Health and public policies: research and decision making relationship
DOI:
https://doi.org/10.17533/udea.rfnsp.250Keywords:
Health policies, research, health servicesAbstract
Public policymaking and research are complementary pro-cesses. The former must solve specific issues and the latter must direct decision towards benefic social changes. There is not a single solid theory explaining the complex relations-hip between research and policymaking. This paper reviews conditions and trends which intervention could optimize the performance of research in the political field. Objective: toexplore the relationship between research and health policies determining conditions and trends that would allow an impro-vement in the intervention of researchers facing policymaking. Materials and methodology: bibliographical review. Results: different idealized models focus in the relationship between research and policymaking but they fail to explain why some interactions are successful and others not. Both research and policymaking are dynamic processes that do not always occur in the same way and which converging points are related to five dimensions: the central issue which both refer to, the per-sonal characteristics of the researchers and politicians, the way they develop their role, the pressures of sociopolitical contexts on researchers and policymakers and the potential impact of findings. Conclusion: potential influence of research on political decisions depends on multiple factors, some of which have been identified by the literature and could be manage by researchers. Reviewed literature suggests that a greater contact between researchers and policymakers should be promoted
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References
(1). Giddens A. Un mundo desbocado: Los efectos de la globalización en nuestras vidas. México: Taurus; 1999.
(2). Bronfman M, Langer A; Trostle J. De la investi-gación en salud a la política. La difícil traducción. México: Manual Moderno; 2000.
(3). Weber M. El político y el científico. 8.ª ed. Madrid: Alianza; 1994.
(4). Hobbes Th. Leviatán. 2.ª ed. Madrid: Editora Nacional; 1979.
(5). Segura A. La influencia de la investigación en las políticas de salud y en la práctica sanitaria. Rev Esp Salud Publica 2000;74. DOI: https://doi.org/10.1590/S1135-57272000000600007
(6). Walt G. Health policy: an introduction to processWalt G. Health policy: an introduction to process and power. Johannesburgo: Witwatersrand University Press; 1994.
(7). Stone D; Maxwell S and Keating M Bridging Re-search and Policy. An International Workshop. UK Department for International Development Warwick University, 16-17 July 2001 (Acceso 2 Apr 2002). Disponible URL: http://nt1.ids.ac.uk/gdn/fulltext/Bridging.pdf
(8). Weiss CH. The many meanings of research utilization. Public Admin Review 1979; 39:426-431. DOI: https://doi.org/10.2307/3109916
(9). Milio N. La contribución de la investigación. En: Ciudades Sanas: la nueva salud pública y la in-vestigación que necesitamos. Revisiones en Salud Pública 1993;3:155-67.
(10). Fox DM. Health policy and the politics of research in the United States. J Health Polit Policy Law 1990;15(3):481-499. DOI: https://doi.org/10.1215/03616878-15-3-481
(11). o’Neill, M., Pederson, A.P. Building a methods bridge between public policy analysis and health public policy. Can J Public Health 1992;83 (suppl 1):S25-30.
(12). Klarman HE. observations on health services research and health policy analysis. Milbank Mem Fund Q Health Soc 1980;58(2):201-216.
(13). Williams SR, Wysong JA.The use of research in national health policy: an assessment and agenda. Med Care 1975;13(3):256-267. DOI: https://doi.org/10.1097/00005650-197503000-00008
(14). Milio, N. Promoting health through public policy. ottawa: Canadian Public Health Association; 1989.
(15). Scott C, West E. Nursing in the public sphere: health policy research in a changing world. J Adv Nurs 2001;33(3):387-95. DOI: https://doi.org/10.1046/j.1365-2648.2001.01675.x
(16). Gibbons M, Limoges C, Nowotny H, Schwartzman S, Scott P, Trow M. The new production of knowl-edge: the dynamics of science and research in con-temporary societies. Citado por: Scott C, West E. Nursing in the public sphere: health policy research in a changing world. J Adv Nurs 2001;33(3):387-95.
(17). Phillips CV. The economics of ‘more research is needed’. International Journal of Epidemiology 2001;30:771-776. DOI: https://doi.org/10.1093/ije/30.4.771
(18). Innerarity D. La sociedad invisible. El País, Madrid; 19 de febrero del 2002.
