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Published in: Health Research Policy and Systems 1/2018

Open Access 01-12-2018 | Research

Development of measurable indicators to enhance public health evidence-informed policy-making

Authors: Valentina Tudisca, Adriana Valente, Tommaso Castellani, Timo Stahl, Petru Sandu, Diana Dulf, Hilde Spitters, Ien Van de Goor, Christina Radl-Karimi, Mohamed Ahmed Syed, Natasa Loncarevic, Cathrine Juel Lau, Susan Roelofs, Maja Bertram, Nancy Edwards, Arja R. Aro, on behalf of the REPOPA Consortium

Published in: Health Research Policy and Systems | Issue 1/2018

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Abstract

Background

Ensuring health policies are informed by evidence still remains a challenge despite efforts devoted to this aim. Several tools and approaches aimed at fostering evidence-informed policy-making (EIPM) have been developed, yet there is a lack of availability of indicators specifically devoted to assess and support EIPM. The present study aims to overcome this by building a set of measurable indicators for EIPM intended to infer if and to what extent health-related policies are, or are expected to be, evidence-informed for the purposes of policy planning as well as formative and summative evaluations.

Methods

The indicators for EIPM were developed and validated at international level by means of a two-round internet-based Delphi study conducted within the European project ‘REsearch into POlicy to enhance Physical Activity’ (REPOPA). A total of 82 researchers and policy-makers from the six European countries (Denmark, Finland, Italy, the Netherlands, Romania, the United Kingdom) involved in the project and international organisations were asked to evaluate the relevance and feasibility of an initial set of 23 indicators developed by REPOPA researchers on the basis of literature and knowledge gathered from the previous phases of the project, and to propose new indicators.

Results

The first Delphi round led to the validation of 14 initial indicators and to the development of 8 additional indicators based on panellists’ suggestions; the second round led to the validation of a further 11 indicators, including 6 proposed by panellists, and to the rejection of 6 indicators. A total of 25 indicators were validated, covering EIPM issues related to human resources, documentation, participation and monitoring, and stressing different levels of knowledge exchange and involvement of researchers and other stakeholders in policy development and evaluation.

Conclusion

The study overcame the lack of availability of indicators to assess if and to what extent policies are realised in an evidence-informed manner thanks to the active contribution of researchers and policy-makers. These indicators are intended to become a shared resource usable by policy-makers, researchers and other stakeholders, with a crucial impact on fostering the development of policies informed by evidence.
Appendix
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Footnotes
1
With ‘tacit knowledge’ we mean implicit and intuitive knowledge that is difficult to communicate, e.g. know-how acquired during practical experience, but we also include explicit knowledge that was not formalised in scientific papers or reports.
 
2
For policy-makers, we considered the following definition: “people taking decisions about the proposal and/or implementation of a program, project or activity aimed to an institutional goal, and having responsibility on it” [58, 9193].
 
3
The first questionnaire comprised a further section concerning some multi-faceted aspects which influence EIPM, but too wide to be translated in terms of measurable indicators, which were presented under the label of ‘Towards complex indicators’ and were rated on their relevance. They will be the subject of a separate paper.
 
4
Indicator 6. Procedures for ensuring a review of scientific literature relevant to the policy.
 
5
Indicator 8. Citation of peer-reviewed research articles in policy documents; Indicator 9. Citation of reports and other documents containing evidence in policy documents.
 
6
Indicator 7. Published scientific articles based on policy results.
 
7
Indicator 10. Available evidence briefs for policy; Indicator 11. Available reports on policy results from policy-making organisations of different municipalities/regions/countries.
 
8
Indicator 4. Training courses on research issues and on EIPM for the staff working on the policy; Indicator 13. Initiatives to inform researchers during the policy; Indicator 16. Engagement and consultation methodologies to gather knowledge from researchers during the policy.
 
9
Indicator 1. Staff with research experience working on the policy; Indicator 25. Researchers working on the policy evaluation.
 
10
Indicator 12. Initiatives to inform stakeholders during the policy; Indicator 14. Communication methods tailored for vulnerable groups likely to be impacted by the policy; Indicator 15. Engagement and consultation methodologies to gather knowledge from stakeholders during the policy; Indicator 17. Engagement and consultation methodologies to gather knowledge from vulnerable groups during the policy.
 
11
Indicator 19. Communication competences among the staff who interacts with stakeholders; Indicator 20. Initiatives for fostering knowledge sharing between different stakeholders; Indicator 21. Initiatives for consulting target groups to get their perspectives.
 
12
Indicator b. Budget for scientific advice; Indicator c. Administrative procedures allowing timely employment of research staff and scientific advisors; Indicator d. Budget for producing/acquiring scientific publications; Indicator f. Budget for external evaluation of the policy in Additional file 6.
 
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Metadata
Title
Development of measurable indicators to enhance public health evidence-informed policy-making
Authors
Valentina Tudisca
Adriana Valente
Tommaso Castellani
Timo Stahl
Petru Sandu
Diana Dulf
Hilde Spitters
Ien Van de Goor
Christina Radl-Karimi
Mohamed Ahmed Syed
Natasa Loncarevic
Cathrine Juel Lau
Susan Roelofs
Maja Bertram
Nancy Edwards
Arja R. Aro
on behalf of the REPOPA Consortium
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Health Research Policy and Systems / Issue 1/2018
Electronic ISSN: 1478-4505
DOI
https://doi.org/10.1186/s12961-018-0323-z

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