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Published in: Health Research Policy and Systems 1/2007

Open Access 01-12-2007 | Research

Factors influencing the utilization of research findings by health policy-makers in a developing country: the selection of Mali's essential medicines

Authors: Michael A Albert, Atle Fretheim, Diadié Maïga

Published in: Health Research Policy and Systems | Issue 1/2007

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Abstract

Background

Research findings are increasingly being recognized as an important input in the formation of health policy. There is concern that research findings are not being utilized by health policy-makers to the extent that they could be. The factors influencing the utilization of various types of research by health policy-makers are beginning to emerge in the literature, however there is still little known about these factors in developing countries. The object of this study was to explore these factors by examining the policy-making process for a pharmaceutical policy common in developing countries; an essential medicines list.

Methods

A study of the selection and updating of Mali's national essential medicines list was undertaken using qualitative methods. In-depth semi-structured interviews and a natural group discussion were held with national policy-makers, most specifically members of the national commission that selects and updates the country's list. The resulting text was analyzed using a phenomenological approach. A document analysis was also performed.

Results

Several factors emerged from the textual data that appear to be influencing the utilization of health research findings for these policy-makers. These factors include: access to information, relevance of the research, use of research perceived as a time consuming process, trust in the research, authority of those who presented their view, competency in research methods, priority of research in the policy process, and accountability.

