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The boundaries of Behavioural Insights: observations from two ethnographic studies 行为洞察的边界:来自两个民族志研究的观察
IF 2.1 3区 社会学 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2020-11-01 DOI: 10.1332/174426419x15643724702722
S. Ball, J. Feitsma
‘Behavioural Insights’ has emerged as an increasingly popular approach to policy making in governments across the globe. Practitioners largely present a frontstage narrative of Behavioural Insights as a coherent concept but this article challenges such a description. We explore how efforts to develop a global Behavioural Insights community are subject to an ongoing process of policy translation. To show how this translation works, we juxtapose findings from two independent ethnographic research projects on Behavioural Insights practitioners: one on practitioners in Australian federal government, the other on practitioners in Dutch local and central government. This exploratory study highlights that Behavioural Insights at one level possesses some consistencies, including a shared use of a family of tools and artefacts. At the same time the field is marked by contingencies, particularly with respect to the methods used. These contingencies raise puzzling questions about the identity of Behavioural Insights and whether its presentation as a coherent whole is of more value in a discursive sense than in a practical one.
“行为洞察”已成为全球各国政府越来越流行的政策制定方法。从业者在很大程度上将行为洞察的前台叙事作为一个连贯的概念,但本文对这种描述提出了质疑。我们探讨了建立全球行为洞察社区的努力如何受到持续的政策翻译过程的影响。为了展示这一翻译的工作原理,我们将两个关于行为洞察从业者的独立民族志研究项目的发现并置:一个是关于澳大利亚联邦政府的从业者,另一个是荷兰地方和中央政府的从业者。这项探索性研究强调,行为洞察力在一个层面上具有一定的一致性,包括共同使用一系列工具和人工制品。与此同时,该领域充满了偶然性,特别是在所使用的方法方面。这些偶然事件引发了令人困惑的问题,即行为洞察的身份,以及它作为一个连贯的整体的呈现在话语意义上是否比在实践意义上更有价值。
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引用次数: 4
Making authentic: exploring boundary objects and bricolage in knowledge mobilisation through National Health Service-university partnerships 使真实:探索边界对象和拼凑知识动员通过国家卫生服务-大学伙伴关系
IF 2.1 3区 社会学 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2020-11-01 DOI: 10.1332/174426419X15623134271106
Lucy Melville-Richards, J. Rycroft-Malone, C. Burton, Joyce E. Wilkinson
Background: In healthcare, bridging the research-to-practice gap is a top priority. Knowledge mobilisation scholars suggest that this gap can be closed through collaboration between knowledge users and producers. The concept of boundary objects – shared things and ideas that enable communication – has gained popularity across various collaborative work practices, but their potential within knowledge mobilisation in health care is understudied. An ongoing challenge for designers of boundary objects is how to create objects that are valued and shared both in principle and in practice.Aims and objectives: This paper reports on a study of boundary objects used during knowledge mobilisation through NHS-university partnerships called Collaborations for Leadership in Applied Health Research and Care (CLAHRCs). The distinction is investigated between boundary objects-in-theory and boundary objects-in-use, considering whether the latter possess specific characteristics which make them more effective during knowledge mobilisation.Methods: A qualitative case study of three CLAHRCs was conducted. Twenty-one people employed as ‘boundary spanners’ were interviewed to explore whether boundary objects played a role in knowledge mobilisation.Findings: The most effective boundary objects-in-use were co-produced through a process of bricolage. These possessed high levels of meaningfulness and resonance, and reconciled multiple user perspectives. Together these properties contributed to the overall authenticity of boundary objects-in-use.Discussion and conclusion: This paper helps to explain why designated boundary objects frequently fail in practice, and why there is a need to focus on understanding boundary objects based on symbolic, rather than structural, dimensions.
