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1.
Arch Public Health ; 74: 31, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-27441090

RESUMEN

BACKGROUND: The field of research on knowledge mobilization and evidence-informed policy-making has seen enduring debates related to various fundamental assumptions such as the definition of 'evidence', the relative validity of various research methods, the actual role of evidence to inform policy-making, etc. In many cases, these discussions serve a useful purpose, but they also stem from serious disagreement on methodological and epistemological issues. DISCUSSION: This essay reviews the rationale for evidence-informed policy-making by examining some of the common claims made about the aims and practices of this perspective on public policy. Supplementing the existing justifications for evidence-based policy making, we argue in favor of a greater inclusion of research evidence in the policy process but in a structured fashion, based on methodological considerations. In this respect, we present an overview of the intricate relation between policy questions and appropriate research designs. SUMMARY: By closely examining the relation between research questions and research designs, we claim that the usual points of disagreement are mitigated. For instance, when focusing on the variety of research designs that can answer a range of policy questions, the common critical claim about 'RCT-based policy-making' seems to lose some, if not all of its grip.

2.
Implement Sci ; 9: 146, 2014 Oct 09.
Artículo en Inglés | MEDLINE | ID: mdl-25294109

RESUMEN

BACKGROUND: This protocol builds on the development of a) a framework that identified the various supports (i.e. positions, activities, interventions) that a healthcare organisation or health system can implement for evidence-informed decision-making (EIDM) and b) a qualitative study that showed the current mix of supports that some Canadian healthcare organisations have in place and the ones that are perceived to facilitate the use of research evidence in decision-making. Based on these findings, we developed a web survey to collect cross-sectional data about the specific supports that regional health authorities and hospitals in two Canadian provinces (Ontario and Quebec) have in place to facilitate EIDM. METHODS/DESIGN: This paper describes the methods for a cross-sectional web survey among 32 regional health authorities and 253 hospitals in the provinces of Quebec and Ontario (Canada) to collect data on the current mix of organisational supports that these organisations have in place to facilitate evidence-informed decision-making. The data will be obtained through a two-step survey design: a 10-min survey among CEOs to identify key units and individuals in regard to our objectives (step 1) and a 20-min survey among managers of the key units identified in step 1 to collect information about the activities performed by their unit regarding the acquisition, assessment, adaptation and/or dissemination of research evidence in decision-making (step 2). The study will target three types of informants: CEOs, library/documentation centre managers and all other key managers whose unit is involved in the acquisition, assessment, adaptation/packaging and/or dissemination of research evidence in decision-making. We developed an innovative data collection system to increase the likelihood that only the best-informed respondent available answers each survey question. The reporting of the results will be done using descriptive statistics of supports by organisation type and by province. DISCUSSION: This study will be the first to collect and report large-scale cross-sectional data on the current mix of supports health system organisations in the two most populous Canadian provinces have in place for evidence-informed decision-making. The study will also provide useful information to researchers on how to collect organisation-level data with reduced risk of self-reporting bias.


Asunto(s)
Medicina Basada en la Evidencia , Instituciones de Salud/estadística & datos numéricos , Organizaciones/estadística & datos numéricos , Formulación de Políticas , Estudios Transversales , Sistemas de Apoyo a Decisiones Clínicas/estadística & datos numéricos , Política de Salud , Humanos , Ontario , Quebec , Programas Médicos Regionales/organización & administración , Programas Médicos Regionales/estadística & datos numéricos
3.
Scientometrics ; 88(1): 91-106, 2011 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-21765564

RESUMEN

This exploratory study aims at answering the following research question: Are the h-index and some of its derivatives discriminatory when applied to rank social scientists with different epistemological beliefs and methodological preferences? This study reports the results of five Tobit and two negative binomial regression models taking as dependent variable the h-index and six of its derivatives, using a dataset combining bibliometric data collected with the PoP software with cross-sectional data of 321 Quebec social scientists in Anthropology, Sociology, Social Work, Political Science, Economics and Psychology. The results reveal an epistemological/methodological effect making positivists and quantitativists globally more productive than constructivists and qualitativists.

4.
Implement Sci ; 6: 60, 2011 Jun 06.
Artículo en Inglés | MEDLINE | ID: mdl-21645401

RESUMEN

BACKGROUND: This study examines research knowledge infrastructures (RKIs) found in health systems. An RKI is defined as any instrument (i.e., programs, interventions, tools) implemented in order to facilitate access, dissemination, exchange, and/or use of evidence in healthcare organisations. Based on an environmental scan (17 key informant interviews) and scoping review (26 studies), we found support for a framework that we developed that outlines components that a health system can have in its RKI. The broad domains are climate for research use, research production, activities used to link research to action, and evaluation.The objective of the current study is to profile the RKI of three types of health system organisations--regional health authorities, primary care practices, and hospitals--in two Canadian provinces to determine the current mix of components these organisations have in their RKI, their experience with these components, and their views about future RKI initiatives. METHODS: This study will include semistructured telephone interviews with a purposive sample region of a senior management team member, library/resource centre manager, and a 'knowledge broker' in three regional health authorities, five or six purposively sampled hospitals, and five or six primary care practices in Ontario and Quebec, for a maximum of 71 interviewees. The interviews will explore (a) which RKI components have proven helpful, (b) barriers and facilitators in implementing RKI components, and (c) views about next steps in further development of RKIs. DISCUSSION: This is the first qualitative examination of potential RKI efforts that can increase the use of research evidence in health system decision making. We anticipate being able to identify broadly applicable insights about important next steps in building effective RKIs. Some of the identified RKI components may increase the use of research evidence by decision makers, which may then lead to more informed decisions.


Asunto(s)
Sistemas de Información en Salud/organización & administración , Canadá , Atención a la Salud/organización & administración , Sistemas de Información en Salud/estadística & datos numéricos , Sistemas de Información en Hospital/organización & administración , Humanos , Entrevistas como Asunto , Atención Primaria de Salud/organización & administración , Investigación Cualitativa
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