Conclusion

Improving the transfer of research to policy will require effort on the part of researchers, policy-makers, and third parties. This will include: collaboration between researchers and policy-makers, increased production and dissemination of relevant and useful research, and continued and improved technical support from networks and multi-national organizations. Policy-makers from developing countries will then be better equipped to make informed decisions concerning their health policy issues.
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Literature
1.
go back to reference Weiss CH: Using social research in public policy making. 1977, Lexington, Mass.: Lexington Books Weiss CH: Using social research in public policy making. 1977, Lexington, Mass.: Lexington Books
2.
go back to reference Caplan N, Morrison A, Stambaugh RJ: The use of social science knowledge in policy decisions at the national level: a report to respondents. 1975, Ann Arbor: Institute for Social Research, University of Michigan Caplan N, Morrison A, Stambaugh RJ: The use of social science knowledge in policy decisions at the national level: a report to respondents. 1975, Ann Arbor: Institute for Social Research, University of Michigan
3.
go back to reference Lavis J, Davies H, Oxman A, Denis JL, Golden-Biddle K, Ferlie E: Towards systematic reviews that inform health care management and policy-making. J Health Serv Res Policy. 2005, 10 (Suppl 1): 35-48. 10.1258/1355819054308549.CrossRefPubMed Lavis J, Davies H, Oxman A, Denis JL, Golden-Biddle K, Ferlie E: Towards systematic reviews that inform health care management and policy-making. J Health Serv Res Policy. 2005, 10 (Suppl 1): 35-48. 10.1258/1355819054308549.CrossRefPubMed
4.
go back to reference Walt G: Health Policy: An Introduction to Process and Power. 1994, London, Zed Books Walt G: Health Policy: An Introduction to Process and Power. 1994, London, Zed Books
5.
go back to reference Weiss C: The many meanings of research utilization. Public Adm Rev. 1979, 39: 426-431. 10.2307/3109916.CrossRef Weiss C: The many meanings of research utilization. Public Adm Rev. 1979, 39: 426-431. 10.2307/3109916.CrossRef
6.
go back to reference Hanney SR, Gonzalez-Block MA, Buxton MJ, Kogan M: The utilisation of health research in policy-making: concepts, examples and methods of assessment. Health Res Policy Syst. 2003, 1: 2-10.1186/1478-4505-1-2.CrossRefPubMedPubMedCentral Hanney SR, Gonzalez-Block MA, Buxton MJ, Kogan M: The utilisation of health research in policy-making: concepts, examples and methods of assessment. Health Res Policy Syst. 2003, 1: 2-10.1186/1478-4505-1-2.CrossRefPubMedPubMedCentral
7.
go back to reference Innvaer S, Vist G, Trommald M, Oxman A: Health policy-makers' perceptions of their use of evidence: a systematic review. J Health Serv Res Policy. 2002, 7: 239-244. 10.1258/135581902320432778.CrossRefPubMed Innvaer S, Vist G, Trommald M, Oxman A: Health policy-makers' perceptions of their use of evidence: a systematic review. J Health Serv Res Policy. 2002, 7: 239-244. 10.1258/135581902320432778.CrossRefPubMed
8.
go back to reference Garner P, Kale R, Dickson R, Dans T, Salinas R: Getting research findings into practice: implementing research findings in developing countries. BMJ. 1998, 317: 531-535.CrossRefPubMedPubMedCentral Garner P, Kale R, Dickson R, Dans T, Salinas R: Getting research findings into practice: implementing research findings in developing countries. BMJ. 1998, 317: 531-535.CrossRefPubMedPubMedCentral
9.
go back to reference WHO: WHO Model List (revised March 2005). Essential Medicines. Geneva. 2005 WHO: WHO Model List (revised March 2005). Essential Medicines. Geneva. 2005
10.
go back to reference Quick JD, Management Sciences for Health, World Health Organization, Action programme on essential drugs: Managing drug supply: the selection, procurement, distribution, and use of pharmaceuticals. 1997, West Hartford, Conn.: Kumarian Press, 2 Quick JD, Management Sciences for Health, World Health Organization, Action programme on essential drugs: Managing drug supply: the selection, procurement, distribution, and use of pharmaceuticals. 1997, West Hartford, Conn.: Kumarian Press, 2
12.
go back to reference Green J, Thorogood N: Qualitative methods for health research. 2004, London: Sage Green J, Thorogood N: Qualitative methods for health research. 2004, London: Sage
13.
go back to reference Giorgi A: Sketch of a psychological phenomenological method. Phenomenology and psychological research: essays. Edited by: Giorgi A. 1985, Pittsburgh, Pa.: Duquesne University Press, 8-22. Giorgi A: Sketch of a psychological phenomenological method. Phenomenology and psychological research: essays. Edited by: Giorgi A. 1985, Pittsburgh, Pa.: Duquesne University Press, 8-22.
14.
go back to reference Lavis J, Ross S, McLeod C, Gildiner A: Measuring the impact of health research. J Health Serv Res Policy. 2003, 8 (3): 165-170. 10.1258/135581903322029520.CrossRefPubMed Lavis J, Ross S, McLeod C, Gildiner A: Measuring the impact of health research. J Health Serv Res Policy. 2003, 8 (3): 165-170. 10.1258/135581903322029520.CrossRefPubMed
15.
go back to reference Hennink M, Stephenson R: Using research to inform health policy: barriers and strategies in developing countries. J Health Commun. 2005, 10 (2): 163-180. 10.1080/10810730590915128.CrossRefPubMed Hennink M, Stephenson R: Using research to inform health policy: barriers and strategies in developing countries. J Health Commun. 2005, 10 (2): 163-180. 10.1080/10810730590915128.CrossRefPubMed
16.
go back to reference Aaserud M, Lewin S, Innvaer S, Paulsen E, Dahlgren A, Trommald M, Duley L, Zwarenstein M, Oxman A: Translating research into policy and practice in developing countries: a case study of magnesium sulphate for pre-eclampsia. BMC Health Services Research. 2005, 5 (1): 68-10.1186/1472-6963-5-68.CrossRefPubMedPubMedCentral Aaserud M, Lewin S, Innvaer S, Paulsen E, Dahlgren A, Trommald M, Duley L, Zwarenstein M, Oxman A: Translating research into policy and practice in developing countries: a case study of magnesium sulphate for pre-eclampsia. BMC Health Services Research. 2005, 5 (1): 68-10.1186/1472-6963-5-68.CrossRefPubMedPubMedCentral
17.
go back to reference Moodley J, Jacobs M: Research to action and policy: combating Vitamin A deficiencies in South Africa. Lessons in Research to Action and Policy – Case studies from seven countries. 2000, Geneva: The Council of Health Research and Development (COHRED) Working Group on Research to Action and Policy, 54-66. Moodley J, Jacobs M: Research to action and policy: combating Vitamin A deficiencies in South Africa. Lessons in Research to Action and Policy – Case studies from seven countries. 2000, Geneva: The Council of Health Research and Development (COHRED) Working Group on Research to Action and Policy, 54-66.