背景:在医疗保健领域,弥合研究与实践之间的差距是当务之急。知识动员学者认为,可以通过知识使用者和生产者之间的合作来缩小这一差距。边界对象的概念——能够进行交流的共享事物和想法——在各种协作工作实践中越来越受欢迎,但它们在医疗保健知识动员中的潜力却没有得到充分研究。边界对象设计者面临的一个持续挑战是如何创建原则上和实践中都有价值和共享的对象。目的和目的:本文报告了一项关于通过NHS大学合作伙伴关系在知识动员过程中使用的边界对象的研究,该合作伙伴关系名为“应用健康研究和护理领导力合作”(CLAHRC)。研究了理论上的边界对象和使用中的边界对象之间的区别,考虑到后者是否具有使其在知识调动过程中更有效的特定特征。方法:对3例CLAHRC进行定性病例研究。21名被雇佣为“边界扳手”的人接受了采访,以探讨边界物体是否在知识动员中发挥了作用。研究结果:使用中最有效的边界物体是通过拼凑过程共同产生的。这些具有高度的意义和共鸣,并调和了多个用户视角。这些特性加在一起有助于使用边界对象的整体真实性。讨论和结论:本文有助于解释为什么指定的边界对象在实践中经常失败,以及为什么需要专注于基于符号而非结构维度来理解边界对象。
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引用次数: 8
Why do social scientists organise knowledge exchange events? A qualitative interview study 为什么社会科学家要组织知识交流活动?定性访谈研究
IF 2.1 3区 社会学 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2020-11-01 DOI: 10.1332/174426419X15623126267993
Scott Tindal
Organising and participating in Knowledge Exchange (KE) events represent a considerable commitment by social science academics. Yet academics’ participation in KE activities is not professionally rewarded as are other academic endeavours, so why do they do it? Understanding academics’ perspectives regarding their own motivations for engaging in KE activities is a lacuna within the literature which this article begins to address. Drawing on qualitative interview data with social scientists working within the Centre for Population Change (CPC), the analysis presented in this paper develops a typology of academics’ motivations for committing to organise and host KE events. These are: (1) contractual obligation to research funders; (2) professional self-interest; (3) to recompense society. Their narratives are interpreted through a conceptual framework of the institutionalisation of KE practices through the impact agenda which has shifted institutional expectations and professional norms regarding ‘good academic practice’ within contemporary academia. This paper concludes that the institutional, political, and cultural landscape in which KE events exist has considerable consequences for how academics come to commit to such activities. Understanding this environment can add to our understanding of why academics participate in KE events, and thus why they happen at all.
组织和参与知识交流活动是社会科学学者的一项重大承诺。然而,学者参与KE活动并不像其他学术活动那样获得专业奖励,那么他们为什么要这样做呢?理解学者们对自己参与KE活动动机的看法是本文开始解决的文献中的一个空白。根据对人口变化中心(CPC)社会科学家的定性访谈数据,本文中的分析对学术界致力于组织和举办KE活动的动机进行了分类。这些是:(1)对研究资助者的合同义务;(2) 职业私利;(3) 以补偿社会。他们的叙述是通过影响议程的KE实践制度化的概念框架来解释的,该议程改变了当代学术界对“良好学术实践”的制度期望和专业规范。本文的结论是,KE事件存在的制度、政治和文化景观对学术界如何致力于此类活动有着相当大的影响。了解这种环境可以加深我们对学术界为什么参与KE活动的理解,从而理解它们为什么会发生。
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引用次数: 1
Networks and evidence-based advocacy: influencing a policy subsystem 网络和基于证据的倡导:影响政策子系统
IF 2.1 3区 社会学 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2020-11-01 DOI: 10.1332/174426420x15868720780747
N. Nichols, Jayne A. Malenfant, Kaitlin Schwan
Background: Timely access to relevant and trustworthy research findings is an important facilitator of research use. But the relational aspects of evidence generation, mobilisation and use have been insufficiently explored.Aims and objectives: Our aim is to describe the strategic communicative and relational work of two intermediary organisations playing thought leadership roles within a large, heterogeneous and loosely configured network comprised of individuals and organisations from the following sectors: academia, frontline service delivery, philanthropic funding, advocacy organisations and government.Methods: The data for this project were generated as part of a study of the ways social science research influences policy, practice and systems-change processes. Proceeding from the standpoints of people who generate and/or engage with research in an effort to address homelessness in Canada, this article focuses on the intersections of research, strategic communication and policy making.Findings: Our findings suggest that strategic communication and knowledge exchange play integral roles in efforts to create evidence-based policy change. These communicative activities take the form of public-facing political and/or media engagement strategies, traditional knowledge mobilisation activities and continuous informal and timely exchanges of information between trusted allies.Discussion and conclusions: Our study reveals the importance of a heterogeneous network structure, with formal and informal alliances between individuals and organisations, as well as key intermediary organisations through which knowledge can be strategically mobilised within the network to serve policy change aims. Furthermore, our study suggests that interest in evidence-led governance is shifting the boundaries between research, advocacy and government action.
