Cargando…
Policy options for strengthening evidence-informed health policy-making in Iran: overall SASHA project findings
BACKGROUND: The institutionalization of evidence-informed health policy-making (EIHP) is complex and complicated. It is complex because it has many players and is complicated because its institutionalization will require many changes that will be challenging to make. Like many other issues, strength...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8760808/ https://www.ncbi.nlm.nih.gov/pubmed/35033096 http://dx.doi.org/10.1186/s12961-021-00803-0 |
_version_ | 1784633400877907968 |
---|---|
author | Majdzadeh, Reza Sajadi, Haniye Sadat Yazdizadeh, Bahareh Doshmangir, Leila Ehsani-Chimeh, Elham Mahdavi, Mahdi Mehrdad, Neda Lavis, John Nikooee, Sima Mohtasham, Farideh Mohseni, Mahsa Akbari, Paria Asgardoon, Mohammad Hossein Rezaei, Niloofar Neyazi, Narges Ghaffarifar, Saeideh Haghdoost, Ali Akbar Khodayari-Zarnaq, Rahim Mosadeghrad, Ali Mohammad Pourabbasi, Ata Rafinejad, Javad Toyserkanamanesh, Reza |
author_facet | Majdzadeh, Reza Sajadi, Haniye Sadat Yazdizadeh, Bahareh Doshmangir, Leila Ehsani-Chimeh, Elham Mahdavi, Mahdi Mehrdad, Neda Lavis, John Nikooee, Sima Mohtasham, Farideh Mohseni, Mahsa Akbari, Paria Asgardoon, Mohammad Hossein Rezaei, Niloofar Neyazi, Narges Ghaffarifar, Saeideh Haghdoost, Ali Akbar Khodayari-Zarnaq, Rahim Mosadeghrad, Ali Mohammad Pourabbasi, Ata Rafinejad, Javad Toyserkanamanesh, Reza |
author_sort | Majdzadeh, Reza |
collection | PubMed |
description | BACKGROUND: The institutionalization of evidence-informed health policy-making (EIHP) is complex and complicated. It is complex because it has many players and is complicated because its institutionalization will require many changes that will be challenging to make. Like many other issues, strengthening EIHP needs a road map, which should consider challenges and address them through effective, harmonized and contextualized strategies. This study aims to develop a road map for enhancing EIHP in Iran based on steps of planning. METHODS: This study consisted of three phases: (1) identifying barriers to EIHP, (2) recognizing interventions and (3) measuring the use of evidence in Iran's health policy-making. A set of activities was established for conducting these, including foresight, systematic review and policy dialogue, to identify the current and potential barriers for the first phase. For the second phase, an evidence synthesis was performed through a scoping review, by searching the websites of benchmark institutions which had good examples of EIHP practices in order to extract and identify interventions, and through eight policy dialogues and two broad opinion polls to contextualize the list of interventions. Simultaneously, two qualitative-quantitative studies were conducted to design and use a tool for assessing EIHP in the third phase. RESULTS: We identified 97 barriers to EIHP and categorized them into three groups, including 35 barriers on the “generation of evidence” (push side), 41 on the “use of evidence” (pull side) and 21 on the “interaction between these two” (exchange side). The list of 41 interventions identified through evidence synthesis and eight policy dialogues was reduced to 32 interventions after two expert opinion polling rounds. These interventions were classified into four main strategies for strengthening (1) the education and training system (6 interventions), (2) the incentives programmes (7 interventions), (3) the structure of policy support organizations (4 interventions) and (4) the enabling processes to support EIHP (15 interventions). CONCLUSION: The policy options developed in the study provide a comprehensive framework to chart a path for strengthening the country’s EIHP considering both global practices and the context of Iran. It is recommended that operational plans be prepared for road map interventions, and the necessary resources provided for their implementation. The implementation of the road map will require attention to the principles of good governance, with a focus on transparency and accountability. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12961-021-00803-0. |
format | Online Article Text |
id | pubmed-8760808 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-87608082022-01-18 Policy options for strengthening evidence-informed health policy-making in Iran: overall SASHA project findings Majdzadeh, Reza Sajadi, Haniye Sadat Yazdizadeh, Bahareh Doshmangir, Leila Ehsani-Chimeh, Elham Mahdavi, Mahdi Mehrdad, Neda Lavis, John Nikooee, Sima Mohtasham, Farideh Mohseni, Mahsa Akbari, Paria Asgardoon, Mohammad Hossein Rezaei, Niloofar Neyazi, Narges Ghaffarifar, Saeideh Haghdoost, Ali Akbar Khodayari-Zarnaq, Rahim Mosadeghrad, Ali Mohammad Pourabbasi, Ata Rafinejad, Javad Toyserkanamanesh, Reza Health Res Policy Syst Research BACKGROUND: The institutionalization of evidence-informed health policy-making (EIHP) is complex and complicated. It is complex because it has many players and is complicated because its institutionalization will require many changes that will be challenging to make. Like many other issues, strengthening EIHP needs a road map, which should consider challenges and address them through effective, harmonized and contextualized strategies. This study aims to develop a road map for enhancing EIHP in Iran based on steps of planning. METHODS: This study consisted of three phases: (1) identifying barriers to EIHP, (2) recognizing interventions and (3) measuring the use of evidence in Iran's health policy-making. A set of activities was established for conducting these, including foresight, systematic review and policy dialogue, to identify the current and potential barriers for the first phase. For the second phase, an evidence synthesis was performed through a scoping review, by