Evidence map›Paper›PMID 35033096›Full record

ArticleHealth research policy and systems2022

Policy options for strengthening evidence-informed health policy-making in Iran: overall SASHA project findings.

Reza Majdzadeh, Haniye Sadat Sajadi, Bahareh Yazdizadeh, Leila Doshmangir, Elham Ehsani-Chimeh, Mahdi Mahdavi, Neda Mehrdad, John Lavis, Sima Nikooee, Farideh Mohtasham and 12 more

Abstract readVideo-Audio Media
In one paragraph

Article in Health research policy and systems, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Healthcare priority-setting criteria and social values in Iran: an investigation of local evidence.International journal of technology assessment in health care · 2023
    Review
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors.

Reza Majdzadeh *Community Based Participatory Research Center, Knowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, Iran. rezamajd@tums.ac.ir.ORCID http://orcid.org/0000-0001-8429-5261
Haniye Sadat Sajadi *Knowledge Utilization Research Center, University Research and Development Center, Tehran University of Medical Sciences, Tehran, Iran.
Bahareh Yazdizadeh *Knowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Leila DoshmangirDepartment of Health Policy and Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.
Elham Ehsani-ChimehNational Institute of Health Research, Tehran University of Medical Sciences, Tehran, Iran.
Mahdi MahdaviNational Institute of Health Research, Tehran University of Medical Sciences, Tehran, Iran.
Neda MehrdadNursing Care Research Center, Iran University of Medical Sciences, Tehran, Iran.
John LavisMcMaster Health Forum and Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Canada.
Sima NikooeeKnowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Farideh MohtashamKnowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Mahsa MohseniKnowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Paria AkbariKnowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Mohammad Hossein AsgardoonKnowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Niloofar RezaeiSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Narges NeyaziInternational Campus, School of Public Health, Health Economics and Management Department, Tehran University of Medical Sciences, Tehran, Iran.
Saeideh GhaffarifarMedical Education Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran.
Ali Akbar HaghdoostHIV/STI Surveillance Research Center and WHO Collaborating Center for HIV Surveillance, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Rahim Khodayari-ZarnaqDepartment of Health Policy and Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.
Ali Mohammad MosadeghradSchool of Public Health, Health Information Management Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Ata PourabbasiEndocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Javad RafinejadDepartment of Medical Entomology and Vector Control, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Reza ToyserkanamaneshDepartment of Treatment and Social Support, IRAN Drug Control Headquarter, Tehran, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe 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.

methodsThis 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.

resultsWe 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).

conclusionThe 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. Video abstract.

Indexed as

Health PolicyPolicy MakingHumansIranMotivationSocial ResponsibilityEvidenceHealth research systemIranKnowledge translationPolicy-making

Identifiers

PMID35033096
PMCPMC8760808

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.