Abstract

PATINO, Daniel; LAVIS, John N  and  MOAT, Kaelan. The role of research-based evidence in health system policy decision-making. Rev. salud pública [online]. 2013, vol.15, n.5, pp.684-693. ISSN 0124-0064.

ABSTRACT Different models may be used for explaining how research-based evidence is used in healthcare system policy-making. It is argued that models arising from a clinical setting (i.e. evidence-based policy-making model) could be useful regarding some types of healthcare system decision-making. However, such models are "silent" concerning the influence of political contextual factors on healthcare policy-making and are thus inconsistent with decision-making regarding the modification of healthcare system arrangements. Other political science-based models would seem to be more useful for understanding that research is just one factor affecting decision-making and that different types of research-based evidence can be used instrumentally, conceptual or strategically during different policy-making stages.

Keywords : Policy-making; healthcare system; evidence-based practice.

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