(19). Global Forum for Health Research. The 10/90 Report on Health Research 2001-2002. [Sitio en inter-net] [Acceso: 2 de mayo del 2002]. Disponible en: http://www.globalforumhealth.org/pages/index.asp
(20). TDR Home page. [Sede web] The special pro-gramme for research and training in tropical diseas-es; 1996 [Acceso: 14 de mayo del 2002] Research Results (2 pantallas) World Health organization. Ad hoc Committee on Health Research,. Investing in Health Research and Development. Disponible en: http://www.who.int/tdr/research/progress9900/knowledge/seb_hsr.htm
(21). Keusch G; Davies C; Spiegel J. Paper presented at Forum 5, october 2001, by: Citado por Global Forum for Health Research, The 10/90 Report on Health Research 2002. [Acceso: 24 mayo del 2002]. Disponible en: http://www.globalforumhealth.org/FilesUpld/29.pdf. DOI: https://doi.org/10.1515/pubhef-2002-1881
(22). Casino G. Press Releases. Escepticemia [Acceso: 7 de junio del 2002]. Disponible en: URL: http://pv1fd.pav1.hotmail.msn.com/cgi-bin/getmsg?curmbox=F000000005&a=5f7179ddcca1864a3b96c622161ec5ec&msg=MSG1023493683.38&start=2574482&len=8959&mfs=2526
(23). Lisa M., Schwartz MD, MS; Steven Woloshin MD., MS; Linda Baczek, BBA Media Coverage of Scientific Meetings: Too much, too soon? JAMA 2002;287(21):2859-2863. DOI: https://doi.org/10.1001/jama.287.21.2859
(24). Cates W, Rosemberg Z, Raymond E. Holtz A. To de Editor: When Should the Public Be Informed of the Results of Medical Research? Jama, 2001; 286 (23): 2944-45, December 19, 2001.
(25). Cates W, Rosemberg Z, Raymond E. Holtz A. Op. cit.
(26). Subirats J. El análisis de las políticas públicas. Gac Sanit 2001;15(39):259-264. DOI: https://doi.org/10.1016/S0213-9111(01)71557-9
(27). Hinshaw AS. Using research to shape health policy. Nurs outlook 1988;36(1):21-4.
(28). Edwards A, Elwyn G, Mulley A. Explaining risks: turning numerical data into meaningful pictures BMJ 2002;324:827-830. DOI: https://doi.org/10.1136/bmj.324.7341.827
(29). Whitelaw A, Williams J.Relating health education research to health policy. Health Educ Res 1994;9(4):519-526. DOI: https://doi.org/10.1093/her/9.4.519
(30). Davis P, Howden-Chapman P. Translating re-search findings into health policy. Soc Sci Med 1996;43(5):865-872 .
(31). Alexander J. Las teorías sociológicas desde la Segunda Guerra Mundial: análisis multidimensional. Barcelona: Gedisa; 1995.
(32). McKee M, Zwi A, Koupilova I, Sethi D, Leon D. Health policy-making in central and eastern Europe: lessons from the inaction on injuries? Health Policy plan 15(3):263-269.
(33). Grindle M, Thomas J. Public choices and policy Change.Citado por McKee M, Zwi A, Koupilova I, Sethi D, Leon D. Health policy-making in central and eastern Europe: lessons from the inaction on in-juries? Health Policy and Planning 15(3):263-269.
(34). TDR Home Page. [Sede web] .The Special Programme for Research and Training in Tropical Dis-eases; 1999 [Acceso: 2 de mayo del 2002]. Publica-tions (2 pantallas) De Blas, E. WHo. Health policy research is essential... but difficult. Disponible en: http://www.who.int/tdr/publications/tdrnew/news60/policy.html
(35). The Worl Bank [Sede web]. Multi-Country Projects in Equity, Poverty, and Health [Acceso 14 de mayo del 2002]. Disponible en: http://www.worldbank.org/poverty/health/library/guide/proj07.htm
(36). Holcik J, Koupilova I. Defining and assessing health-related quality of life Cent eur j public health 1999;7(4):207-209.
(37). Nutbeam D. Evaluating health promotion-progress, problems and solutions. Health promot internation 13(1):27-44.
(38). Garrett M.J. An introduction to national futures studies for policymakers in the health sector. World Health Statist Quart1994;47(3-4):101-117.
(39). Randolph T. Rural Household data collection in developing countries: preparing the Data for analysis. Working Papers in Agricultural Economics. Depart-ment of Agricultural Economics and Cornell Food and Nutrition Policy Program. Data Collection Pa-per. 1991; (91-19):1-35.
(40). Pinstrup-Andersen P, García M. Data on food consumption by high-risk family members: Its utility for identifying target households for food and nu-trition programmes. In intra-household resource allocation: issue and methods for development and planning. Lorge Rogers B, Schlossman NP, publish-ers. Tokyo: United Nations University Press. Cor-nell Food Nutrition Policy Program. CFNPP Reprint Series. 1990; PG1:164-174.
