دورية أكاديمية
Uncovering the processes of knowledge transformation: the example of local evidence-informed policy making in UK healthcare
| العنوان: | Uncovering the processes of knowledge transformation: the example of local evidence-informed policy making in UK healthcare |
|---|---|
| المؤلفون: | Gabbay, J, le May, A, Pope, C, Klein, J, Brangan, E, Cameron, A, Wye, L |
| بيانات النشر: | BioMed Central |
| سنة النشر: | 2020 |
| المجموعة: | Oxford University Research Archive (ORA) |
| الوصف: | Background: Healthcare policymakers are expected to develop ‘evidence-based’ policies. Yet studies have consistently shown that, like clinical practitioners, they need to combine many varied kinds of evidence and information derived from divergent sources. Working in the complex environment of healthcare decision-making, they have to rely on forms of (practical, contextual) knowledge quite different from that produced by researchers. It is therefore important to understand how and why they transform research-based evidence into the knowledge they ultimately use. Methods: We purposively selected four healthcare-commissioning organisations working with external agencies that provided research-based evidence to assist with commissioning; we interviewed a total of 52 people involved in that work. This entailed 92 interviews in total, each lasting 20-60 minutes – 47 with policy-making commissioners, 36 with staff of external agencies, 9 with freelance specialists, lay representatives and local-authority professionals. We observed 25 meetings (14 within the commissioning organisations) and reviewed relevant documents. We analysed the data thematically using a constant-comparison method with a coding framework and developed 20-50-page structured summaries of each case-study site. We iteratively discussed and refined emerging findings, including cross-case analyses, in regular research-team meetings with facilitated analysis. Further details of the study, and other results, have been described elsewhere. Results: The commissioners’ role was to assess the available care-provision options, develop justifiable arguments for the preferred alternatives, and navigate them through a tortuous decision-making system with often-conflicting internal and external opinion. In a multi-transactional environment characterised by interactive, pressurised, under-determined decisions, this required repeated, contested sensemaking through negotiation of many sources of evidence. Commissioners therefore had to subject research-based ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | https://ora.ox.ac.uk/objects/uuid:6b3a0bad-c9d8-4d30-8475-35995bce7b66Test; https://doi.org/10.1186/s12961-020-00587-9Test |
| DOI: | 10.1186/s12961-020-00587-9 |
| الإتاحة: | https://doi.org/10.1186/s12961-020-00587-9Test https://ora.ox.ac.uk/objects/uuid:6b3a0bad-c9d8-4d30-8475-35995bce7b66Test |
| حقوق: | info:eu-repo/semantics/openAccess ; CC Attribution (CC BY) |
| رقم الانضمام: | edsbas.A305E1E6 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1186/s12961-020-00587-9 |
|---|