ReviewThe Milbank quarterly2009
Research and advice giving: a functional view of evidence-informed policy advice in a Canadian Ministry of Health.
Review in The Milbank quarterly, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
37 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- A systematic review of frameworks for the interrelationships of mental health evidence and policy in low- and middle-income countries.Health research policy and systems · 2018Pooled it
- Advocacy for health equity: a synthesis review.The Milbank quarterly · 2015Pooled it
- A systematic review of barriers to and facilitators of the use of evidence by policymakers.BMC health services research · 2014Pooled it
- Appropriate prescribing in nursing homes demonstration project (APDP) study protocol: pragmatic, cluster-randomized trial and mixed methods process evaluation of an Ontario policy-maker initiative to improve appropriate prescribing of antipsychotics.Implementation science : IS · 2016Trial
- Public sector health analytics capacity before and after Covid-19: A case study of manager perspectives in New Brunswick, Canada.International journal of population data science · 2024Article
- From bench to policy: a critical analysis of models for evidence-informed policymaking in healthcare.Frontiers in public health · 2024Review
- Prioritising and incentivising productivity within indicator-based approaches to Research Impact Assessment: a commentary.Health research policy and systems · 2023Article
- Ontario's COVID-19 Modelling Consensus Table: mobilizing scientific expertise to support pandemic response.Canadian journal of public health = Revue canadienne de sante publique · 2021Article
- The decision sampling framework: a methodological approach to investigate evidence use in policy and programmatic innovation.Implementation science : IS · 2021Article
- Organisational factors that facilitate research use in public health policy-making: a scoping review.Health research policy and systems · 2019Article
- Health system performance assessment in small countries: The case study of Latvia.The International journal of health planning and management · 2019Article
- Training for Health System Improvement: Emerging Lessons from Canadian and US Approaches to Embedded Fellowships.Healthcare policy = Politiques de sante · 2019Article
- The Career Outcomes of Health Services and Policy Research Doctoral Graduates.Healthcare policy = Politiques de sante · 2019Article
- Training for Impact: PhD Modernization as a Key Resource for Learning Health Systems.Healthcare policy = Politiques de sante · 2019Article
- Integrated Knowledge Translation with Public Health Policy Makers: A Scoping Review.Healthcare policy = Politiques de sante · 2019Article
- What, why and how do health systems learn from one another? Insights from eight low- and middle-income country case studies.Health research policy and systems · 2019Article
- Improving research and policy interactions requires a better understanding of what works in different contexts.Israel journal of health policy research · 2018Article
- A fragile but critical link: a commentary on the importance of government-academy relationships.Israel journal of health policy research · 2018Article
- Research in government and academia: the case of health policy.Israel journal of health policy research · 2018Article
- When "Good Evidence" Is Not Enough: A Case of Global Malaria Policy Development.Global challenges (Hoboken, NJ) · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextAs evidence-based medicine grows in influence and scope, its applicability to health policy prompts two questions: Can the principles and, more specifically, the tools used to bring research into the clinical world apply to civil servants offering advice to politicians? If not, what approach should the evidence-oriented health policy organization take to improve the use of research?
methodsThis article reviews evidence-based medicine and models of research use in policy. Then it reports the results of interviews with civil servants in the Ontario Ministry of Health, which recently adopted a stewardship rather than an operational role, incorporating many evidence-oriented strategies. The interviews focused on functional roles for research-based evidence in policy advice.
findingsThe clinical context and tools for evidence-based medicine can rarely be generalized to policy. Most current models of research use offer lessons to researchers wishing to apply their work to policy but little help for civil servants wishing to become more evidence oriented. The interviews revealed functional roles for research in setting agendas (noting upcoming issues and screening interest groups' claims), developing new policies (reducing uncertainty, helping speak truth to power, and preventing repetition and duplication), and monitoring or modifying existing policies (continuously improving programs and creating a culture of inquiry). Each area requires different tools to help filter the push of evidence from researchers and set agendas, to facilitate the urgent pull on relevant research by civil servants developing new policy, and to support ongoing linkage and exchange between civil servants and researchers for monitoring and modifying existing policy.
conclusionsA functional framework for evidence-informed policy advice is useful for distinguishing the activity from evidence-based medicine and "auditing" the balance of efforts across the different functional roles of research in policy.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.