(41). Klarman HE. observations on health services re-search and health policy analysis. Milbank meml. fund q health soc 1980;58(2):201-216 . DOI: https://doi.org/10.2307/3349712
(42). Hinman AR. Quantitative policy analysis and public health policy: a macro and micro view. Am J Prev Med 1997;13(1):6-11. DOI: https://doi.org/10.1016/S0749-3797(18)30217-4
(43). Draper D; Fouskakis D A Case study of stochastic optimization in health policy problem formulation and preliminary results Journal of Global optimization 2000;18(4):399-416. DOI: https://doi.org/10.1023/A:1026504402220
(44). Murray CJ, Lopez AD. The utility of DALYs for public health policy and research: a reply. Bull-World Health organ 1997;75(4):377-381.
(45). Nobre F, Stroup DF. A Monitoring system to detect changes in public health surveillance data. In Journ Epidemiol 1994;23(2) 408-418. DOI: https://doi.org/10.1093/ije/23.2.408
(46). Joffe M, Mindell J. A framework for the evidence base to support health impact assessment. J epide-miol community health 2002;56:132-138.
(47). Shaw LJ, Redberg RF. From clinical trials to public health policy: the path from imaging to screening. Am J Cardiol 2001;88(2A):62E-65E. DOI: https://doi.org/10.1016/S0002-9149(01)01787-8
(48). Strouse R, Carlson B, Hall J. Report on Survey Meth-ods for the Community Tracking Study’s 1998-1999 Round Two Household Survey. Washington: Center for Studying Health System Change; 2001.
(49). Thorngate W The Social psychology of policy anal-ysis. Journal of Comparative Policy Analysis: Re-search and Practice 2001;3:85-112. DOI: https://doi.org/10.1080/13876980108412655
(50). Heller RF, Page J.A population perspective to evidence based medicine: evidence for population health J epidemiol community health 2002;56:45-47. DOI: https://doi.org/10.1136/jech.56.1.45
(51). Smith T. Evidence based politics BMJ 1996; 312:127. DOI: https://doi.org/10.1136/bmj.312.7023.127a
(52). Murray Ch, Frenk J. World Health Report 2000: a step towards evidence-based health policy. The Lancet 2001;357:1698-1700. DOI: https://doi.org/10.1016/S0140-6736(00)04826-1
(53). Lohr KN, Eleazer C, Mauskopf J. Health policy issues and applications for evidence-based medi-cine and clinical practice guidelines. Health Policy 1998,46:1-19. DOI: https://doi.org/10.1016/S0168-8510(98)00044-X
(54). Navarro V. Assessment of the World Health Report 2000. Lancet 2000;356:1598-1601. DOI: https://doi.org/10.1016/S0140-6736(00)03139-1
(55). Karhausen L R. The poverty of Popperian epidemi-ology. Int J Epidemiol 1995;24(5): 869-874.
(56). L Rychetnik, M Frommer, P Hawe. A shiell criteria for evaluating evidence on public health interven-tions. J Epidemiol Community Health 2002;56:119–127.
(57). Koelen M A, Vaandrager L, Colomér C.Health pro-motion research: dilemmas and challenges. J Epide-miol Community Health 2001;55:257-262. DOI: https://doi.org/10.1136/jech.55.4.257
(58). Smith GD, Ebrahim S, Frankel S.How policy in-forms the evidence BMJ 2001;322:184-185. DOI: https://doi.org/10.1136/bmj.322.7280.184
(59). Palast G. The globalizer who came in from the cold. Londres: The observer; 2001 [Acceso 4 de abril del 2002]. Disponible en: http://www.gregpalast.com/detail.cfm?artid=78&row=1
(60). Palast G. Gats got his tongue. London Sunday: The observer; 2001 [Acceso 4 de abril del 2002]. Disponible en: http://www.gregpalast.com/detail.cfm?artid=77&row=1
(61). Macdoanld G. Re-designing the evidence base for health promotion. Internet Journal of Public Health Education. 2000;2:B9-17.
(62). Hall WA, Callery P Enhancing the rigor of grounded theory: incorporating reflexivity and relationality. Qualitative Health Research 2001;11(2):257-272. DOI: https://doi.org/10.1177/104973201129119082
(63). Nutbeam D. Evaluating health promotion-progress, problems and solutions. Health promotion Interna-tional 13(1):27-44. DOI: https://doi.org/10.1093/heapro/13.1.27
(64). L Rychetnik, M Frommer, P Hawe, A Shiell Criteria for evaluating evidence on public health interven-tions. J Epidemiol Community Health 2002;56:119–127. DOI: https://doi.org/10.1136/jech.56.2.119
(65). Ashton J, Seymour H. Politicas de salud para la nueva salud publica. En: La Nueva Salud Pública. Barcelona: Masson; 1990; p. 101-125.
