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Qualitative assessment of opportunities and challenges to improve evidence-informed health policy-making in Hungary – an EVIPNet situation analysis pilot

BACKGROUND: In evidence-informed policy-making (EIP), major knowledge gaps remain in understanding the context and possibilities for institutionalisation of knowledge translation. In 2014, the WHO Evidence-informed Policy Network (EVIPNet) Europe initiated a number of pilot countries, with Hungary a...

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Autores principales: Mihalicza, Péter, Leys, Mark, Borbás, Ilona, Szigeti, Szabolcs, Biermann, Olivia, Kuchenmüller, Tanja
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6006924/
https://www.ncbi.nlm.nih.gov/pubmed/29914525
http://dx.doi.org/10.1186/s12961-018-0331-z
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author Mihalicza, Péter
Leys, Mark
Borbás, Ilona
Szigeti, Szabolcs
Biermann, Olivia
Kuchenmüller, Tanja
author_facet Mihalicza, Péter
Leys, Mark
Borbás, Ilona
Szigeti, Szabolcs
Biermann, Olivia
Kuchenmüller, Tanja
author_sort Mihalicza, Péter
collection PubMed
description BACKGROUND: In evidence-informed policy-making (EIP), major knowledge gaps remain in understanding the context and possibilities for institutionalisation of knowledge translation. In 2014, the WHO Evidence-informed Policy Network (EVIPNet) Europe initiated a number of pilot countries, with Hungary among them, to engage in a ‘situation analysis’ (SA) in order to fill some of those gaps. This contribution discusses the results of the SA in Hungary on research–policy interactions, facilitating factors and potential barriers to establish a knowledge translation platform (KTP). METHODS: In line with the EVIPNet Europe SA Manual, a document analysis, 13 interviews, 3 focus group discussions with 21 participants, and an online survey with 31 respondents were carried out from April to October, 2015. A SA aims to assess the context in which EIP takes form and seeks opportunities to establish a KTP, so information was gathered on the current practice of EIP and knowledge translation, its relevant actors, enablers and barriers for EIP, and opinions on a future KTP. Methodological and researcher triangulation resulted in a narrative synthesis of data, including a comparison with literature. A stakeholder consultation was organised to validate findings. RESULTS: This study reveals that stakeholders show commitment to produce and use research evidence in Hungarian health policy-making. All stakeholders endorsed the idea of strengthening the systematic use of evidence in decision-making and favoured the idea of establishing a KTP. In line with literature on other countries, some good practices exist on the uptake of evidence in policy-making; however, a systematic approach of developing, translating and using research evidence in health policy processes is lacking. EIP is currently hampered by scattered capacity, coordination problems, high fluctuation in government, an often legalistic and a more ‘symbolic’ rather than practical support for knowledge translation and EIP. The article summarises recommendations on a Hungarian KTP. CONCLUSIONS: Pragmatic adaptation of the SA Manual to local needs proved to be a useful mechanism to provide insight into the Hungarian EIP field and the establishment of a potential KTP. Despite the success of a KTP pilot, it remains unclear how a KTP in Hungary will be institutionalised in a sustainable way. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12961-018-0331-z) contains supplementary material, which is available to authorized users.
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spelling pubmed-60069242018-06-26 Qualitative assessment of opportunities and challenges to improve evidence-informed health policy-making in Hungary – an EVIPNet situation analysis pilot Mihalicza, Péter Leys, Mark Borbás, Ilona Szigeti, Szabolcs Biermann, Olivia Kuchenmüller, Tanja Health Res Policy Syst Research BACKGROUND: In evidence-informed policy-making (EIP), major knowledge gaps remain in understanding the context and possibilities for institutionalisation of knowledge translation. In 2014, the WHO Evidence-informed Policy Network (EVIPNet) Europe initiated a number of pilot countries, with Hungary among them, to engage in a ‘situation analysis’ (SA) in order to fill some of those gaps. This contribution discusses the results of the SA in Hungary on research–policy interactions, facilitating factors and potential barriers to establish a knowledge translation platform (KTP). METHODS: In line with the EVIPNet Europe SA Manual, a document analysis, 13 interviews, 3 focus group discussions with 21 participants, and an online survey with 31 respondents were carried out from April to October, 2015. A SA aims to assess the context in which EIP takes form and seeks opportunities to establish a KTP, so information was gathered on the current practice of EIP and knowledge translation, its relevant actors, enablers and barriers for EIP, and opinions on a future KTP. Methodological and researcher triangulation resulted in a narrative synthesis of data, including a comparison with literature. A stakeholder consultation was organised to validate findings. RESULTS: This study reveals that stakeholders show commitment to produce and use research evidence in Hungarian health policy-making. All stakeholders endorsed the idea of strengthening the systematic use of evidence in decision-making and favoured the idea of establishing a KTP. In line with literature on other countries, some good practices exist on the uptake of evidence in policy-making; however, a systematic approach of developing, translating and using research evidence in health policy processes is lacking. EIP is currently hampered by scattered capacity, coordination problems, high fluctuation in government, an often legalistic and a more ‘symbolic’ rather than practical support for knowledge translation and EIP. The article summarises recommendations on a Hungarian KTP. CONCLUSIONS: Pragmatic adaptation of the SA Manual to local needs proved to be a useful mechanism to provide insight into the Hungarian EIP field and the establishment of a potential KTP. Despite the success of a KTP pilot, it remains unclear how a KTP in Hungary will be institutionalised in a sustainable way. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12961-018-0331-z) contains supplementary material, which is available to authorized users. BioMed Central 2018-06-19 /pmc/articles/PMC6006924/ /pubmed/29914525 http://dx.doi.org/10.1186/s12961-018-0331-z Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Mihalicza, Péter
Leys, Mark
Borbás, Ilona
Szigeti, Szabolcs
Biermann, Olivia
Kuchenmüller, Tanja
Qualitative assessment of opportunities and challenges to improve evidence-informed health policy-making in Hungary – an EVIPNet situation analysis pilot
title Qualitative assessment of opportunities and challenges to improve evidence-informed health policy-making in Hungary – an EVIPNet situation analysis pilot
title_full Qualitative assessment of opportunities and challenges to improve evidence-informed health policy-making in Hungary – an EVIPNet situation analysis pilot
title_fullStr Qualitative assessment of opportunities and challenges to improve evidence-informed health policy-making in Hungary – an EVIPNet situation analysis pilot
title_full_unstemmed Qualitative assessment of opportunities and challenges to improve evidence-informed health policy-making in Hungary – an EVIPNet situation analysis pilot
title_short Qualitative assessment of opportunities and challenges to improve evidence-informed health policy-making in Hungary – an EVIPNet situation analysis pilot
title_sort qualitative assessment of opportunities and challenges to improve evidence-informed health policy-making in hungary – an evipnet situation analysis pilot
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6006924/
https://www.ncbi.nlm.nih.gov/pubmed/29914525
http://dx.doi.org/10.1186/s12961-018-0331-z
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