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Political and Institutional Influences on the Use of Evidence in Public Health Policy. A Systematic Review
BACKGROUND: There is increasing recognition that the development of evidence-informed health policy is not only a technical problem of knowledge exchange or translation, but also a political challenge. Yet, while political scientists have long considered the nature of political systems, the role of...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3813708/ https://www.ncbi.nlm.nih.gov/pubmed/24204823 http://dx.doi.org/10.1371/journal.pone.0077404 |
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author | Liverani, Marco Hawkins, Benjamin Parkhurst, Justin O. |
author_facet | Liverani, Marco Hawkins, Benjamin Parkhurst, Justin O. |
author_sort | Liverani, Marco |
collection | PubMed |
description | BACKGROUND: There is increasing recognition that the development of evidence-informed health policy is not only a technical problem of knowledge exchange or translation, but also a political challenge. Yet, while political scientists have long considered the nature of political systems, the role of institutional structures, and the political contestation of policy issues as central to understanding policy decisions, these issues remain largely unexplored by scholars of evidence-informed policy making. METHODS: We conducted a systematic review of empirical studies that examined the influence of key features of political systems and institutional mechanisms on evidence use, and contextual factors that may contribute to the politicisation of health evidence. Eligible studies were identified through searches of seven health and social sciences databases, websites of relevant organisations, the British Library database, and manual searches of academic journals. Relevant findings were extracted using a uniform data extraction tool and synthesised by narrative review. FINDINGS: 56 studies were selected for inclusion. Relevant political and institutional aspects affecting the use of health evidence included the level of state centralisation and democratisation, the influence of external donors and organisations, the organisation and function of bureaucracies, and the framing of evidence in relation to social norms and values. However, our understanding of such influences remains piecemeal given the limited number of empirical analyses on this subject, the paucity of comparative works, and the limited consideration of political and institutional theory in these studies. CONCLUSIONS: This review highlights the need for a more explicit engagement with the political and institutional factors affecting the use of health evidence in decision-making. A more nuanced understanding of evidence use in health policy making requires both additional empirical studies of evidence use, and an engagement with theories and approaches beyond the current remit of public health or knowledge utilisation studies. |
format | Online Article Text |
id | pubmed-3813708 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-38137082013-11-07 Political and Institutional Influences on the Use of Evidence in Public Health Policy. A Systematic Review Liverani, Marco Hawkins, Benjamin Parkhurst, Justin O. PLoS One Research Article BACKGROUND: There is increasing recognition that the development of evidence-informed health policy is not only a technical problem of knowledge exchange or translation, but also a political challenge. Yet, while political scientists have long considered the nature of political systems, the role of institutional structures, and the political contestation of policy issues as central to understanding policy decisions, these issues remain largely unexplored by scholars of evidence-informed policy making. METHODS: We conducted a systematic review of empirical studies that examined the influence of key features of political systems and institutional mechanisms on evidence use, and contextual factors that may contribute to the politicisation of health evidence. Eligible studies were identified through searches of seven health and social sciences databases, websites of relevant organisations, the British Library database, and manual searches of academic journals. Relevant findings were extracted using a uniform data extraction tool and synthesised by narrative review. FINDINGS: 56 studies were selected for inclusion. Relevant political and institutional aspects affecting the use of health evidence included the level of state centralisation and democratisation, the influence of external donors and organisations, the organisation and function of bureaucracies, and the framing of evidence in relation to social norms and values. However, our understanding of such influences remains piecemeal given the limited number of empirical analyses on this subject, the paucity of comparative works, and the limited consideration of political and institutional theory in these studies. CONCLUSIONS: This review highlights the need for a more explicit engagement with the political and institutional factors affecting the use of health evidence in decision-making. A more nuanced understanding of evidence use in health policy making requires both additional empirical studies of evidence use, and an engagement with theories and approaches beyond the current remit of public health or knowledge utilisation studies. Public Library of Science 2013-10-30 /pmc/articles/PMC3813708/ /pubmed/24204823 http://dx.doi.org/10.1371/journal.pone.0077404 Text en © 2013 Liverani et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited. |
spellingShingle | Research Article Liverani, Marco Hawkins, Benjamin Parkhurst, Justin O. Political and Institutional Influences on the Use of Evidence in Public Health Policy. A Systematic Review |
title | Political and Institutional Influences on the Use of Evidence in Public Health Policy. A Systematic Review |
title_full | Political and Institutional Influences on the Use of Evidence in Public Health Policy. A Systematic Review |
title_fullStr | Political and Institutional Influences on the Use of Evidence in Public Health Policy. A Systematic Review |
title_full_unstemmed | Political and Institutional Influences on the Use of Evidence in Public Health Policy. A Systematic Review |
title_short | Political and Institutional Influences on the Use of Evidence in Public Health Policy. A Systematic Review |
title_sort | political and institutional influences on the use of evidence in public health policy. a systematic review |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3813708/ https://www.ncbi.nlm.nih.gov/pubmed/24204823 http://dx.doi.org/10.1371/journal.pone.0077404 |
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