背景:及时获得相关且值得信赖的研究结果是研究使用的重要促进因素。但是,证据生成、动员和使用的关系方面还没有得到充分的探索。目的和目标:我们的目的是描述两个中介组织在一个庞大、异质和松散的网络中发挥思想领导作用的战略沟通和关系工作,该网络由来自以下部门的个人和组织组成:学术界、一线服务提供、慈善基金、倡导组织和政府。方法:该项目的数据是作为社会科学研究如何影响政策、实践和制度变革过程的研究的一部分生成的。本文从那些为解决加拿大无家可归问题而进行和/或参与研究的人的立场出发,重点关注研究、战略沟通和政策制定的交叉点。研究结果:我们的研究结果表明,战略沟通和知识交流在创造循证政策变革的努力中发挥着不可或缺的作用。这些交流活动的形式包括面向公众的政治和/或媒体参与策略、传统的知识动员活动以及值得信赖的盟友之间持续的非正式和及时的信息交流。讨论和结论:我们的研究揭示了异质网络结构的重要性,个人和组织之间有正式和非正式的联盟,以及关键的中介组织,通过这些组织可以在网络中战略性地调动知识,为政策变革目标服务。此外,我们的研究表明,对证据主导治理的兴趣正在改变研究、倡导和政府行动之间的界限。
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引用次数: 5
Mobilising knowledge in public health: reflections on ten years of collaborative working in Fuse, the Centre for Translational Research in Public Health 调动公共卫生知识:对在公共卫生转化研究中心Fuse合作十年的思考
IF 2.1 3区 社会学 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2020-11-01 DOI: 10.1332/204080519X15619879036817
P. V. D. Graaf, M. Cheetham, A. Lake, M. Welford, R. Rushmer, J. Shucksmith, Avril Rhodes
Background: Fuse was established in 2008 as one of five public health research centres of excellence in the UK funded by the UK Clinical Research Centres collaboration. The centre works across five universities in the North East of England. This is an innovative collaboration and enables the pooling of research expertise. A prime focus of the centre is not just the production of excellent research, but also its translation into usable evidence, a dual focus that remains uncommon.Aims/objectives: This practice paper outlines Fuse’s approach to knowledge exchange (KE) by reflecting on ten years of collaborative research between academics and policy and practice partners in the North East of England. We will describe the principles and assumption underlying our approach and outline a conceptual model of four steps in Fuse’s KE process to develop collaborative research and achieve meaningful impact on policy and practice.Key conclusions: Our model describes a fluid and dynamic approach to knowledge exchange broken down in four steps in the KE process that are concurrent, iterative and vary in intensity over time: awareness raising; knowledge sharing; making evidence fit for purpose; and supporting uptake and implementation of evidence. These steps support the relational context of KE. Relationship building and maintenance is essential for all stages of KE to develop trust and explore the meaning and usefulness of evidence in a multi-directional information flow that supports the co-creating and application of evidence.