(66). Milio N. Nutrition policy for food - rich countries: a strategic analysis. Baltimore y Londres: University of North Carolina at Chapel Hill/The Jhons Hopkins University Press; 1990.
(67). McKee M, Zwi A, Koupilova I, Sethi D, Leon D. Health policy-making in central and eastern Europe: lessons from the inaction on injuries? Health policy plan; 15(3):263-269.
(68). Grindle M, Thomas J. Public choices and policy Change. Baltimore, MD: Johns Hopkins Press, 1991. Citado por McKee M, Zwi A, Koupilova I, Sethi D, Leon D. Health policy-making in central and eastern Europe: lessons from the inaction on in-juries? Health Policy and Planning; 15(3):263-269. DOI: https://doi.org/10.1093/heapol/15.3.263
(69). Judd J, Frankish J, Moulton G. Setting standards in the evaluation of community based health promo-tion programmes: a unifying approach. Health pro-motion international. 2001;16(4):367-380. DOI: https://doi.org/10.1093/heapro/16.4.367
(70). Fook J. Linking theory, practice and research. Criti-cal Social Work 2001;2(1). DOI: https://doi.org/10.1177/147332500200100106
(71). Judd J, Frankish J, Moulton G. Op. cit.
(72). Wenstøp F, Magnus P. Value focused rationality in AIDS policy. Health Policy 2001;57:57-72. DOI: https://doi.org/10.1016/S0168-8510(01)00120-8
(73). Karhausen L R. The poverty of popperian epidemi-ology. Int j epidemiol 1995;24(5): 869-874. DOI: https://doi.org/10.1093/ije/24.5.869
(74). Ralph E. Just Results: Ethical foundations for policy analysis. Washington D. C.: Georgetown University Press, 1998.
(75). Thomson Center Watch. Center Watch: clinicals tri-als listing service [sede web] Boston: Center Watch, 1995. [Acceso 8 de mayo del 2002]. Disponible en:: http://www.centerwatch.com
(76). South J, Tilford S. Perceptions of research and eval-uation in health promotion practice and influences of activity. Health educ res 2000;15(6):729-741. DOI: https://doi.org/10.1093/her/15.6.729
(77). Learmonth A. Utilizing research in practice and generating evidence from practice. Health educ res 2000;15(6):743-756. DOI: https://doi.org/10.1093/her/15.6.743
(78). Brundtland G. WHo. Health Research for devel-opment International. En: Conference on health research for development. Ginebra; World Health organization; 1999 [Internet]. [Acceso: 12 de mayo del 2002]. Disponible en: http://www.who.int/di-rector-general/speeches/1999/english/19990430_ichrd.html
(79). Banco Mundial. Informe sobre el Desarrollo Mun-dial 2000: Invertir en Salud [Sitio en internet]. Washington: Banco Mundial; 1993. [Acceso: 11 de mayo del 2002]. Disponible en: http://publications.worldbank.org/ecommerce/catalog/product?item_id=194651
(80). Global Forum for Health Research. The 10/90 Re-port on Health Research 2001-2002. (Acceso 2 Mayo 2002). Disponible en: http://www.globalforumhealth.org/pages/index.asp
(81). Brundtlan GH. WHo Global Forum for Health Re-search.Geneva; Abril 30 1999. [Acceso: 10 de mayo del 2002]. Disponible en: http://www.who.int/director-general/speeches/1999/english/19990609_ge-neva_global_forum.html
(82). Global Forum for Health Research. The 10/90 Report on Health Research 2001-2002. [Acceso: 3 de mayo del 2002]. Disponible en: http://www.globalforumhealth.org/pages/index.asp
(83). Hepworth J. Evaluation in health outcomes re-search: linking theories, methodologies and practice in health promotion. Health Promotion International 1997;12(3):233-238. DOI: https://doi.org/10.1093/heapro/12.3.233
(84). Joffe M, Mindell J. A framework for the evidence base to support Health Impact Assessment. J J Epi-demiol Community Health 2002;56:132-138. DOI: https://doi.org/10.1136/jech.56.2.132
(85). UK Department of Health. Health Impact Assess-ment: Report of a Methodological Seminar. UK De-partment of Health; 1999.