searching the websites of benchmark institutions which had good examples of EIHP practices in order to extract and identify interventions, and through eight policy dialogues and two broad opinion polls to contextualize the list of interventions. Simultaneously, two qualitative-quantitative studies were conducted to design and use a tool for assessing EIHP in the third phase. RESULTS: We identified 97 barriers to EIHP and categorized them into three groups, including 35 barriers on the “generation of evidence” (push side), 41 on the “use of evidence” (pull side) and 21 on the “interaction between these two” (exchange side). The list of 41 interventions identified through evidence synthesis and eight policy dialogues was reduced to 32 interventions after two expert opinion polling rounds. These interventions were classified into four main strategies for strengthening (1) the education and training system (6 interventions), (2) the incentives programmes (7 interventions), (3) the structure of policy support organizations (4 interventions) and (4) the enabling processes to support EIHP (15 interventions). CONCLUSION: The policy options developed in the study provide a comprehensive framework to chart a path for strengthening the country’s EIHP considering both global practices and the context of Iran. It is recommended that operational plans be prepared for road map interventions, and the necessary resources provided for their implementation. The implementation of the road map will require attention to the principles of good governance, with a focus on transparency and accountability. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12961-021-00803-0. BioMed Central 2022-01-15 /pmc/articles/PMC8760808/ /pubmed/35033096 http://dx.doi.org/10.1186/s12961-021-00803-0 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Majdzadeh, Reza Sajadi, Haniye Sadat Yazdizadeh, Bahareh Doshmangir, Leila Ehsani-Chimeh, Elham Mahdavi, Mahdi Mehrdad, Neda Lavis, John Nikooee, Sima Mohtasham, Farideh Mohseni, Mahsa Akbari, Paria Asgardoon, Mohammad Hossein Rezaei, Niloofar Neyazi, Narges Ghaffarifar, Saeideh Haghdoost, Ali Akbar Khodayari-Zarnaq, Rahim Mosadeghrad, Ali Mohammad Pourabbasi, Ata Rafinejad, Javad Toyserkanamanesh, Reza Policy options for strengthening evidence-informed health policy-making in Iran: overall SASHA project findings |
title | Policy options for strengthening evidence-informed health policy-making in Iran: overall SASHA project findings |
title_full | Policy options for strengthening evidence-informed health policy-making in Iran: overall SASHA project findings |
title_fullStr | Policy options for strengthening evidence-informed health policy-making in Iran: overall SASHA project findings |
title_full_unstemmed | Policy options for strengthening evidence-informed health policy-making in Iran: overall SASHA project findings |
title_short | Policy options for strengthening evidence-informed health policy-making in Iran: overall SASHA project findings |
title_sort | policy options for strengthening evidence-informed health policy-making in iran: overall sasha project findings |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8760808/ https://www.ncbi.nlm.nih.gov/pubmed/35033096 http://dx.doi.org/10.1186/s12961-021-00803-0 |
work_keys_str_mv | AT majdzadehreza policyoptionsforstrengtheningevidenceinformedhealthpolicymakinginiranoverallsashaprojectfindings AT sajadihaniyesadat policyoptionsforstrengtheningevidenceinformedhealthpolicymakinginiranoverallsashaprojectfindings AT yazdizadehbahareh policyoptionsforstrengtheningevidenceinformedhealthpolicymakinginiranoverallsashaprojectfindings AT doshmangirleila policyoptionsforstrengtheningevidenceinformedhealthpolicymakinginiranoverallsashaprojectfindings AT ehsanichimehelham policyoptionsforstrengtheningevidenceinformedhealthpolicymakinginiranoverallsashaprojectfindings AT mahdavimahdi policyoptionsforstrengtheningevidenceinformedhealthpolicymakinginiranoverallsashaprojectfindings AT mehrdadneda policyoptionsforstrengtheningevidenceinformedhealthpolicymakinginiranoverallsashaprojectfindings AT lavisjohn policyoptionsforstrengtheningevidenceinformedhealthpolicymakinginiranoverallsashaprojectfindings AT nikooeesima policyoptionsforstrengtheningevidenceinformedhealthpolicymakinginiranoverallsashaprojectfindings AT mohtashamfarideh policyoptionsforstrengtheningevidenceinformedhealthpolicymakinginiranoverallsashaprojectfindings AT mohsenimahsa policyoptionsforstrengtheningevidenceinformedhealthpolicymakinginiranoverallsashaprojectfindings AT akbariparia policyoptionsforstrengtheningevidenceinformedhealthpolicymakinginiranoverallsashaprojectfindings AT asgardoonmohammadhossein policyoptionsforstrengtheningevidenceinformedhealthpolicymakinginiranoverallsashaprojectfindings AT rezaeiniloofar policyoptionsforstrengtheningevidenceinformedhealthpolicymakinginiranoverallsashaprojectfindings AT neyazinarges policyoptionsforstrengtheningevidenceinformedhealthpolicymakinginiranoverallsashaprojectfindings AT ghaffarifarsaeideh policyoptionsforstrengtheningevidenceinformedhealthpolicymakinginiranoverallsashaprojectfindings AT haghdoostaliakbar policyoptionsforstrengtheningevidenceinformedhealthpolicymakinginiranoverallsashaprojectfindings AT khodayarizarnaqrahim policyoptionsforstrengtheningevidenceinformedhealthpolicymakinginiranoverallsashaprojectfindings AT mosadeghradalimohammad policyoptionsforstrengtheningevidenceinformedhealthpolicymakinginiranoverallsashaprojectfindings AT pourabbasiata policyoptionsforstrengtheningevidenceinformedhealthpolicymakinginiranoverallsashaprojectfindings AT rafinejadjavad policyoptionsforstrengtheningevidenceinformedhealthpolicymakinginiranoverallsashaprojectfindings AT toyserkanamaneshreza policyoptionsforstrengtheningevidenceinformedhealthpolicymakinginiranoverallsashaprojectfindings |