背景:Fuse成立于2008年,是由英国临床研究中心合作资助的英国五个卓越公共卫生研究中心之一。该中心在英格兰东北部的五所大学开展工作。这是一项创新合作,能够汇集研究专业知识。该中心的主要关注点不仅是制作优秀的研究成果,还包括将其转化为可用的证据,这是一个罕见的双重关注点。目的/目标:本实践文件通过反思英格兰东北部学术界与政策和实践合作伙伴之间十年的合作研究,概述了Fuse的知识交流方法。我们将描述我们方法的基本原则和假设,并概述Fuse KE过程中的四个步骤的概念模型,以发展合作研究并对政策和实践产生有意义的影响。关键结论:我们的模型描述了一种流动和动态的知识交流方法,在KE过程中分为四个步骤,这些步骤是并行的、迭代的,强度随时间变化:提高认识;知识共享;使证据符合目的;以及支持证据的吸收和实施。这些步骤支持KE的关系背景。关系的建立和维护对于KE的所有阶段都至关重要,以发展信任,并在支持共同创建和应用证据的多向信息流中探索证据的意义和有用性。
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引用次数: 3
Story, dialogue and caring about what matters to people: progress towards evidence-enriched policy and practice 故事、对话和关心对人们来说重要的东西:在丰富证据的政策和实践方面取得的进展
IF 2.1 3区 社会学 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2020-11-01 DOI: 10.1332/174426420X15825349063428
Nick Andrews, J. Gabbay, Andreé Le-May, E. Miller, A. Petch, M. O'Neill
Background:Evidence-based practice in social care and health is widely promoted. Making it a reality remains challenging, partly because practitioners generally see practice-based knowledge as more relevant than empirical research. A further challenge regarding the creative, contextual use of research and other evidence including lived experience and practice-based knowledge is that practitioners, especially in frontline care services, are often seen not as innovators, but recipients of rules and guidelines or followers of pre-determined plans. Likewise, older people are not generally recognised as co-creators of knowledge, learning and development but as passive recipients of care, or objects of research.Aims:This study aimed to address the above issues, through a collaborative and appreciative endeavour involving researchers; social care and health practitioners; managers; older people and carers in 6 sites across Wales and Scotland.Methods:We used participatory action research methodology, applying a dialogic storytelling approach, which enabled participants to explore and address 7 already published research-based ‘Challenges’ regarding what matters most to older people with high-support needs.Findings:Participants discovered and addressed five elements required in developing evidence-enriched practice; the creation of supportive and relationship-centred research and practice environments; the valuing of diverse types of evidence; the use of engaging narratives to capture and share evidence; the use of dialogue-based approaches to learning and development; and the recognition and resolution of systemic barriers to development.Discussion and conclusion:Although existing literature covers each element, this project was novel in collectively exploring and addressing all five elements together, and in its use of multiple forms of story, which engaged hearts and minds, positive outcomes were achieved.