18.
go back to reference Trostle J, Bronfman M, Langer A: How do researchers influence decision-makers? Case studies of Mexican policies. Health Policy Plan. 1999, 14: 103-114. 10.1093/heapol/14.2.103.CrossRefPubMed Trostle J, Bronfman M, Langer A: How do researchers influence decision-makers? Case studies of Mexican policies. Health Policy Plan. 1999, 14: 103-114. 10.1093/heapol/14.2.103.CrossRefPubMed
19.
go back to reference Gerhardus A, Kielmann K, Sanou A: The use of research for decision-making in the health sector: the case of "shared care" in Burkina Faso. Lessons in Research to Action and Policy – Case studies from seven countries. 2000, Geneva: The Council of Health Research and Development (COHRED) Working Group on Research to Action and Policy, 19-27. Gerhardus A, Kielmann K, Sanou A: The use of research for decision-making in the health sector: the case of "shared care" in Burkina Faso. Lessons in Research to Action and Policy – Case studies from seven countries. 2000, Geneva: The Council of Health Research and Development (COHRED) Working Group on Research to Action and Policy, 19-27.
20.
go back to reference Denzin NK: The research act; a theoretical introduction to sociological methods. 1970, Chicago: Aldine Pub Co Denzin NK: The research act; a theoretical introduction to sociological methods. 1970, Chicago: Aldine Pub Co
21.
go back to reference Knodel J: The design and analysis of focus group studies. A practical approach. Successful focus groups: advancing the state of the art. Edited by: Morgan DL. 1993, Newbury Park, Calif.: Sage, 35-50.CrossRef Knodel J: The design and analysis of focus group studies. A practical approach. Successful focus groups: advancing the state of the art. Edited by: Morgan DL. 1993, Newbury Park, Calif.: Sage, 35-50.CrossRef
22.
go back to reference Silverman D: Interpreting qualitative data: methods for analysing talk, text and interaction. 2001, London: Sage, 2 Silverman D: Interpreting qualitative data: methods for analysing talk, text and interaction. 2001, London: Sage, 2
23.
go back to reference Chunharas S: Research to action and policy: the need for a new concept. Lessons in Research to Action and Policy – Case studies from seven countries. 2000, Geneva: The Council on Health Research for Development (COHRED) Working Group on Research to Action and Policy, 1-8. Chunharas S: Research to action and policy: the need for a new concept. Lessons in Research to Action and Policy – Case studies from seven countries. 2000, Geneva: The Council on Health Research for Development (COHRED) Working Group on Research to Action and Policy, 1-8.
24.
go back to reference Sauerborn R, Nitayarumphong S, Gerhardus A: Strategies to enhance the use of health systems research for health sector reform. Trop Med Int Health. 1999, 4: 827-835. 10.1046/j.1365-3156.1999.00497.x.CrossRefPubMed Sauerborn R, Nitayarumphong S, Gerhardus A: Strategies to enhance the use of health systems research for health sector reform. Trop Med Int Health. 1999, 4: 827-835. 10.1046/j.1365-3156.1999.00497.x.CrossRefPubMed
25.
go back to reference Nutley S, Walter I, Davies HTO: From Knowing to Doing: A Framework for Understanding the Evidence-into-Practice Agenda. Evaluation. 2003, 9 (2): 125-148. 10.1177/1356389003009002002.CrossRef Nutley S, Walter I, Davies HTO: From Knowing to Doing: A Framework for Understanding the Evidence-into-Practice Agenda. Evaluation. 2003, 9 (2): 125-148. 10.1177/1356389003009002002.CrossRef
26.
go back to reference Mulrow CD: Rationale for systematic reviews. Systematic Reviews. Edited by: Chalmers I, Altman DG. 1995, London: BMJ Publishing Group, 1-8. Mulrow CD: Rationale for systematic reviews. Systematic Reviews. Edited by: Chalmers I, Altman DG. 1995, London: BMJ Publishing Group, 1-8.
27.
go back to reference Volmink J, Siegfried N, Robertson K, Gulmezoglu AM: Research synthesis and dissemination as a bridge to knowledge management: the Cochrane Collaboration. Bull World Health Organ. 2004, 82 (10): 778-783.PubMedPubMedCentral Volmink J, Siegfried N, Robertson K, Gulmezoglu AM: Research synthesis and dissemination as a bridge to knowledge management: the Cochrane Collaboration. Bull World Health Organ. 2004, 82 (10): 778-783.PubMedPubMedCentral
28.
go back to reference Lavis JN, Robertson D, Woodside JM, McLeod CB, Abelson J, Knowledge Transfer Study G: How can research organizations more effectively transfer research knowledge to decision makers?. Milbank Q. 2003, 81: 221-248. 10.1111/1468-0009.t01-1-00052.CrossRefPubMedPubMedCentral Lavis JN, Robertson D, Woodside JM, McLeod CB, Abelson J, Knowledge Transfer Study G: How can research organizations more effectively transfer research knowledge to decision makers?. Milbank Q. 2003, 81: 221-248. 10.1111/1468-0009.t01-1-00052.CrossRefPubMedPubMedCentral
29.
go back to reference Bridging the "Know-Do" Gap, Meeting on Knowledge Translation in Global Health. 2006, Geneva: World Health Organization Bridging the "Know-Do" Gap, Meeting on Knowledge Translation in Global Health. 2006, Geneva: World Health Organization
31.
go back to reference Ross S, Lavis J, Rodriguez C, Woodside J, Denis JL: Partnership experiences: involving decision-makers in the research process. J Health Serv Res Policy. 2003, 8 (Suppl 2): 26-34. 10.1258/135581903322405144.CrossRefPubMed Ross S, Lavis J, Rodriguez C, Woodside J, Denis JL: Partnership experiences: involving decision-makers in the research process. J Health Serv Res Policy. 2003, 8 (Suppl 2): 26-34. 10.1258/135581903322405144.CrossRefPubMed
32.
go back to reference Polanyi M: The Republic of Science – its political and economic theory. Minerva. 1962, 1: 54-73. 10.1007/BF01101453.CrossRef Polanyi M: The Republic of Science – its political and economic theory. Minerva. 1962, 1: 54-73. 10.1007/BF01101453.CrossRef
Metadata
Title
Factors influencing the utilization of research findings by health policy-makers in a developing country: the selection of Mali's essential medicines
Authors
Michael A Albert
Atle Fretheim
Diadié Maïga
Publication date
01-12-2007
Publisher
BioMed Central
Published in
Health Research Policy and Systems / Issue 1/2007
Electronic ISSN: 1478-4505
DOI
https://doi.org/10.1186/1478-4505-5-2

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