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Health Research Policy and Systems
Published in: Health Research Policy and Systems 1/2009

Open Access 01-12-2009 | Guide

SUPPORT Tools for evidence-informed Policymaking in health 11: Finding and using evidence about local conditions

Authors: Simon Lewin, Andrew D Oxman, John N Lavis, Atle Fretheim, Sebastian Garcia Marti, Susan Munabi-Babigumira

Published in: Health Research Policy and Systems | Special Issue 1/2009

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Abstract

This article is part of a series written for people responsible for making decisions about health policies and programmes and for those who support these decision makers.
Evidence about local conditions is evidence that is available from the specific setting(s) in which a decision or action on a policy or programme option will be taken. Such evidence is always needed, together with other forms of evidence, in order to inform decisions about options. Global evidence is the best starting point for judgements about effects, factors that modify those effects, and insights into ways to approach and address problems. But local evidence is needed for most other judgements about what decisions and actions should be taken. In this article, we suggest five questions that can help to identify and appraise the local evidence that is needed to inform a decision about policy or programme options. These are: 1. What local evidence is needed to inform a decision about options? 2. How can the necessary local evidence be found? 3. How should the quality of the available local evidence be assessed? 4. Are there important variations in the availability, quality or results of local evidence? 5. How should local evidence be incorporated with other information?
Appendix
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Literature
1.
Lavis JN, Oxman AD, Lewin S, Fretheim A: SUPPORT Tools for evidence-informed health Policymaking (STP). Introduction. Health Res Policy Syst. 2009, 7 (Suppl 1): I1-10.1186/1478-4505-7-S1-I1.PubMedCentralCrossRefPubMed
2.
Oxman AD, Lavis JN, Lewin S, Fretheim A: SUPPORT Tools for evidence-informed health Policymaking (STP). 1. What is evidence-informed policymaking. Health Res Policy Syst. 2009, 7 (Suppl 1): S1-10.1186/1478-4505-7-S1-S1.PubMedCentralCrossRefPubMed
3.
McLaren L, Ghali LM, Lorenzetti D, Rock M: Out of context? Translating evidence from the North Karelia project over place and time. Health Educ Res. 2007, 22: 414-24. 10.1093/her/cyl097.CrossRefPubMed
4.
Lavis JN, Oxman AD, Lewin S, Fretheim A: SUPPORT Tools for evidence-informed health Policymaking (STP). 3. Setting priorities for supporting evidence-informed policymaking. Health Res Policy Syst. 2009, 7 (Suppl 1): S3-10.1186/1478-4505-7-S1-S3.PubMedCentralCrossRefPubMed
5.
Crawford MJ, Rutter D, Manley C, Weaver T, Bhui K, Fulop N, Tyrer P: Systematic review of involving patients in the planning and development of health care. BMJ. 2002, 325: 1263-10.1136/bmj.325.7375.1263.PubMedCentralCrossRefPubMed
6.
Meads GD, Griffiths FE, Goode SD, Iwami M: Lessons from local engagement in Latin American health systems. Health Expect. 2007, 10: 407-18. 10.1111/j.1369-7625.2007.00468.x.CrossRefPubMed
7.
Brunetti M, Oxman A, Pregno S, Lord J, Shemilt I, Vale L: GRADE guidelines: 10. Special challenges - resource use. J Clin Epidemiol.
8.
Hoffmann C, Stoykova BA, Nixon J, Glanville JM, Misso K, Drummond MF: Do health-care decision makers find economic evaluations useful? The findings of focus group research in UK health authorities. Value Health. 2002, 5: 71-8. 10.1046/j.1524-4733.2002.52109.x.CrossRefPubMed