背景:循证实践在社会保健和卫生领域得到广泛推广。使其成为现实仍然具有挑战性,部分原因是实践者通常认为基于实践的知识比实证研究更相关。关于创造性地、有背景地使用研究和其他证据(包括生活经验和基于实践的知识)的另一个挑战是,从业人员,特别是一线护理服务的从业人员,往往不被视为创新者,而是规则和指导方针的接受者或预先确定计划的追随者。同样,老年人一般不被认为是知识、学习和发展的共同创造者,而被认为是被动的护理接受者或研究对象。目的:本研究旨在通过研究人员的合作和赞赏的努力来解决上述问题;社会护理和保健从业人员;经理;老年人和护理人员在威尔士和苏格兰的6个地点。方法:我们采用参与式行动研究方法,采用对话式讲故事的方法,使参与者能够探索和解决7个已经发表的基于研究的“挑战”,即对需要高度支持的老年人最重要的是什么。研究结果:参与者发现并解决了发展证据丰富实践所需的五个要素;创造支持性和以关系为中心的研究和实践环境;对各种证据的重视;使用引人入胜的叙述来捕捉和分享证据;使用基于对话的学习和发展方法;认识和解决阻碍发展的体制性障碍。讨论和结论:虽然现有文献涵盖了每个元素,但该项目在共同探索和解决这五个元素方面是新颖的,并且使用了多种形式的故事,这吸引了人们的心灵和思想,取得了积极的成果。
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引用次数: 11
Explaining variation in evidence-based policy making in the American states 解释美国各州循证政策制定的差异
IF 2.1 3区 社会学 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2020-11-01 DOI: 10.1332/174426419x15752577942927
Dylan L. Yingling, D. Mallinson
Background: Though evidence-based policy (EBP) has attracted considerable attention from the public, academics, and governments, prior studies have revealed little about how political parties, institutions, and policy context shape the adoption and implementation of these policies in the American states.Aims and objectives: Develop objective criteria for measuring these policies, as well as a hierarchy which describes the features that make some policies more advanced. This paper presents the first comprehensive study on EBP in the American states.Methods: Using assessments by the Pew and MacArthur foundations to measure EBP in the states for four topics: criminal justice, juvenile justice, behavioural health, and child welfare. Assess the relationship between EBP use and state political and institutional factors.Results: Democratic governors, Republican legislatures, state innovativeness are significant predictors of EBP engagement.Discussion and conclusions: This research makes a substantial contribution to the study of EBP and opens new avenues for future research on the political, cultural, and institutional factors that influence EBP adoption and implementation. In an era of extreme partisanship, our study finds that EBP is a policy niche where actors and institutions across political parties use research evidence to inform effective and efficient policies in ways that maximise the electoral incentives that such policies can offer.
背景:尽管循证政策(EBP)引起了公众、学者和政府的极大关注,但先前的研究很少揭示政党、机构和政策背景如何影响美国各州这些政策的通过和实施。目的和目标:制定衡量这些政策的客观标准,以及描述使一些政策更先进的特征的层次结构。本文介绍了美国各州首次对EBP进行的全面研究。方法:使用皮尤基金会和麦克阿瑟基金会的评估来衡量各州四个主题的EBP:刑事司法、青少年司法、行为健康和儿童福利。评估EBP的使用与国家政治和制度因素之间的关系。结果:民主党州长、共和党立法机构、州创新能力是EBP参与度的重要预测因素。讨论和结论:本研究为EBP的研究做出了重大贡献,并为未来研究影响EBP采用和实施的政治、文化和制度因素开辟了新的途径。在一个极端党派偏见的时代,我们的研究发现,EBP是一个政策利基,各政党的行动者和机构利用研究证据,以最大限度地提高此类政策所能提供的选举激励的方式,为有效和高效的政策提供信息。
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引用次数: 5
Understanding evidence use from a programmatic perspective: conceptual development and empirical insights from national malaria control programmes 从规划角度理解证据使用:来自国家疟疾控制规划的概念发展和经验见解
IF 2.1 3区 社会学 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2020-09-07 DOI: 10.1332/174426420x15967828803210
J. Parkhurst, L. Ghilardi, J. Webster, Jenna Hoyt, Jenny Hill, C. Lynch
Background: Conceptualisations of what it means to use evidence in policymaking often appear divided between two extremes. On the one side are works presenting it as the implementation of research findings ‐ particularly evaluations of intervention effect. In contrast stand theoretically informed works exploring the multiple meanings of evidence use, political complexities, and the constructed nature of research evidence itself. The first perspective has been criticised as over-simplistic, while the latter can make it difficult to answer questions of what might be good, or improved, uses of evidence in policymaking.Methods: To further debate, this paper develops a ‘programmatic approach’ to evidence use, drawing on theories of institutional decision making and empirical work on evidence use within 11 National Malaria Control Programmes in Africa. We apply the programmatic approach by investigating the key goals and tasks of programme officials, recognising that these will shape the routines and logics followed affecting evidence utilisation. We then map out the forms, sources, features, and applications of evidence that serve programme officials in their goals.Findings: In the case of malaria programmes, evidence use was understood in relation to tasks including: advocacy for funding, budget allocation, regulation development, national planning, and identification of information gaps ‐ all of which might require different evidence sources, forms, and applications.Discussion and conclusions: Ultimately the programmatic approach aims to facilitate clearer understanding of what uses of evidence are appropriate to policymakers, while also allowing critical reflection on whether such uses are ‘good’ from both programme and broader social perspectives.
