, Victoria, 3004, Australia.

Background: Newer technologies, such as smartphones and social networking sites, offer new opportunities for health promotion interventions. There is evidence to show that these technologies can be effectively and acceptably used for health promotion activities. However, most interventions produced in research do not end up benefitting non-research populations, while the majority of technology-facilitated interventions which are available outside of research settings are either undocumented or have limited or no evidence to support any benefit. Read More

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http://dx.doi.org/10.1186/s12961-018-0406-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329110PMC
January 2019
1 Read

Optimising decentralisation for the health sector by exploring the synergy of decision space, capacity and accountability: insights from the Philippines.

Health Res Policy Syst 2019 Jan 10;17(1). Epub 2019 Jan 10.

Swiss Tropical and Public Health Institute, Basel, Switzerland.

Background: Several studies on decentralisation have used the 'decision space' approach to assess the breadth of space made available to decision-makers at lower levels of the health system. However, in order to better understand how decentralisation becomes effective for the health sector, analysis should go beyond assessing decision space and include the dimensions of capacity and accountability. Building on Bossert's earlier work on the synergy of these dimensions, we analysed decision-making in the Philippines where governmental health services have been devolved to local governments since 1992. Read More

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http://dx.doi.org/10.1186/s12961-018-0402-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327786PMC
January 2019
5 Reads

The determinants of vaccination in a semi-rural area of Vientiane City, Lao People's Democratic Republic: a qualitative study.

Health Res Policy Syst 2019 Jan 9;17(1). Epub 2019 Jan 9.

Nossal Institute for Global Health, Melbourne School of Population and Global Health, University of Melbourne, 5th Floor, 333 Exhibition St, Melbourne, 3000, Australia.

Background: Immunisation is a cost-effective and highly efficacious public health intervention, saving over 20 million lives in the last two decades due to decreases in childhood bacterial infections. In the Lao People's Democratic Republic, significant gaps in childhood immunisation coverage rates remain, which are a cause for concern and a barrier to the country reaching its Sustainable Development Goal targets for child health. Efforts to increase coverage have had limited success, with widening inequities being observed between urban and remote and rural areas. Read More

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http://dx.doi.org/10.1186/s12961-018-0407-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6325875PMC
January 2019
9 Reads

The challenges of implementation of clinical governance in Iran: a meta-synthesis of qualitative studies.

Health Res Policy Syst 2019 Jan 9;17(1). Epub 2019 Jan 9.

Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.

Background: Policy- and decision-makers seek to improve the quality of care in the health sector and therefore aim to improve quality through appropriate policies. Higher quality of care will satisfy service providers and the public, reduce costs, increase productivity, and lead to better organisational performance. Clinical governance is a method through which management can be improved and made more accountable, and leads to the provision of better quality of care. Read More

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https://health-policy-systems.biomedcentral.com/articles/10.
Publisher Site
http://dx.doi.org/10.1186/s12961-018-0399-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327528PMC
January 2019
8 Reads

Integrating implementation and user-centred design strategies to enhance the impact of health services: protocol from a concept mapping study.

Health Res Policy Syst 2019 Jan 8;17(1). Epub 2019 Jan 8.

Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, 1959 NE Pacific Street, Room BB1644, Box 356560, Seattle, WA, 98195, USA.

Background: Innovative approaches are needed to maximise the uptake and sustainment of evidence-based practices in a variety of health service contexts. This protocol describes a study that will seek to characterise the potential of one such approach, user-centred design (UCD), which is an emerging field that seeks to ground the design of an innovation in information about the people who will ultimately use that innovation. The use of UCD to enhance strategies for implementation of health services, although promising, requires a multidisciplinary perspective based on a firm understanding of how experts from each discipline perceives the interrelatedness and suitability of these strategies. Read More

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http://dx.doi.org/10.1186/s12961-018-0403-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323703PMC
January 2019
2 Reads

The value of a causal loop diagram in exploring the complex interplay of factors that influence health promotion in a multisectoral health system in Australia.

Health Res Policy Syst 2018 Dec 29;16(1):126. Epub 2018 Dec 29.

Southgate Institute for Health, Society and Equity, Flinders University, South Australia, Bedford Park, Australia.

Background: Despite calls for the application of complex systems science in empirical studies of health promotion, there are very few examples. The aim of this paper was to use a complex systems approach to examine the key factors that influenced health promotion (HP) policy and practice in a multisectoral health system in Australia.

Methods: Within a qualitative case study, a schema was developed that incorporated HP goals, actions and strategies with WHO building blocks (leadership and governance, financing, workforce, services and information). Read More

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http://dx.doi.org/10.1186/s12961-018-0394-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6310960PMC
December 2018
1 Read

Getting smarter with data: understanding tensions in the use of data in assurance and improvement-oriented performance management systems to improve their implementation.

Health Res Policy Syst 2018 Dec 22;16(1):125. Epub 2018 Dec 22.

Public Service Research Group, School of Business, UNSW Canberra, PO Box 7196, Canberra BC, 2610, Australia.