9.
Oxman AD, Lavis JN, Lewin S, Fretheim A: SUPPORT Tools for evidence-informed health Policymaking (STP). 10. Taking equity into consideration when assessing the findings of a systematic review. Health Res Policy Syst. 2009, 7 (Suppl 1): S10-10.1186/1478-4505-7-S1-S10.PubMedCentralCrossRefPubMed
10.
11.
12.
Mindell J, Klodawski E, Fitzpatrick J: Using routine data to measure ethnic differentials in access to coronary revascularization. J Public Health (Oxf). 2008, 30 (1): 45-53. 10.1093/pubmed/fdm077.CrossRef
13.
Morrato EH, Elias M, Gericke CA: Using population-based routine data for evidence-based health policy decisions: lessons from three examples of setting and evaluating national health policy in Australia, the UK and the USA. J Public Health (Oxf). 2007, 29 (4): 463-71. 10.1093/pubmed/fdm065.CrossRef
14.
Fretheim A, Oxman AD, Lavis JN, Lewin S: SUPPORT Tools for evidence-informed health Policymaking (STP). 18. Planning monitoring and evaluation of policies. Health Res Policy Syst. 2009, 7 (Suppl 1): S18-10.1186/1478-4505-7-S1-S18.PubMedCentralCrossRefPubMed
15.
Lavis JN, Oxman AD, Grimshaw J, Johansen M, Boyko JA, Lewin S, Fretheim A: SUPPORT Tools for evidence-informed health Policymaking (STP). 7. Finding systematic reviews. Health Res Policy Syst. 2009, 7 (Suppl 1): S7-10.1186/1478-4505-7-S1-S7.PubMedCentralCrossRefPubMed
16.
World Health Organization (WHO): World Health Statistics. Indicator compendium (Interim version). 2009, Geneva, World Health Organisation
17.
Ackoff RL: From data to wisdom. Journal of Applied Systems Analysis. 1989, 15: 3-9.
18.
Powell AE, Davies HT, Thomson RG: Using routine comparative data to assess the quality of health care: understanding and avoiding common pitfalls. Qual Saf Health Care. 2003, 12: 122-8. 10.1136/qhc.12.2.122.PubMedCentralCrossRefPubMed
19.
20.
Hajioff S, McKee M: The health of the Roma people: a review of the published literature. J Epidemiol Community Health. 2000, 54: 864-9. 10.1136/jech.54.11.864.PubMedCentralCrossRefPubMed
21.
22.
23.
Bosch-Capblanch X, Ronveaux O, Doyle V, Remedios V, Bchir A: Accuracy and quality of immunization information systems in forty-one low income countries. Trop Med Int Health. 2009, 14: 2-10. 10.1111/j.1365-3156.2008.02181.x.CrossRefPubMed
24.
Lim SS, Stein DB, Charrow A, Murray CJ: Tracking progress towards universal childhood immunisation and the impact of global initiatives: a systematic analysis of three-dose diphtheria, tetanus, and pertussis immunisation coverage. Lancet. 2008, 372: 2031-46. 10.1016/S0140-6736(08)61869-3.CrossRefPubMed
25.
Hartz AJ, Kuhn EM: Comparing hospitals that perform coronary artery bypass surgery: the effect of outcome measures and data sources. Am J Public Health. 1994, 84: 1609-14. 10.2105/AJPH.84.10.1609.PubMedCentralCrossRefPubMed
26.
Iezzoni LI: Using risk-adjusted outcomes to assess clinical practice: an overview of issues pertaining to risk adjustment. Ann Thorac Surg. 1994, 58: 1822-6.CrossRefPubMed
27.
Lewin SA, Dick J, Pond P, Zwarenstein M, Aja G, van Wyk B, Bosch-Capblanch X, Patrick M: Lay health workers in primary and community health care. Cochrane Database Syst Rev. 2005, 1: CD004015-PubMed
28.
Lavis JN, Oxman AD, Souza NM, Lewin S, Gruen RL, Fretheim A: SUPPORT Tools for evidence-informed health Policymaking (STP). 9. Assessing the applicability of the findings of a systematic review. Health Res Policy Syst. 2009, 7 (Suppl 1): S9-10.1186/1478-4505-7-S1-S9.PubMedCentralCrossRefPubMed
29.