背景:在政策制定中使用证据意味着什么,人们的概念往往分为两个极端。一方面,作品将其呈现为研究成果的实施-特别是对干预效果的评估。相比之下,立场理论知情的作品探索证据使用的多重含义,政治复杂性,以及研究证据本身的建构性质。第一种观点被批评为过于简单化,而后一种观点可能使人们难以回答在决策过程中如何更好地或更好地利用证据的问题。方法:为了进一步辩论,本文开发了一种证据使用的“程序化方法”,借鉴了非洲11个国家疟疾控制规划的机构决策理论和证据使用的实证工作。我们通过调查项目官员的关键目标和任务来应用程序化方法,认识到这些将塑造影响证据利用的常规和逻辑。然后,我们绘制出为项目官员实现其目标服务的证据的形式、来源、特征和应用。研究结果:在疟疾规划的案例中,证据的使用被理解为与以下任务相关:倡导资金、预算分配、法规制定、国家规划和识别信息差距——所有这些都可能需要不同的证据来源、形式和应用。讨论和结论:最终,方案方法的目的是促进更清楚地了解证据的哪些用途适合决策者,同时也允许从项目和更广泛的社会角度对这些用途是否“有益”进行批判性反思。
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引用次数: 7
Important implementation constructs for federal agencies in health and human service settings that are selecting, monitoring, and supporting grantees 为联邦卫生和人类服务机构选择、监督和支持受助人制定的重要实施方案
IF 2.1 3区 社会学 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2020-08-01 DOI: 10.1332/174426418X15409834211096
Allison B. Dymnicki, Robin Bzura, D. Osher, A. Wandersman, D. Duplantier, Michelle J. Boyd, Amanda Cash, Lindsey Hutchison
Background:Federal agencies and other funders seeking to maximise their impact aim to understand factors associated with implementing evidence-based interventions (EBIs) to address health problems. Challenges exist, however, in synthesising information from different disciplines and reaching agreement about these factors due to different terminology, frameworks, and measures being used in different fields. Methods:A mixed-methods approach was used to identifying a set of implementation constructs helpful for selecting, monitoring, and supporting federal grantees in health and human service settings. Three phases of research were conducted: a literature review, structured expert interviews, and consensus building. Interviews with implementation experts were used to validate a set of implementation constructs identified in the literature review as strongly and consistently related to successful implementation of EBIs in international contexts. A modified Delphi approach was used with a technical working group (TWG) of federal staff to agree on the constructs most relevant for federally funded EBIs. Findings:This process yielded 11 constructs related to either the intervention, the intersection between the invention and context, or the implementation process. These constructs are areas of interest when integrating research evidence into routine practice. Expert interviewees recommended establishing clear, consistent construct definitions before developing valid, feasible measures of the constructs. In contrast to the numerous and specific constructs advanced by researchers, federal TWG members favoured fewer constructs with more generalisability. Discussion and conclusions:This article demonstrates the translation work required for policy contexts and highlights a successful approach to translate evidence from implementation science research for federal staff.