(86). Frankish CJ, Green LW, Ratner PA, Chomik T, Lars-en C. Health impact assessment as a tool for popula-tion health promotion and public policy. A Report to the Health Promotion. Development Division of Health Canada. Institute of Health Promotion Research. University of British Columbia. May 1966.
(87). Von de Water HPA, Perenboom RJM and Boshui-zen HC. Policy relevance of the health expectancy indicator an inventory in European Union countries. Health Policy 1996;36(2):117-129. DOI: https://doi.org/10.1016/0168-8510(95)00803-9
(88). UK Department of Health. Health Impact Assess-ment: Report of a Methodological Seminar. UK De-partment of Health.; 1999.
(89). Frankish CJ, Green LW, Ratner PA, Chomik T, Lars-en C. Health impact assessment as a tool for popula-tion health promotion and public policy. A Report to the Health Promotion Development Division of Health Canada. Institute of Health Promotion Research. University of British Columbia. Mayo de 1966.
(90). Grindle M, Thomas JW. After the decision: Imple-menting policy reform. En World development 1990;18:1163-1181. DOI: https://doi.org/10.1016/0305-750X(90)90096-G
(91). Manderson L. Drugs, sex and social science: social science research and health policy in Australia. Soc Sci Med 1994;39(9):1275-1286. DOI: https://doi.org/10.1016/0277-9536(94)90359-X
(92). Larson E. Health policy and NIH: implications for nursing research. Nurs Res 1984;33(6):352-356. DOI: https://doi.org/10.1097/00006199-198411000-00010
(93). Vinje G, Hewitt D. Influencing public health policy through action-oriented research: A case study of Lysol abuse in Alberta. Journal of Drug Issues 1992;22(1):169-178. DOI: https://doi.org/10.1177/002204269202200111
(94). Elsinga E, Rutten FF. Economic evaluation in support of national health policy: the case of The Netherlands. Soc Sci Med 1997;45(4):605-620. DOI: https://doi.org/10.1016/S0277-9536(96)00400-5
(95). Lomas J. Finding audiences, changing beliefs: the structure of research use in Canadian health policy. J Health Polit Policy Law 1990;15(3):525-542. DOI: https://doi.org/10.1215/03616878-15-3-525
(96). Davis P, Howden-Chapman P. Translating research findings into health policy.Soc Sci Med 1996 Sep;43(5):865-872. DOI: https://doi.org/10.1016/0277-9536(96)00130-X
(97). MacIntyre S, Chalmers I, Horton R, Smith R. Us-ing evidence to inform health policy case study. BMJ 2001;322:222-225. DOI: https://doi.org/10.1136/bmj.322.7280.222
(98). Wellings K, Macdowall W. Evaluating mass me-dia approaches to health promotion: a rewiew of methods. Health Education. 2000;100(1):23-32. DOI: https://doi.org/10.1108/09654280010309021
(99). Vaitilingam R Economic and Social Research Council and British Academy .Developing a Media Strategy. Londres, ESRC UK ;2002.[Acceso: 6 de enero del 2002]. Disponible en: http://64.4.30.250/cgi-bin/linkrd?_lang=ES&lah=feabad3cc9f37f3155a15db469cdff7c&lat=1014121650&hm___action=http%3a%2f%2fwww%2eesrc%2eac%2euk%2fesrccontent%2fPublicationsList%2f4books%2fmedframeset%2ehtml.
(100). Resnik DB. Ethical dilemmas in communicating medical information to the public. Health Policy 2001;55:129-149. DOI: https://doi.org/10.1016/S0168-8510(00)00121-4
(101). Hoffmann Ch, von der Schulenburg G, Matthias J. The influence of economic evaluation studies on decision making A European survey. Health Policy 2000;52:179-192. DOI: https://doi.org/10.1016/S0168-8510(00)00076-2
(102). Helming S, Göbel M. Planificación de proyectos orientada a objetivos (ZoPP): orientaciones para la planificación de proyectos y programas nuevos y en curso Unidad 04 Estrategia de Desarrollo de la Empresa. Deutsche Gesellschaft für Technische Zusammenarbeit (GTZ) GMBH.
(103). Djankov S, McLiesh C, Nenova T, Shleifer A. World Bank, Harvard University. Who owns the media? World Bank and Harvard University. [Ac-ceso: 1 de mayo del 2002]. Disponible en: http://econ.worldbank.org/files/2225_wps2620.pdf
(104). Pastor M et al. Ciencia política. Madrid: McGraw-Hill; 1993.
(105). Pastor M et al. Fundamentos de ciencia política. Madrid: McGraw-Hill; 1994.
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