Background: A better understanding of the conditions under which performance indicators can be used to improve accountability for outcomes and promote quality improvement could help policy-makers develop more effective performance management systems. One problem is the lack of conceptual models and empirical data that describe the processes through which different approaches use data together with other incentives to influence motivation.

Discussion: Drawing on the performance governance and quality improvement literature, we developed a framework that distinguishes between the practice of using information to verify levels of performance in market-oriented performance management approaches and using indicators to monitor and promote improvement through building capacity for using data in service and professional networks. Read More

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http://dx.doi.org/10.1186/s12961-018-0401-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6303867PMC
December 2018
1 Read

Convergence model for effectual prevention and control of zoonotic diseases: a health system study on 'One Health' approach in Ahmedabad, India.

Health Res Policy Syst 2018 Dec 19;16(1):124. Epub 2018 Dec 19.

Center for Development Research (ZEF), University of Bonn, Bonn, Germany.

The complexity and increasing burden of zoonotic diseases create challenges for the health systems of developing nations. Public health systems must therefore be prepared to face existing and future disease threats at the human-animal interface. The key for this is coordinated action between the human and the animal health systems. Read More

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http://dx.doi.org/10.1186/s12961-018-0398-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6299981PMC
December 2018
1 Read

Opportunities for linking research to policy: lessons learned from implementation research in sexual and reproductive health within the ANSER network.

Health Res Policy Syst 2018 Dec 17;16(1):123. Epub 2018 Dec 17.

International Centre for Reproductive Health, Ghent University, Ghent, Belgium.

Background: The uptake of findings from sexual and reproductive health and rights research into policy-making remains a complex and non-linear process. Different models of research utilisation and guidelines to maximise this in policy-making exist, however, challenges still remain for researchers to improve uptake of their research findings and for policy-makers to use research evidence in their work.

Methods: A participatory workshop with researchers was organised in November 2017 by the Academic Network for Sexual and Reproductive Health and Rights Policy (ANSER) to address this gap. Read More

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http://dx.doi.org/10.1186/s12961-018-0397-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6297973PMC
December 2018
2 Reads

Getting evidence to travel inside public systems: what organisational brokering capacities exist for evidence-based policy?

Health Res Policy Syst 2018 Dec 17;16(1):122. Epub 2018 Dec 17.

ENAP École Nationale d'Administration Publique, 4750 Henri Julien, Montréal, QC, H2T 3E5, Canada.

Background: Implementing research findings into healthcare policy is an enduring challenge made even more difficult when policies must be developed and implemented with the help and support of multiple ideas, agendas and actors taking part in determinants of health. Only looking at mechanisms to feed policy-makers with evidence or to interest researchers in the policy process will simply bring partial clues; implementing evidence-based policy also requires organisations to lead and to partner in the production and intake of scientific evidence from academics and practical evidence from one another.

Main Body: This Commentary argues for the need to better understand the capacities required by organisations to foster evidence-based policy in a dispersed environment. Read More

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https://health-policy-systems.biomedcentral.com/articles/10.
Publisher Site
http://dx.doi.org/10.1186/s12961-018-0393-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6296131PMC
December 2018
4 Reads

How can the impact of national recommendations for physical activity be increased? Experiences from Germany.

Health Res Policy Syst 2018 Dec 14;16(1):121. Epub 2018 Dec 14.

Department of Sport Science and Sport, Friedrich-Alexander-University Erlangen-Nürnberg, Gebbertstraße 123b, 91058, Erlangen, Germany.

Background: Clearly stated national recommendations for physical activity (PA) are available in many nations. Yet, their impact on national level policy-making might be considered modest at best. This paper analyses the approach selected to curtail this problem in Germany. Read More

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http://dx.doi.org/10.1186/s12961-018-0396-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6295091PMC
December 2018
1 Read

Deconstructing knowledge brokering for commissioned rapid reviews: an observational study.

Health Res Policy Syst 2018 Dec 12;16(1):120. Epub 2018 Dec 12.

The Sax Institute, PO Box K617, Haymarket NSW 1240, Ultimo, NSW 2007, Australia.

Background: Knowledge brokers are increasingly used by policy agencies, yet little is known about how they engage with policy-makers and facilitate discussions with them about their research needs. This study examines knowledge brokers' behaviour in one-off interactions with policy-makers commissioning rapid reviews. It describes how knowledge brokers engage with policy-makers, build trust and gain agreement about the review's parameters. Read More

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http://dx.doi.org/10.1186/s12961-018-0389-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6292028PMC
December 2018
1 Read

Mental health research priorities in Australia: a consumer and carer agenda.

Health Res Policy Syst 2018 Dec 12;16(1):119. Epub 2018 Dec 12.

Research School of Psychology, The Australian National University, Acton, Australia.

Background: The perspectives of mental health consumers and carers are increasingly recognised as important to the development and conduct of research. However, research directions are still most commonly developed without consumer and carer input. This project aimed to establish priorities for mental health research driven by the views of consumers and carers in Australia. Read More

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http://dx.doi.org/10.1186/s12961-018-0395-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6292010PMC
December 2018
1 Read