背景:寻求最大限度发挥其影响的联邦机构和其他供资机构旨在了解与实施循证干预措施(ebi)有关的因素,以解决健康问题。然而,由于不同领域使用不同的术语、框架和措施,在综合来自不同学科的信息并就这些因素达成一致方面存在挑战。方法:采用混合方法来确定一套有助于在卫生和人类服务环境中选择、监测和支持联邦补助金的实施结构。研究进行了三个阶段:文献综述、结构化专家访谈和建立共识。与实施专家的访谈用于验证文献综述中确定的一组实施结构,这些结构与国际背景下ebi的成功实施密切相关。一个由联邦工作人员组成的技术工作组(TWG)采用了一种改进的德尔菲方法,就与联邦资助的ebi最相关的结构达成一致。结果:这一过程产生了11个与干预、发明和情境之间的交集或实施过程相关的构念。当将研究证据整合到日常实践中时,这些结构是感兴趣的领域。专家受访者建议,在制定有效、可行的构式措施之前,先建立清晰、一致的构式定义。与研究人员提出的大量和特定的构念相比,联邦TWG成员倾向于较少的构念,但更具普遍性。讨论和结论:本文展示了政策背景所需的翻译工作,并强调了为联邦工作人员翻译实施科学研究证据的成功方法。
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引用次数: 0
To what extent does evidence support decision making during infectious disease outbreaks? A scoping literature review 在传染病爆发期间,证据在多大程度上支持决策?范围界定文献综述
IF 2.1 3区 社会学 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2020-08-01 DOI: 10.1332/174426420x15808913064302
Andreea Salajan, S. Tsolova, M. Ciotti, Jonathan E. Suk
Background:Infectious disease outbreaks require decision makers to make rapid decisions under time pressure and situations of scientific uncertainty, and yet the role of evidence usage in these contexts is poorly understood. Aims and objectives:To define and contextualise the role of scientific evidence in the governance of infectious disease outbreaks and to identify recommendations for overcoming common barriers to evidence-informed decision making. Methods:A scoping review and an expert workshop to provide additional input into recommendations on enhancing evidence uptake during infectious disease outbreaks taking place in European settings. Findings:Forty-nine records reporting on multiple decision-making processes during infectious disease outbreaks of the past ten years were included in the study. Decision makers prioritise expert advice, epidemiological data and mathematical modelling data for risk characterisation and management, but tend to be challenged by scientific uncertainties, which allow for conflicting interpretations of evidence and for public criticism and contestation of decision-making processes. There are concrete opportunities for optimising evidence usage to improve public health policy and practice through investment in decision-making competencies, relationship building, and promoting transparent decision-making processes. Discussion and conclusions:It is not necessarily a disregard of evidence that puts a strain on decision making in health crises, but rather competing interests and the lack of clear, unambiguous and rapidly available evidence for risk characterisation and effectiveness of response measures.The relationship between science and public health decision making is relatively understudied but is deserving of greater attention, so as to ensure that the pursuit of evidence for decision making does not challenge timely and effective crisis management.
背景:传染病爆发需要决策者在时间压力和科学不确定性的情况下做出快速决策,但人们对证据使用在这些情况下的作用知之甚少。目的和目标:界定科学证据在传染病疫情治理中的作用并结合具体情况,并确定克服证据知情决策常见障碍的建议。方法:范围界定审查和专家研讨会,为在欧洲环境中爆发传染病期间加强证据吸收的建议提供额外投入。研究结果:研究中包括了49份报告过去十年传染病爆发期间多个决策过程的记录。决策者优先考虑专家建议、流行病学数据和数学建模数据,以进行风险表征和管理,但往往会受到科学不确定性的挑战,这导致对证据的解释相互矛盾,并导致公众对决策过程的批评和质疑。通过投资决策能力、建立关系和促进透明的决策过程,优化证据使用以改善公共卫生政策和实践是有具体机会的。讨论和结论:在健康危机中,不一定是无视证据给决策带来压力,而是利益竞争,以及缺乏明确、明确和快速可用的证据来描述风险特征和应对措施的有效性。科学与公共卫生决策之间的关系研究相对不足,但值得更多关注,以确保为决策寻找证据不会挑战及时有效的危机管理。
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引用次数: 42
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Evidence & Policy
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