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El-Jardali F, Bou-Karroum L, Hilal N, Hammoud M, Hemadi N, Assal M, Kalach N, Harb A, Azzopardi-Muscat N, Sy TR, Novillo-Ortiz D. Knowledge management tools and mechanisms for evidence-informed decision-making in the WHO European Region: a scoping review. Health Res Policy Syst 2023; 21:113. [PMID: 37907919 PMCID: PMC10619313 DOI: 10.1186/s12961-023-01058-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2023] [Accepted: 10/07/2023] [Indexed: 11/02/2023] Open
Abstract
BACKGROUND Knowledge management (KM) emerged as a strategy to promote evidence-informed decision-making. This scoping review aims to map existing KM tools and mechanisms used to promote evidence-informed health decision-making in the WHO European Region and identify knowledge gaps. METHODS Following the Joanna Briggs Institute (JBI) guidance for conducting scoping reviews, we searched Medline, PubMed, EMBASE, the Cochrane library, and Open Grey. We conducted a descriptive analysis of the general characteristics of the included papers and conducted narrative analysis of the included studies and categorized studies according to KM type and phase. RESULTS Out of 9541 citations identified, we included 141 studies. The KM tools mostly assessed are evidence networks, surveillance tools, observatories, data platforms and registries, with most examining KM tools in high-income countries of the WHO European region. Findings suggest that KM tools can identify health problems, inform health planning and resource allocation, increase the use of evidence by policymakers and stimulate policy discussion. CONCLUSION Policymakers and funding agencies are called to support capacity-building activities, and future studies to strengthen KM in the WHO European region particularly in Eastern Europe and Central Asia. An updated over-arching strategy to coordinate KM activities in the WHO European region will be useful in these efforts.
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Affiliation(s)
- Fadi El-Jardali
- Department of Health Management and Policy, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
- Knowledge to Policy Center, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada
| | - Lama Bou-Karroum
- Department of Health Management and Policy, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
- Knowledge to Policy Center, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
| | - Nadeen Hilal
- Knowledge to Policy Center, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
| | - Maya Hammoud
- Department of Health Management and Policy, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
| | - Nour Hemadi
- Knowledge to Policy Center, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
| | - Michelle Assal
- Knowledge to Policy Center, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
| | - Nour Kalach
- Knowledge to Policy Center, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
| | - Aya Harb
- Knowledge to Policy Center, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
| | - Natasha Azzopardi-Muscat
- Division of Country Health Policies and Systems, WHO Regional Office for Europe, Copenhagen, Denmark
| | - Tyrone Reden Sy
- Division of Country Health Policies and Systems, WHO Regional Office for Europe, Copenhagen, Denmark.
| | - David Novillo-Ortiz
- Division of Country Health Policies and Systems, WHO Regional Office for Europe, Copenhagen, Denmark
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Quentin W, Achstetter K, Barros PP, Blankart CR, Fattore G, Jeurissen P, Kwon S, Laba T, Or Z, Papanicolas I, Polin K, Shuftan N, Sutherland J, Vogt V, Vrangbaek K, Wendt C. Health Policy - the best evidence for better policies. Health Policy 2023; 127:1-4. [PMID: 36669897 DOI: 10.1016/j.healthpol.2023.104708] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
Affiliation(s)
- Wilm Quentin
- Fachgebiet Management im Gesundheitswesen, Technische Universität Berlin, Berlin, Germany; European Observatory on Health Systems and Policies, Belgium, Brussels
| | - Katharina Achstetter
- Fachgebiet Management im Gesundheitswesen, Technische Universität Berlin, Berlin, Germany
| | | | - Carl Rudolf Blankart
- KPM Center for Public Management, University of Bern, Bern, Switzerland; Swiss Institute for Translational and Entrepreneurial Medicine (sitem-insel), Bern, Switzerland
| | - Giovanni Fattore
- Department of Social and Political Sciences and CERGAS SDA, Università Bocconi, Milano, Italy
| | | | - Soonman Kwon
- Graduate School of Public Health, Seoul National University, Korea (the Republic of)
| | | | - Zeynep Or
- Institute for Research and Information in Health Economics, IRDES, Paris, France
| | - Irene Papanicolas
- Department of Health Services, Policy and Practice, Brown School of Public Health, Providence, RI, USA
| | - Katherine Polin