Hawkes S, Miller S, Reichenbach L, Nayyar A, Buses K: Antenatal syphilis control: people, programmes, policies and politics. Bull World Health Organ. 2004, 82: 417-23.PubMedCentralPubMed
30.
Reich M: Political mapping of health policy: a guide for managing the political dimension of health policy. 1994, Boston: Harvard School of Public Health
31.
Balabanova D, McKee M, Koroleva N, Chikovani I, Goguadze K, Kobaladze T, Adeyi O, Robles S: Navigating the health system: diabetes care in Georgia. Health Policy Plan. 2009, 24: 46-54. 10.1093/heapol/czn041.CrossRefPubMed
32.
Hopkinson B, Balabanova D, McKee M, Kutzin J: The human perspective on health care reform: coping with diabetes in Kyrgyzstan. Int J Health Plann Manage. 2004, 19: 43-61. 10.1002/hpm.745.CrossRefPubMed
33.
Lavis JN, Permanand G, Oxman AD, Lewin S, Fretheim A: SUPPORT Tools for evidence-informed health Policymaking (STP). 13. Preparing and using policy briefs to support evidence-informed policymaking. Health Res Policy Syst. 2009, 7 (Suppl 1): S13-10.1186/1478-4505-7-S1-S13.PubMedCentralCrossRefPubMed
34.
Lavis JN, Wilson M, Oxman AD, Lewin S, Fretheim A: SUPPORT Tools for evidence-informed health Policymaking (STP). 4. Using research evidence to clarify a problem. Health Res Policy Syst. 2009, 7 (Suppl 1): S4-10.1186/1478-4505-7-S1-S4.PubMedCentralCrossRefPubMed
35.
Mubyazi GM, Gonzalez-Block MA: Research influence on antimalarial drug policy change in Tanzania: case study of replacing chloroquine with sulfadoxine-pyrimethamine as the first-line drug. Malar J. 2005, 4: 51-10.1186/1475-2875-4-51.PubMedCentralCrossRefPubMed
36.
Pan American Health Organization (PAHO): Informe Regional de SIREVA II: datos por país y por grupos de edad sobre las características de los aislamientos de Streptococcus pneumoniae, Haemophilus influenzae y Neisseria meningitidis en procesos invasores, 2000-2005. 2007, Washington, DC, Pan American Health Organization
37.
38.
Cliff J, Lewin S, Woelk G, Fernandes B, Sharp B, Daniels K, Matinhure S, Oxman AD, Lis N: Policy development in malaria vector management in Mozambique, South Africa and Zimbabwe. Health Policy and Planning.
39.
Mnzava AEP, Ntuli MV, Sharp B: House replastering as a reason to shift from DDT spraying to synthetic pyrethroids. South African Medical Journal (Public Health). 1998, 88 (8): 1024-8.
40.
Dick J, Henchie S: A cost analysis of the tuberculosis control programme in Elsies River, Cape Town. S Afr Med J. 1998, 88: 380-3.PubMed
41.
Keating KM, Brewer NT, Gottlieb SL, Liddon N, Ludema C, Smith JS: Potential barriers to HPV vaccine provision among medical practices in an area with high rates of cervical cancer. J Adolesc Health. 2008, 43: S61-7. 10.1016/j.jadohealth.2008.06.015.CrossRefPubMed
42.
43.
Giles-Corti B, Donovan RJ: The relative influence of individual, social and physical environment determinants of physical activity. Soc Sci Med. 2002, 54: 1793-812. 10.1016/S0277-9536(01)00150-2.CrossRefPubMed
44.
Lavis JN, Boyko J: Evidence Brief: Improving Access to Primary Healthcare in Canada. 2009, Hamilton, Canada, McMaster Health Forum
Metadata
Title
SUPPORT Tools for evidence-informed Policymaking in health 11: Finding and using evidence about local conditions
Authors
Simon Lewin
Andrew D Oxman
John N Lavis
Atle Fretheim
Sebastian Garcia Marti
Susan Munabi-Babigumira
Publication date
01-12-2009
Publisher
BioMed Central
Published in
Health Research Policy and Systems / Issue Special Issue 1/2009
Electronic ISSN: 1478-4505
DOI
https://doi.org/10.1186/1478-4505-7-S1-S11

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