- Fachgebiet Management im Gesundheitswesen, Technische Universität Berlin, Berlin, Germany; European Observatory on Health Systems and Policies, Belgium, Brussels
| | - Nathan Shuftan
- Fachgebiet Management im Gesundheitswesen, Technische Universität Berlin, Berlin, Germany; European Observatory on Health Systems and Policies, Belgium, Brussels
| | - Jason Sutherland
- Centre for Health Services and Policy Research, University of British Columbia, Vancouver, Canada
| | - Verena Vogt
- Fachgebiet Management im Gesundheitswesen, Technische Universität Berlin, Berlin, Germany
| | - Karsten Vrangbaek
- Section of Health Services Research, University of Copenhagen, Copenhagen, Denmark
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"Top-Three" health reforms in 31 high-income countries in 2018 and 2019: an expert informed overview. Health Policy 2021; 125:815-832. [PMID: 34053787 DOI: 10.1016/j.healthpol.2021.04.005] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2020] [Revised: 04/02/2021] [Accepted: 04/11/2021] [Indexed: 11/20/2022]
Abstract
BACKGROUND High-income countries continuously reform their healthcare systems. Often, similar reforms are introduced concomitantly across countries. Although national policymakers would benefit from considering reform experiences abroad, exchange is limited. This paper provides an overview of health reform trends in 31 high-income countries in 2018 and 2019, i.e., before Covid-19. METHODS Information was collected from national experts from the Health Systems and Policy Monitor network. Experts were asked to report on the three "top" national health reforms 2018 and 2019. In 2019, they provided an update of 2018 reforms. Reforms were assigned to one of 11 clusters and identified as one of seven different reform types. RESULTS 81 reforms were reported in 28 countries in 2018. 44/81 went to four clusters: 'insurance coverage & resource generation', 'governance', 'healthcare purchasing & payment', and 'organisation of hospital care'. In 2019, 86 reforms in 30 countries were reported. 48/86 fell under 'organisation of primary & ambulatory care', 'governance', 'care coordination & specialised care', and 'organisation of hospital care'. Most 2018 reforms were reported ongoing in 2019; 27 implemented; seven abandoned. Health agency-led reforms were implemented most frequently, followed by central government-legislated reforms. CONCLUSIONS Policymakers can leverage international experience of distinct reform approaches addressing similar challenges and similar approaches to address distinct problems. Such knowledge may help inspire or support future successful health reform processes.
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Brown A, Marchildon G, Bornstein S, Ellen M. A fragile but critical link: a commentary on the importance of government-academy relationships. Isr J Health Policy Res 2018; 7:55. [PMID: 30285908 PMCID: PMC6167879 DOI: 10.1186/s13584-018-0247-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2018] [Accepted: 08/06/2018] [Indexed: 11/10/2022] Open
Abstract
Interactions between government and academia can be an important support to effective policy and they can also ground researchers' methods and perspectives more strongly in the realities of policy-making and politics, leading to more relevant research. If properly developed, these interactions can lead to relationships between government and academia that re-enforce evidence-informed policy and useful research. However, strong relationships require repeated interactions and strong personal connections, something that can be supported through careers that cross academia and government. Academic and public service polices that value these kinds of careers can help build strong relationships.
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Affiliation(s)
- Adalsteinn Brown
- Dalla Lana School of Public Health, University of Toronto, Sixth Floor, 155 College Street, Toronto, ON M5T 3M7 Canada
- Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, Toronto, Canada
- Department of Obstetrics and Gynecology, Faculty of Medicine, University of Toronto, Toronto, Canada
| | - Greg Marchildon
- Dalla Lana School of Public Health, University of Toronto, Sixth Floor, 155 College Street, Toronto, ON M5T 3M7 Canada
- Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, Toronto, Canada
| | - Stephen Bornstein
- Centre of Applied Health Research, Memorial University of Newfoundland, St. John’s, NF Canada
- Department of Political Science, Memorial University of Newfoundland, St. John’s, NF Canada
- Faculty of Medicine, Memorial University of Newfoundland, St. John’s, NF Canada
| | - Moriah Ellen
- Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, Toronto, Canada
- Department of Health Systems Management, Guilford Glazer Faculty of Business and Management and Faculty of Health Sciences, Ben-Gurion University, Beersheba, Israel
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