MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Health Research Policy and Systems' source. Thu, 09 Feb 2012 07:35:53 +0100 http://www.medworm.com/index.php?rid=5654252&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F10%2F1%2F4 The objectives of this paper are to: 1) provide a detailed description of the methodologies employed across the various studies being conducted by Team ACCESS; 2) demonstrate how administrative health data can be used to evaluate access and quality in CRC services; and 3) provide an example of an interdisciplinary team approach to addressing health service delivery issues. Methods: All patients diagnosed with CRC in NS between 2001 and 2005 were identified through the Nova Scotia Cancer Registry (NSCR) and staged using the Collaborative Stage Data Collection System. Using administrative databases that were linked at the patient level, Team ACCESS created a retrospective longitudinal cohort with comprehensive demographic, clinical, and healthcare utilization data. These data were used to ex... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=5654252 Tue, 31 Jan 2012 05:00:00 +0100 5654252 http://www.medworm.com/index.php?rid=5633469&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F10%2F1%2F2 Conclusions: Parallel systems that bypass the DHIS represent a missed opportunity to strengthen system-wide M&E capacity. Integrating HIV M&E (staff, systems and process) into the health system M&E function would mobilise ear-marked HIV funding towards improving DHIS capacity to produce quality and timely HIV indicators that would benefit both programme and health system M&E functions. This offers a practical way of maximising programme-system synergies and translating the health system strengthening intents of existing HIV policies into tangible action. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=5633469 Thu, 26 Jan 2012 05:00:00 +0100 5633469 http://www.medworm.com/index.php?rid=5565186&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F10%2F1%2F1 Conclusion: This review identified quality gaps and variable alignment with best evidence in available guidelines within SADC for five priority diseases. Future guideline development processes within SADC should better adhere to global reporting norms requiring broader consultation of stakeholders and transparency of process. A regional guideline support committee could harness local capacity to support context appropriate guideline development. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=5565186 Thu, 05 Jan 2012 05:00:00 +0100 5565186 http://www.medworm.com/index.php?rid=5555636&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F9%2F1%2F44 Sustainable research capacity building requires training individuals at multiple levels within a supportive institutional infrastructure to develop a critical mass ofindependent researchers. At many African medical institutions, a PhD is important for academic promotion and is, therefore, an important focal area for capacity building programs. We examine the training at the Infectious Diseases Institute (IDI) as a modelfor in-country training based on systems capacity building and attention to the academic environment. PhD training in Africa should provide a strong research foundation forindividuals to perform independent, original research and to mentor others. Training the next generation of researchers within excellent indigenous academic centers of excellence with strong institutional ... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=5555636 Thu, 29 Dec 2011 05:00:00 +0100 5555636 http://www.medworm.com/index.php?rid=5518938&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F9%2F1%2F43 Conclusions: The paper identifies the strengths of the approaches represented in each narrative and recommend these are brought together in the development of a flexible framework to help qualitative researchers to define, apply and demonstrate principles of quality in their research. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=5518938 Mon, 19 Dec 2011 05:00:00 +0100 5518938 http://www.medworm.com/index.php?rid=5472440&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F9%2F1%2F42 Despite a rapidly aging population, geriatrics - the branch of medicine that focuses on healthcare of the elderly - is relatively new in India, with many practicing physicians having little knowledge of the clinical and functional implications of aging. Negative attitudes and limited awareness, knowledge or acceptance of geriatrics as a legitimate discipline contribute to inaccessible and poor quality care for India's old. The aim of this paper is to argue that knowledge translation is a potentially effective tool for engaging Indian healthcare providers in the delivery of high quality geriatric care. The paper describes India's context, including demographics, challenges and current policies, summarizes evidence on provider behaviour change, and integrates the two in order to propose an a... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=5472440 Fri, 02 Dec 2011 05:00:00 +0100 5472440 http://www.medworm.com/index.php?rid=5463259&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F9%2F1%2F40 Conclusion: CIs reported that nationally funded primary health care research projects made an impact on knowledge production, staff development and further research, areas within the realm of influence of the research team and within the scope of awareness of the CIs. Some also made an impact on policy and organizational decision-making, and on localized clinical practice and service delivery. CIs reported few broader economic benefits from their research. Routine use of an instrument of this type would facilitate primary health care research funders' determination of the payback for funding of research in this sector. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=5463259 Wed, 30 Nov 2011 05:00:00 +0100 5463259 http://www.medworm.com/index.php?rid=5463258&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F9%2F1%2F41 Conclusions: The impact of several contextual factors on the death inquiry process could be discerned, and suggested an optimal implementation model. District and state government must mandate and support the process, while the district health office should provide overall coordination, manage the death inquiry data as part of its routine surveillance programme, and organize a highly participatory means, preferably within an existing structure, of sharing the findings with the community and developing evidence-based maternal health interventions. NGO assistance and the support of a development partner may be needed, particularly in locales with weaker communities, public health systems or governance. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=5463258 Wed, 30 Nov 2011 05:00:00 +0100 5463258 http://www.medworm.com/index.php?rid=5300305&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F9%2F1%2F39 Conclusions: Despite global calls for producing and translating HPSR into policy, there are still significant gaps in the EMR. More efforts are needed to produce HPSR and align production and translation with the demand for evidence by policymakers. Findings can help inform and direct future plans and activities for the Evidence Informed Policy Network- EMR, World Health Organization- EMR, and the Middle East and North Africa Health Policy Forum, in addition to being useful for countries that host or are planning to host KT platforms in the region. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=5300305 Fri, 07 Oct 2011 04:00:00 +0100 5300305 http://www.medworm.com/index.php?rid=5291146&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F9%2F1%2F38 Conclusions: Public-health research is broadly distributed across programmes in EU countries. Better understanding of research structures, programmes and results would improve recognition for public health in Europe, and contribute to practice. EU ministries of health should give greater attention to national public-health research strategies and programmes, and the European Union and the World Health Organisation can provide coordination and support. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=5291146 Tue, 04 Oct 2011 04:00:00 +0100 5291146 http://www.medworm.com/index.php?rid=5266334&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F9%2F1%2F37 Conclusions: European and national research on food and health should have social as well as commercial benefits. Strategies and policies should be developed between ministries of health and national research funding agencies. Collaboration between member states in the European Union can yield better innovation and greater competitive advantage. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=5266334 Thu, 29 Sep 2011 04:00:00 +0100 5266334 http://www.medworm.com/index.php?rid=5266335&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F9%2F1%2F36 Conclusions: We believe that the open source model is viable for drug discovery, although it is unlikely that it will exactly follow the form used in software development. Hybrids will likely develop that suit the unique characteristics of drug discovery. We suggest potential motivations for organizations to join an open source drug discovery project. We also examine specific differences between software and medicines, specifically how the need for laboratories and physical goods will impact the model as well as the effect of patents. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=5266335 Wed, 28 Sep 2011 04:00:00 +0100 5266335 http://www.medworm.com/index.php?rid=5189162&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F9%2F1%2F34 Conclusions: The NPM and Hoods doctrine fitted well with OH research. The doctrine brought out view differences and similarities between decision-makers and OH personnel. For example, policymakers highlighted more strongly the structural change by emphasizing professional management compared to OH personnel. The need for reorganization of municipal OH, regardless of different operational preconditions, was obvious for both decision-makers and OH personnel. The adaptation of more clarify management to a municipal context is not trouble-free. The municipality systemic structure, complex operational environment, and reconciliation of political and officer authority set challenges to management of municipalities. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=5189162 Tue, 30 Aug 2011 23:00:00 +0100 5189162 http://www.medworm.com/index.php?rid=5189161&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F9%2F1%2F35 This commentary describes how the Brazilian Ministry of Health's (MoH) research support policy fulfilled the National Agenda of Priorities in Health Research. In 2003 the MoH started a democratic process in order to establish a priority agenda in health research involving investigators, health managers and community leaders. The Agenda was launched in 2004 and is guiding budget allocations in an attempt to reduce the gap between scientific knowledge and health practice and activities, aiming to contribute to improving Brazilian quality of life. Many strategies were developed, for instance: Cooperation Agreements between the Ministry of Health and the Ministry of Science and Technology; the decentralization of research support at state levels with the participation of local Health Secretari... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=5189161 Tue, 30 Aug 2011 23:00:00 +0100 5189161 http://www.medworm.com/index.php?rid=5167037&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F9%2F1%2F33 There is a continuing need for new health technologies to address the disease burdens of developing countries. In the last decade Product Development Partnerships (PDP) have emerged that are making important contributions to the development of these technologies. PDPs are a form of public private partnerships that focus on health technology development. PDPs reflect the current phase in the history of health technology development: the Era of Partnerships, in which the public and private sectors have found productive ways to collaborate. Successful innovation depends on addressing six determinants of innovation. We examine four case studies of PDPs and show how they have addressed the six determinants to achieve success. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=5167037 Thu, 25 Aug 2011 23:00:00 +0100 5167037 http://www.medworm.com/index.php?rid=5074658&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F9%2F1%2F31 ${item.shortDescription} (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=5074658 Wed, 27 Jul 2011 23:00:00 +0100 5074658 http://www.medworm.com/index.php?rid=5074657&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F9%2F1%2F32 ${item.shortDescription} (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=5074657 Wed, 27 Jul 2011 23:00:00 +0100 5074657 http://www.medworm.com/index.php?rid=4965872&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F9%2F1%2F30 Conclusions: The development of ACTO is an example of consumers working with doctors, researchers and policy makers to improve the information available to people whose lives are affected by cancer and to help them participate in their treatment decisions, including consideration of clinical trial enrolment. Consumer input has ensured that the website is informative, targets consumer priorities and is user-friendly. ACTO serves as a model for other health conditions. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=4965872 Sat, 25 Jun 2011 23:00:00 +0100 4965872 http://www.medworm.com/index.php?rid=4965876&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F9%2F1%2F26 Conclusions: This overview is a comprehensive, yet descriptive, contribution to summarize the conceptual framework and taxonomy of an heterogeneous and evolving area of research. A shared and comprehensive conceptual framework does not seem to be available yet and its single components (epidemiologic, economic, and social) are often valued differently in different models. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=4965876 Thu, 23 Jun 2011 23:00:00 +0100 4965876 http://www.medworm.com/index.php?rid=4965875&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F9%2F1%2F27 Conclusion: Rwanda's experience with collaborative partnerships contributed to the creation of a functional public health laboratory network. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=4965875 Thu, 23 Jun 2011 23:00:00 +0100 4965875 http://www.medworm.com/index.php?rid=4965874&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F9%2F1%2F28 This analysis reports on Irish regulatory policies for in vitro fertilisation (IVF) from 2004-2009, in the context of membership changes within the Medical Council of Ireland. To achieve this, the current (2009) edition of the Guide to Professional Conduct & Ethics was compared with the immediately preceding version (2004). The statutory composition of the Medical Council from 2004-2009 was also studied. Content analysis of the two editions identified the following differences: 1) The 2004 guide states that IVF "should only be used after thorough investigation has failed to reveal a treatable cause of the infertility", while the 2009 guide indicates IVF "should only be used after thorough investigation has shown that no other treatment is likely to be effective"; 2) The 2004 stipulation st... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=4965874 Thu, 23 Jun 2011 23:00:00 +0100 4965874 http://www.medworm.com/index.php?rid=4965873&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F9%2F1%2F29 Conclusion: This study provides preliminary evidence for the reliability of a tool that can be used to measure TPB constructs in relation to research use in policymaking. Our findings suggest that the tool should be administered on more than one occasion when the intervention promotes an initial 'spike' in enthusiasm for using research evidence (as it seemed to do in this case with deliberative dialogues). The findings from this study will be used to modify the tool and inform further psychometric testing following different KTE interventions. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=4965873 Thu, 23 Jun 2011 23:00:00 +0100 4965873 http://www.medworm.com/index.php?rid=4958288&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F9%2F1%2F25 Conclusion: The findings confirm that a clearly-defined partnership between NGOs and health staff can be very powerful for influencing the legal and policy environment in which health care services for intimate partner violence are developed. It is critical to gain high level support from the Ministry of Health in order to institutionalise the violence-response across the entire health care system. Without clear operational details and resources policy implementation cannot be fully ensured and taken to scale. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=4958288 Mon, 20 Jun 2011 23:00:00 +0100 4958288 http://www.medworm.com/index.php?rid=4943099&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F9%2F1%2F24 Clinician dependent costs are the costs of care that are under the discretion of the healthcare provider. These costs include the costs of drugs, tests and investigations, and discretionary outpatient visits and inpatient stays. The purpose of this review was to summarize recent evidence, relevant to both developed and developing countries on whether evidence based clinical guidelines can change hospitals variable costs which are clinician dependent, and the degree of financial savings achieved at hospital level. Potential studies for inclusion were identified using structured searches of Econlit, J-Stor, and Pubmed databases. Two reviewers independently evaluated retrieved studies for inclusion. The methodological quality of the selected articles was assessed using the Oxford Centre for E... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=4943099 Wed, 15 Jun 2011 23:00:00 +0100 4943099 http://www.medworm.com/index.php?rid=4929740&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F9%2F1%2F23 This editorial introduces a new Supplement in Health Research Policy and Systems and highlighs the importance of assessing the impact of health research by examining whether we can move from 'Know-Do' to 'Do-Knowing It's Been Done' (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=4929740 Wed, 15 Jun 2011 23:00:00 +0100 4929740 http://www.medworm.com/index.php?rid=4918260&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F9%2F1%2F22 Conclusions. The intervention increased access to affordable ACTs for underserved populations. Indications are that antimalarial monotherapies are being "crowded out" of the market. Importantly, the transition to ACTs has been accomplished in an environment where the safety and efficacy of the drugs and the quality of services are being monitored and regulated. This paper presents a description of the pilot program implementation, results of the program evaluation, and a discussion of the challenges and recommendations that will be used to guide rollout of subsidized ACT in ADDOs in the rest of Tanzania and probably in other countries. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=4918260 Wed, 08 Jun 2011 23:00:00 +0100 4918260 http://www.medworm.com/index.php?rid=4909058&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F9%2F1%2F21 After publication of this work [Shi et al, Health Research Policy and Systems 2011 9:16], we noted that we inadvertently failed to include the complete list of all coauthors. The full list of authors has now been added and the Authors' contributions and Competing interests section modified accordingly. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=4909058 Mon, 06 Jun 2011 23:00:00 +0100 4909058 http://www.medworm.com/index.php?rid=4859665&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F9%2F1%2F20 Conclusions: This study highlighted the potential effects of general health insurance knowledge and awareness of contributions by end-users (beneficiaries) of such new program on client satisfaction which have significant importance. The findings provided evidence which have assisted the amendment and re-prioritization of the medium term strategic plan of operations for the scheme. Future planning efforts could consider the client satisfaction and the factors which influenced it regularly. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=4859665 Tue, 24 May 2011 23:00:00 +0100 4859665 http://www.medworm.com/index.php?rid=4826536&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F9%2F1%2F19 Conclusions: Country level priority setting processes differed significantly in terms of the methods used. We argue that priority setting processes must have in-built mechanisms for publicizing results, effective procedures to enforce decisions as well as processes to ensure that the revision of priorities happens in practice. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=4826536 Sat, 14 May 2011 23:00:00 +0100 4826536 http://www.medworm.com/index.php?rid=4826537&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F9%2F1%2F18 Conclusions: Consumer and community participation is an essential component of good research practice and contributed to the Alcohol and Pregnancy Project by enhancing research processes, outputs and outcomes, and this participation was valued by community and consumer representatives and researchers. The National Health and Medical Research Council in Australia expects researchers to work in partnership and involve consumer and community representatives in health and medical research, and to evaluate community and consumer participation. It is important to demonstrate whether consumer and community participation makes a difference to health and medical research. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=4826537 Fri, 13 May 2011 23:00:00 +0100 4826537 http://www.medworm.com/index.php?rid=4691098&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F9%2F1%2F17 Conclusions: Six gaps which could impact on the policies' effect on countries' mental health systems were: lack of internal consistency of structure and content of policies, superficiality of key international concepts, lack of evidence on which to base policy directions, inadequate political support, poor integration of mental health policies within the overall national policy and legislative framework, and lack of financial specificity. Three strategies to address these concerns emerged, namely strengthening capacity of key stakeholders in public (mental) health and policy development, creation of a culture of inclusive and dynamic policy development, and coordinated action to optimize use of available resources. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=4691098 Thu, 07 Apr 2011 23:00:00 +0100 4691098 http://www.medworm.com/index.php?rid=4691099&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F9%2F1%2F16 Conclusions: Village deprivation independently increases the risk for financial hardship due to health payment after adjusting for known household-level factors. This suggests that policy makers need to view the individual, household and village as separate units for policy targeting. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=4691099 Tue, 05 Apr 2011 23:00:00 +0100 4691099 http://www.medworm.com/index.php?rid=4662259&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F9%2F1%2F15 When a new health product becomes available, countries have a choice to adopt the product into their national health systems or to pursue an alternate strategy to address the public health problem. Here, we describe the role for product development partnerships (PDPs) in supporting this decision-making process. PDPs are focused on developing new products to respond to health problems prevalent in low and middle income settings. The impact of these products within public sector health systems can only be realized after a country policy process. PDPs may be the organizations most familiar with the evidence which assists decision making, and this generally translates into involvement in international policy development, but PDPs have limited reach into endemic countries. In a few individual c... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=4662259 Wed, 30 Mar 2011 23:00:00 +0100 4662259 http://www.medworm.com/index.php?rid=4639660&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F9%2F1%2F14 Conclusions: Our indicators of sustainable capacity building need to be tested prospectively in a variety of projects to assess their usefulness. For each project the evidence required to show that indicators have been achieved should evolve with the project and they should be determined prospectively in collaboration with stakeholders. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=4639660 Sun, 27 Mar 2011 23:00:00 +0100 4639660 http://www.medworm.com/index.php?rid=4630048&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F9%2F1%2F13 Conclusions: The use of the hybrid conceptual framework provides a pragmatic approach to defining performance indicators that are aligned to the strategic aims of a health research system. The particular strength of this framework is its capacity to provide an empirical link, over time, between upstream activities of a health research system and its long-term strategic objectives. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=4630048 Thu, 24 Mar 2011 00:00:00 +0100 4630048 http://www.medworm.com/index.php?rid=4604245&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F9%2F1%2F12 The lack of a mechanism that aligns financial flows for global health research towards public health priorities limits the impact of health research on health and health equity. Collaborative groups of health research funders appear to be particularly well situated to ameliorate this situation and to initiate discussion on aid alignment for global health research. One such group is the Heads of International Research Organizations (HIROs), which brings together a large number of major government and philanthropic funders of biomedical research. Surprisingly, there is hardly any information publicly available on HIROs' objectives, or on how it aims to achieve more harmonization in the field of research for health. Greater transparency on HIROs' objectives and on its current efforts towards ... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=4604245 Thu, 17 Mar 2011 00:00:00 +0100 4604245 http://www.medworm.com/index.php?rid=4505779&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F9%2F1%2F11 The 20th anniversary of the groundbreaking report of the Commission on Health Research for Development inspired a Symposium to assess progress made in strengthening essential national health research capacity in developing countries and in global research partnerships. Significant aspects of the health gains achieved in the 20th century can be attributed to the advancement and translation of knowledge, and knowledge continues to occupy center stage amidst growing complexity that characterizes the global health field. The way forward will entail a reinvigoration of research-generated knowledge as a crucial ingredient for global cooperation and global health advances. To do this we will need to overcome daunting gaps, including the divides between domestic and global health, among the discip... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=4505779 Tue, 22 Feb 2011 00:00:00 +0100 4505779 http://www.medworm.com/index.php?rid=4463149&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F9%2F1%2F9 This study is based on a large-scale household survey and in-depth interviews of key informants that were conducted in villages in three counties of two provinces in China. We assess the new decentralized service provision system for people living with HIV/AIDS in rural populations in China. Since 2003, new social assistance schemes and, more importantly, decentralization of routine treatment and care to community health stations, were progressively implemented in rural areas most affected by the HIV/AIDS epidemic. Though some problems remain, such as persistent discrimination towards infected patients and lack of sufficient training for medical personnel, the new decentralized pattern of service provision has lowered barriers to health access and alleviated economic pressure on affected h... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=4463149 Fri, 11 Feb 2011 00:00:00 +0100 4463149 http://www.medworm.com/index.php?rid=4454070&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F9%2F1%2F8 Cardiovascular diseases (CVD) are leading causes of premature mortality in India. Evidence from developed countries shows that mortality from these can be substantially prevented using population-wide and individual-based strategies. Policy initiatives for control of CVD in India have been suggested but evidence of efficacy has emerged only recently. These initiatives can have immediate impact in reducing morbidity and mortality. Of the prevention strategies, primordial involve improvement in socioeconomic status and literacy, adequate healthcare financing and public health insurance, effective national CVD control programme, smoking control policies, legislative control of saturated fats, trans fats, salt and alcohol, and development of facilities for increasing physical activity through ... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=4454070 Wed, 09 Feb 2011 00:00:00 +0100 4454070 http://www.medworm.com/index.php?rid=4449049&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F9%2F1%2F7 Conclusions: In many countries the print media, at least as captured in a global database, are largely silent about three topics central to evidence-informed health systems. These findings suggest the need for proactive-media engagement strategies. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=4449049 Tue, 08 Feb 2011 00:00:00 +0100 4449049 http://www.medworm.com/index.php?rid=4417593&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F9%2F1%2F6 Conclusion The study provides preliminary evidence that the PS-13 service satisfaction and the SIMS tools are reliable measures of patient satisfaction in TB programs. Satisfaction score findings suggest differences in patient satisfaction levels between public and private hospitals; between patients starting and those completing TB therapy. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=4417593 Mon, 31 Jan 2011 00:00:00 +0100 4417593 http://www.medworm.com/index.php?rid=4410271&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F9%2F1%2F5 With rapidly increasing globalization, trends towards unhealthy diets, obesity, sedentary lifestyles and unhealthy habits are resulting in an increased worldwide burden of chronic non-communicable diseases (NCDs). In Africa this means that health systems face the challenge of an increasing burden of NCDs and of continuing high morbidity and mortality from communicable diseases. This health transition represents an enormous challenge to Africa as the region with the least resources for an effective response. Whereas previous epidemics, including HIV, have caught Africa unprepared, the opportunity now arises to take the advancing wave of health transition in Africa seriously. Health research has a key role to play in meeting health and development goals, and must be responsive to changing di... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=4410271 Fri, 28 Jan 2011 00:00:00 +0100 4410271 http://www.medworm.com/index.php?rid=4359479&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F9%2F1%2F4 Conclusions: The identification of interventions of proven effectiveness and good value for money and earmarked funding through a SWAp process can produce measurable improvement in health service delivery at extremely low cost. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=4359479 Mon, 17 Jan 2011 00:00:00 +0100 4359479 http://www.medworm.com/index.php?rid=4316924&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F9%2F1%2F1 Background: There are strong arguments for social science and interdisciplinary research in the neglected tropical diseases. These diseases represent a rich and dynamic interplay between vector, host, and pathogen which occurs within social, physical and biological contexts. The overwhelming sense, however, is that neglected tropical diseases research is a biomedical endeavour largely excluding the social sciences. The purpose of this review is to provide a baseline for discussing the quantum and nature of the science that is being conducted, and the extent to which the social sciences are a part of that. Methods: A bibliographic analysis was conducted of neglected tropical diseases related research papers published over the past 10 years in biomedical and social sciences. The analysis had... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=4316924 Thu, 06 Jan 2011 00:00:00 +0100 4316924 http://www.medworm.com/index.php?rid=4316923&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F9%2F1%2F2 Conclusion: The evidence presented in this case study indicates that funding on NTD social science research compared to basic and translational research is not as low as it is perceived to be. However, as there is the acute need for improved delivery and utilisation of current NTD drugs/technologies, informed by research from social science approaches, funding priorities need to reflect the need to invest significantly more in NTD social science research. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=4316923 Thu, 06 Jan 2011 00:00:00 +0100 4316923 http://www.medworm.com/index.php?rid=4316922&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F9%2F1%2F3 Conclusion: While it has been an achievement to have offered free drugs to so many adults, current standard practices of monitoring, evaluation and delivery of MDA for NTDs are inconsistent and inadequate. Efforts to integrate programmes have exacerbated the difficulties. Improved assessment of what is really happening on the ground will be an essential step in achieving long-term overall reduction of the NTD burden for impoverished communities. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=4316922 Thu, 06 Jan 2011 00:00:00 +0100 4316922 http://www.medworm.com/index.php?rid=4301609&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F8%2F1%2F37 Conclusion: We provide an analysis that can be used by public health services-related researchers, practitioners and policy makers to be aware of the dispartities. A synthesis of the social, practical and scientific relevance of public health problems should be the starting point for a dialogue that seeks to establish a joint approach. To overcome the above mentioned disparities, face-to-face encounters consistently emerge as the most efficient way to transfer knowledge, achieve higher quality and acknowledge mutual dependence. We recommend practice and policy based research networks to establish strong links between researchers, policy makers and practitioners to improve public health. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=4301609 Fri, 31 Dec 2010 00:00:00 +0100 4301609 http://www.medworm.com/index.php?rid=4301608&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F8%2F1%2F38 Conclusions: Future studies should explore ways of creating mechanisms which decrease the time and cost associated with standardisation processes. In addition, the fact that the costs and time necessary for data standards implementation decrease with time should be made known to the wider research community. Policy makers should attempt to match their data standardisation policies better with the expectations of researchers. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=4301608 Fri, 31 Dec 2010 00:00:00 +0100 4301608 http://www.medworm.com/index.php?rid=4262797&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F8%2F1%2F36 Health research priority setting processes assist researchers and policymakers in effectively targeting research that has the greatest potential public health benefit. Many different approaches to health research prioritization exist, but there is no agreement on what might constitute best practice. Moreover, because of the many different contexts for which priorities can be set, attempting to produce one best practice is in fact not appropriate, as the optimal approach varies per exercise. Therefore, following a literature review and an analysis of health research priority setting exercises that were organized or coordinated by the World Health Organization since 2005, we propose a checklist for health research priority setting that allows for informed choices on different approaches and ... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=4262797 Wed, 15 Dec 2010 00:00:00 +0100 4262797 http://www.medworm.com/index.php?rid=4205030&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F8%2F1%2F35 Examining vulnerabilities within our current healthcare system we propose borrowing two tools from the fields of engineering and design: a) Reason's system approach (Reason 1990) and b) User-centered design (Norman and Draper 1986; Norman 1988). Both approaches are human-centered in that they consider common patterns of human behavior when analyzing systems to identify problems and generate solutions. This paper examines these two human-centered approaches in the context of healthcare. We argue that maintaining a human-centered orientation in clinical care, research, training, and governance is critical to the evolution of an effective and sustainable healthcare system. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=4205030 Fri, 26 Nov 2010 00:00:00 +0100 4205030 http://www.medworm.com/index.php?rid=4181417&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F8%2F1%2F34 Conclusion: It is no longer simply enough to keep society informed of important scientific breakthroughs. If Australian health research is to take into account important social contexts and consequences, it must involve consumers. A set of minimum consumer involvement standards and associated guidelines, that are agreed and routinely adopted, could ensure that consumers and the Australian community they represent, are given an opportunity to shed light on experiences and real world situations, and express views and concerns relevant to health research. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=4181417 Thu, 18 Nov 2010 00:00:00 +0100 4181417 http://www.medworm.com/index.php?rid=4093762&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F8%2F1%2F32 Centuries of scientific advances and developments in biomedical sciences have brought us a long way to understanding and managing disease processes, by reducing them to simplified cause-effect models. For most of the infectious diseases known today, we have the methods and technology to identify the causative agent, understand the mechanism by which pathology is induced and develop the treatment (drugs, vaccines, medical or surgical procedures) to cure, manage or control.Disease, however, occurs within a context of lives fraught with complexity. For any given infectious disease, who gets it, when, why, the duration, the severity, the outcome, the sequela, are bound by a complex interplay of factors related as much to the individual as it is to the physical, social, cultural, political and ... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=4093762 Wed, 20 Oct 2010 23:00:00 +0100 4093762 http://www.medworm.com/index.php?rid=4034673&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F8%2F1%2F29 Although multidisciplinary and team-based approaches are increasingly acknowledged as necessary to address some of the most pressing contemporary health challenges, many researchers struggle with a lack of infrastructure to facilitate and formalise the requisite collaborations. Specialised research centres have emerged as an important organisational solution, yet centre productivity and sustainability are frequently dictated by the availability and security of infrastructure funds.Despite being widely cited as a core component of research capacity building, infrastructure as a discrete concept has been rather analytically neglected, often treated as an implicit feature of research environments with little specification or relegated to a narrow category of physical or administrative inputs.... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=4034673 Tue, 05 Oct 2010 23:00:00 +0100 4034673 http://www.medworm.com/index.php?rid=3982944&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F8%2F1%2F27 Conclusions: This method attempts to rank levels of uncertainty in order to distinguish promising from hazardous clinical use and to outline a research course of action. Decision makers wishing to tie coverage policies to the development of scientific evidence could find this method a useful aid to the governance of innovations. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=3982944 Sun, 19 Sep 2010 23:00:00 +0100 3982944 http://www.medworm.com/index.php?rid=3975229&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F8%2F1%2F26 Conclusion: The developed framework has added value on existing models on research utilization because it emphasizes on the 'logic' of the context of the research and policy networks. The framework will contribute to a better understanding of the impact of epidemiological research in local health policy development, however further operationalisation of the concepts mentioned in the framework remains necessary. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=3975229 Wed, 15 Sep 2010 23:00:00 +0100 3975229 http://www.medworm.com/index.php?rid=3937738&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F8%2F1%2F25 Conclusions: The difficulty in undertaking this survey highlights the complexity of obtaining an Organization-wide assessment of research activity in the absence of common standards for research classification, methods for priority setting and a mechanism across WHO, or within the governance of global health research more generally, for managing a research portfolio.This paper presents a strategic birds-eye view of the WHO research portfolio using methodologies that, with further development, may provide the strategic information required if there is to be balancing of research efforts between communicable disease, non-communicable disease and other pressing public health needs. As the rollout of the WHO strategy on research for health proceeds we would hope to see similar exercises undert... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=3937738 Sun, 05 Sep 2010 23:00:00 +0100 3937738 http://www.medworm.com/index.php?rid=3749153&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F8%2F1%2F23 Conclusions: This use of the tool which is designed to empower programme and facility managers demonstrates how engaging middle managers is crucial in translating policies into relevant actions. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=3749153 Mon, 12 Jul 2010 23:00:00 +0100 3749153 http://www.medworm.com/index.php?rid=3709282&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F8%2F1%2F21 Africa's progress depends on her capacity to generate, adapt, and use scientific knowledge to meet regional health and development needs. Yet, Africa's higher education institutions that are mandated to foster this capacity lack adequate resources to generate and apply knowledge, raising the need for innovative approaches to enhance research capacity. In this paper, we describe a newly-developed program to support PhD research in health and population sciences at African universities, the African Doctoral Dissertation Research Fellowship (ADDRF) Program. We also share our experiences implementing the program. As health research capacity-strengthening in Africa continues to attract attention and as the need for such programs to be African-led is emphasized, our experiences in developing and... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=3709282 Mon, 28 Jun 2010 23:00:00 +0100 3709282 http://www.medworm.com/index.php?rid=3709281&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F8%2F1%2F22 Weaknesses in health systems contribute to a failure to improve health outcomes in developing countries, despite increased official development assistance. Changes in the demands on health systems, as well as their scope to respond, mean that the situation is likely to become more problematic in the future. Diverse global initiatives seek to strengthen health systems, but progress will require better coordination between them, use of strategies based on the best available evidence obtained especially from evaluation of large scale programs, and improved global aid architecture that supports these processes. This paper sets out the case for global leadership to support health systems investments and help ensure the synergies between vertical and horizontal programs that are essential for ef... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=3709281 Mon, 28 Jun 2010 23:00:00 +0100 3709281 http://www.medworm.com/index.php?rid=3685968&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F8%2F1%2F20 Conclusion: Despite dissimilarities in health care systems, Sweden and China have similar basic assumptions, i.e. to combine managerial-organisational efficiency with the humanitarian-egalitarian goals of health care, and both strive to provide better care for all. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=3685968 Mon, 21 Jun 2010 23:00:00 +0100 3685968 http://www.medworm.com/index.php?rid=3669919&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F8%2F1%2F19 Conclusions: The development and consideration of policy options within this epistemic community reflected an appreciation and understanding of many of the factors that can facilitate or thwart policy change. The understanding of context, evidence and ideas, implementation and impact influenced how the participants considered and rated the options. Use of epistemic community actors identified the level of support for each option, helped elaborate the particularities of context, as well as the power and influence of ideas. Further examination of the potential barriers and opportunities for these options will determine if broader consensus, involving a wider range of stakeholders, can be achieved and policy change promoted. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=3669919 Wed, 16 Jun 2010 23:00:00 +0100 3669919 http://www.medworm.com/index.php?rid=3639733&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F8%2F1%2F18 Conclusions: The paper concludes with a call for more strategic attention to dimensions of impact other than knowledge outcomes and for participatory planning for research. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=3639733 Sun, 06 Jun 2010 23:00:00 +0100 3639733 http://www.medworm.com/index.php?rid=3606249&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F8%2F1%2F17 Conclusions: Development of a comprehensive tobacco control plan is a complex endeavour, involving crucial decisions regarding intervention components. "Off the shelf" plans, which need to be adapted to local settings, are available from a variety of sources, and a multitude of individual recommendations are available. The proposed framework for adapting existing approaches to the local social and political climate may assist others planning for smoke-free societies. Additionally, this experience has implications for development of evidence-based health plans addressing other risk factors. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=3606249 Wed, 26 May 2010 23:00:00 +0100 3606249 http://www.medworm.com/index.php?rid=3598122&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F8%2F1%2F16 Conclusions: There was some duplication of effort in the preparation of HTA reports concerned with the use of PET for lung cancer and Hodgkin's disease. This is an example of where resource could have been conserved and time saved by the use of a toolkit developed to aid in the adaptation of HTA reports from one context to another. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=3598122 Tue, 25 May 2010 23:00:00 +0100 3598122 http://www.medworm.com/index.php?rid=3598124&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F8%2F1%2F14 Conclusions: Trust can be restored, and to further this objective a new framework is proposed placing generalized services and individual curative care in the centre of the health sector policy domain. Preventive services are important, but should increasingly be handled by other sectors. To facilitate such a shift in focus we should acknowledge that limited resources are available and accept the conflict between population demand and expert opinion, with the aim of providing legitimate, accountable and trustworthy services through fair, deliberative, dynamic and incremental processes. A discussion of the acceptable level of quality, given the available resources, can then be conducted. The article presents for debate that an increased focus on quality and accountability to secure trust is... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=3598124 Mon, 24 May 2010 23:00:00 +0100 3598124 http://www.medworm.com/index.php?rid=3598123&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F8%2F1%2F15 Open collaboration and sharing of information among scientists at scientific meetings can foster innovation and discovery. However, such sharing can be at odds with potential patenting and commercialization objectives. This tension may be mitigated if certain procedures are followed in the context of scientific meetings. The article first discusses what makes a scientific finding patentable and then sets out four specific patent issues for scientists to consider before attending a scientific meeting and sharing their research. Finally, it provides recommendations on how scientists can best protect their intellectual property rights while sharing information at scientific meetings. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=3598123 Mon, 24 May 2010 23:00:00 +0100 3598123 http://www.medworm.com/index.php?rid=3580403&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F8%2F1%2F13 Conclusions: Our paper contributes to transparency in the process of priority-setting for health research in Africa. Although the European Union Seventh Framework Research Programme prioritises biomedical and clinical research, research for Africa should also address broader social and cultural research and intervention research for greatest impact. Research policy leaders in Africa must engage national governments and international agencies as well as service providers and research communities. None can act effectively alone. Bringing together the different stakeholders, and feeding the results through to the European Union research programme is a valuable contribution of CAAST-Net. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=3580403 Tue, 18 May 2010 23:00:00 +0100 3580403 http://www.medworm.com/index.php?rid=3558993&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F8%2F1%2F11 Health research systems consist of diverse groups who have some role in health research, but the boundaries around such a system are not clear-cut. To explore what various stakeholders need we reviewed the literature including that on the history of English health R&D reforms, and we also applied some relevant conceptual frameworks.We first describe the needs and capabilities of the main groups of stakeholders in health research systems, and explain key features of policymaking systems within which these stakeholders operate in the UK. The five groups are policymakers (and health care managers), health professionals, patients and the general public, industry, and researchers. As individuals and as organisations they have a range of needs from the health research system, but should also dev... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=3558993 Wed, 12 May 2010 23:00:00 +0100 3558993 http://www.medworm.com/index.php?rid=3558992&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F8%2F1%2F12 Conclusions: Sustainable intervention scale-up requires operational, financial and psychological integration into local government mechanisms. This must include substantial time for district systems to try out implementation with only minimal NGO support and modest output targets. It must therefore go beyond the typical three- to four-year project cycles. Scale-up of NGO pilot projects of this nature also need NGOs to be flexible enough to adapt to local government planning cycles and ongoing evaluation is needed to ensure strategies employed to do so really do achieve full intervention integration. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=3558992 Wed, 12 May 2010 23:00:00 +0100 3558992 http://www.medworm.com/index.php?rid=3554857&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F8%2F1%2F10 There were 59,500 Children in out-of-home care in England in 2008. Research into this population points to poor health and quality of life outcomes over the transition to adult independence. This undesirable outcome applies to mental health, education and employment. This lack of wellbeing for the individual is a burden for health and social care services, suggesting limitations in the current policy approaches regarding the transitional pathway from care to adult independence. Although the precise reasons for these poor outcomes are unclear long term outcomes from national birth cohorts suggest that mental health could be a key predictor for subsequent psychosocial adjustment.Researching the wellbeing of children in out-of-home care has proven difficult due to the range and complexity of ... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=3554857 Tue, 11 May 2010 23:00:00 +0100 3554857 http://www.medworm.com/index.php?rid=3439892&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F8%2F1%2F8 Conclusions: This internal review can serve as a snap shot of on-going activities, and as a baseline for future assessments against which to monitor progress in the area of health systems research. Further, it can serve as a model for other institutions striving to assess and develop health systems research programmes and capacity. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=3439892 Mon, 05 Apr 2010 23:00:00 +0100 3439892 http://www.medworm.com/index.php?rid=3321006&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F8%2F1%2F6 Conclusions: Our study shows that different methods and outcomes can be used to assess the economic impacts of healthcare research. There is no unique methodological approach for the economic evaluation of such research. In our systematic search we found no research that had evaluated the economic return of research in low and middle income countries. We therefore recommend a consensus on practical guidelines at international level on the basis of more comprehensive methodologies (such as Canadian Academic of Health Science and payback frameworks) in order to build capacity, arrange for necessary informative infrastructures and promote necessary skills for economic evaluation studies. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=3321006 Tue, 02 Mar 2010 00:00:00 +0100 3321006 http://www.medworm.com/index.php?rid=3265679&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F8%2F1%2F5 Data on under five mortality in the twelve countries of the Commonwealth of Independent States show important fluctuations over time due to variations in quality of data, definitions of neonatal deaths and methods of mortality estimation. Despite the uncertainties regarding mortality trends, the analysis of health and social information from different sources offers clues to identify priority areas and key strategic directions for accelerating the achievement of the 4th Millennium Development Goal. Neonatal deaths represent from 40% to over 50% of under five deaths in all these countries. Maternal mortality was above 50 per 100,000 in 2005, despite the good coverage with antenatal care and births assisted by skilled birth attendants. The scanty information on quality of perinatal care indi... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=3265679 Fri, 12 Feb 2010 00:00:00 +0100 3265679 http://www.medworm.com/index.php?rid=3219187&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F8%2F1%2F3 Conclusion: Our analysis points to a number of strengths of the questionnaire - high internal consistency (reliability) and good face and content validity - but also to areas where it can be shortened without losing important conceptual domains. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=3219187 Fri, 29 Jan 2010 00:00:00 +0100 3219187 http://www.medworm.com/index.php?rid=3219186&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F8%2F1%2F4 Conclusions: While no direct comparison can be made to a comparable questionnaire, our findings do suggest a number of strengths of the questionnaire but also the need to reduce item redundancy and to test its capacity to monitor changes over time. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=3219186 Fri, 29 Jan 2010 00:00:00 +0100 3219186 http://www.medworm.com/index.php?rid=3187940&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F8%2F1%2F1 Conclusions: BCG immunisation is associated with significant delays in this setting and infants at increased risk of delays can be identified and supported early possibly through improved maternal uptake of antenatal care. Combining BCG with subsequent immunisation(s) at 6 weeks for infants who missed the BCG may be considered. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=3187940 Wed, 20 Jan 2010 00:00:00 +0100 3187940 http://www.medworm.com/index.php?rid=3132665&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F7%2F1%2F31 Conclusion: Translating research knowledge into policy is a complex and context sensitive process. Researchers aiming to enhance knowledge translation need to be aware of factors influencing the demand for different types of research; interact and work closely with key policy stakeholders, networks and local champions; and acknowledge the roles of important interest groups. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=3132665 Wed, 30 Dec 2009 00:00:00 +0100 3132665 http://www.medworm.com/index.php?rid=3113805&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F7%2F1%2F30 No abstract is required as this is an editorial (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=3113805 Tue, 22 Dec 2009 00:00:00 +0100 3113805 http://www.medworm.com/index.php?rid=3074222&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F7%2F1%2F28 Conclusion: The Concept Mapping process reported in this article aimed to provoke collective reflection on the research questions that should be studied, in order to foster coherence in research activities in the field of population health. Based on this, it is appropriate to continue to support the development of research projects in KT and the formation of research teams in this field. Research on KT must lead to concrete outcomes within communities that are interested in the question. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=3074222 Thu, 10 Dec 2009 00:00:00 +0100 3074222 http://www.medworm.com/index.php?rid=3058859&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F7%2F1%2F27 Health policy and systems research (HPSR) has been identified as critical to scaling-up interventions to achieve the millennium development goals, but research priority setting exercises often do not address HPSR well. This paper aims to (i) assess current priority setting methods and the extent to which they adequately include HPSR and (ii) draw lessons regarding how HPSR priority setting can be enhanced to promote relevant HPSR, and to strengthen developing country leadership of research agendas.Priority setting processes can be distinguished by the level at which they occur, their degree of comprehensiveness in terms of the topic addressed, the balance between technical versus interpretive approaches and the stakeholders involved. When HPSR is considered through technical, disease-drive... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=3058859 Fri, 04 Dec 2009 00:00:00 +0100 3058859 http://www.medworm.com/index.php?rid=3028848&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F7%2F1%2F26 Conclusion: Building equitable health systems means considering equity at different stages of the research cycle. Partnerships for capacity building promotes demand, delivery and uptake of research. Links with those who use and benefit from research, such as communities, service providers and policy makers, contribute to the timeliness and relevance of the research agenda and a receptive research-policy-practice interface. Our study highlights the need to advocate for a global research culture that values and funds these multiple levels of engagement. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=3028848 Wed, 25 Nov 2009 00:00:00 +0100 3028848 http://www.medworm.com/index.php?rid=3011186&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F7%2F1%2F25 Priority setting is about making decisions. Key issues faced during priority setting processes include identifying who makes these decisions, who sets the criteria, and who benefits. The paper reviews the literature and history around priority setting in research, particularly in Aboriginal health research. We explore these issues through a case study of the Cooperative Research Centre for Aboriginal Health (CRCAH)'s experience in setting and meeting priorities.Historically, researchers have made decisions about what research gets done. Pressures of growing competition for research funds and an increased public interest in research have led to demands that appropriate consultation with stakeholders is conducted and that research is of benefit to the wider society. Within Australian Aborigi... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=3011186 Fri, 20 Nov 2009 00:00:00 +0100 3011186 http://www.medworm.com/index.php?rid=2976368&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F7%2F1%2F24 Conclusions: Should the window open fully, the emergence of policy entrepreneurs and an opportunity for a win-win situation between public and private organizations are required. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=2976368 Tue, 10 Nov 2009 00:00:00 +0100 2976368 http://www.medworm.com/index.php?rid=2922575&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F7%2F1%2F23 The objectives of REACT are to describe and evaluate district-level priority setting, to develop and implement improvement strategies guided by AFR and to measure their effect on quality, equity and trust indicators. Effects are monitored within selected disease and programme interventions and services and within human resources and health systems management. Qualitative and quantitative methods are being applied in an action research framework to examine the potential of AFR to support sustainable improvements to health systems performance.This paper reports on the project design and progress and argues that there is a high need for research into legitimate and fair priority setting to improve the knowledge base for achieving sustainable improvements in health outcomes. (Source: Health Re... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=2922575 Fri, 23 Oct 2009 23:00:00 +0100 2922575 http://www.medworm.com/index.php?rid=2849887&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F7%2F1%2F22 Background: Health systems research is being increasingly called upon to support scaling up of disease control interventions and to support rapid health sector change. Yet research capacity building and pay-back take years or even decades to be demonstrated, while leadership and institution building are critical for their success. The case of Mexico can be illustrative for middle income countries and emerging economies striving to build health research systems. Methods: Historical reflection suggests the relationship between health sector reforms, on the one hand, and research capacity building and payback, on the other. Mexico's post-revolutionary background and its three health sector reforms are analyzed to identify the emphases given to health systems research. Results: The first wave ... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=2849887 Tue, 29 Sep 2009 23:00:00 +0100 2849887 http://www.medworm.com/index.php?rid=2799313&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F7%2F1%2F20 This article discusses the progress and importance of interventions being conducted amongst the Parliamentarians of Pakistan, relatively unchartered waters. The series of Seminars help to appraise the Parliamentarians of the ground situation as pertains to HIV in their constituencies, aiming to ultimately generate federal and provincial governmental policies, and a solid strategy to combat the spread of HIV/AIDS in Pakistan. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=2799313 Tue, 15 Sep 2009 23:00:00 +0100 2799313 http://www.medworm.com/index.php?rid=2647918&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F7%2F1%2F19 Conclusion: The involvement of private general practitioners is crucial for effective TB control in Myanmar. The selection of GPs for partnership with the public sector is vital to the success of public-private partnership in controlling TB. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=2647918 Mon, 27 Jul 2009 23:00:00 +0100 2647918 http://www.medworm.com/index.php?rid=2613045&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F7%2F1%2F18 Background: The Integrated Management of Childhood Illness Strategy (IMCI) is effective in improving management of sick children, and thus child survival. It is currently recommended that in-service IMCI case management training (ICMT) occur over 11-days; that the participant : facilitator ratio should be (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=2613045 Thu, 16 Jul 2009 23:00:00 +0100 2613045 http://www.medworm.com/index.php?rid=2597113&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F7%2F1%2F17 Conclusions: Systematic collaboration between stakeholders across European countries would enhance knowledge and promote innovation to address contemporary public-health challenges. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=2597113 Mon, 13 Jul 2009 23:00:00 +0100 2597113 http://www.medworm.com/index.php?rid=2498969&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F7%2F1%2F16 Conclusions: The successfully established CAB has led to improved relations with the community and facilitated the recruitment of study subjects. Our experiences show that, it is possible to establish a non-specific CAB in a low-income setting. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=2498969 Tue, 16 Jun 2009 23:00:00 +0100 2498969 http://www.medworm.com/index.php?rid=2466991&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F7%2F1%2F14 Conclusions: Greater efforts to integrate partners in district level planning and implementation are needed. External partners must improve the predictability of their support and be more proactive in informing the districts about their intended contributions. With the deadline for achieving the targets set by the Paris Declaration fast approaching, it is time for the signatories to accelerate its implementation. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=2466991 Mon, 08 Jun 2009 04:00:00 +0100 2466991 http://www.medworm.com/index.php?rid=2445493&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F7%2F1%2F13 In developing countries building national health research systems is a movement similar to a political leadership contest. Increasingly, political campaigns to select leaders depend less on ideologies and political messages and more on promising change that will promptly improve the quality of life of the voters. In this process the benefits and risks of every action and statement made by the candidates are carefully assessed.Approaches currently promoted to strengthen health research within ministries of health in developing countries place emphasis on implementing logical steps towards building national health research systems including developing a national health research policy and strategic plan, conducting a situational analysis of research in the country, setting a national health ... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=2445493 Fri, 29 May 2009 04:00:00 +0100 2445493 http://www.medworm.com/index.php?rid=2431325&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F7%2F1%2F12 Globally, health research organizations are called upon to re-examine their policies and practices to more efficiently and effectively address current scientific and social needs, as well as increasing public demands for accountability.Through a case study approach, the authors examine an effort undertaken by the National Institute of Allergy & Infectious Diseases (part of the National Institutes of Health, Department of Health & Human Services, United States Government) to develop an evaluation system for its recently restructured HIV/AIDS clinical trials program. The challenges in designing, operationalizing, and managing global clinical trials programs are considered in the context of large scale scientific research initiatives.Through a process of extensive stakeholder input, a framewo... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=2431325 Thu, 21 May 2009 04:00:00 +0100 2431325 http://www.medworm.com/index.php?rid=2421588&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F7%2F1%2F9 Conclusion: Despite the wide range of interventions to support evidence-based CPG development implemented in the hospitals participating in the SEA-ORCHID, very little change was seen in the development of evidence-based CPGs. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=2421588 Fri, 08 May 2009 04:00:00 +0100 2421588 http://www.medworm.com/index.php?rid=2401866&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F7%2F1%2F9 Conclusions: Despite the wide range of interventions to support evidence-based CPG development implemented in the hospitals participating in the SEA-ORCHID, very little change was seen in the development of evidence-based CPGs. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=2401866 Fri, 08 May 2009 04:00:00 +0100 2401866 http://www.medworm.com/index.php?rid=2401865&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F7%2F1%2F10 Conclusions: Healthcare providers in the SEA-ORCHID hospitals face a series of barriers to developing evidence-based guidelines. At present, in many hospitals, several of these barriers are insurmountable, and as a result, rigorous, evidence-based guidelines are not being developed. Given the acknowledged benefits of evidence-based guidelines, perhaps a new approach to supporting their development in these contexts is needed. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=2401865 Fri, 08 May 2009 04:00:00 +0100 2401865 http://www.medworm.com/index.php?rid=2401864&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F7%2F1%2F11 Conclusions: It is feasible to use the Buxton and Hanney Payback framework and logic model to determine the proximal impacts of primary health care research. Though resource intensive, telephone interviews of chief investigators and nominated users provided rich information. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=2401864 Fri, 08 May 2009 04:00:00 +0100 2401864 http://www.medworm.com/index.php?rid=2337903&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F7%2F1%2F5 Conclusions: In contrast to the promise of decentralization there has been little increase in the potential for discretion at the district level in managing public funds for health - this is likely to be an important reason for the lack of improvement in publicly funded health services. Key decisions about money are still made by the central government, and no one is held accountable for the performance of the sector - the district blames the center and the central ministries (and their ministers) are not accountable to district populations. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=2337903 Thu, 16 Apr 2009 04:00:00 +0100 2337903 http://www.medworm.com/index.php?rid=2337902&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F7%2F1%2F6 Conclusions: The knowledge and practice of AMTSL is very low and STGs are not updated on correct AMTSL practice. The drugs for AMTSL are available and stored at the right conditions in nearly all facilities. All providers used ergometrine for AMTSL instead of oxytocin as recommended by ICM/FIGO. The study also observed harmful practices during delivery. These findings indicate that there is need for updating the STGs, curricula and training of health providers on AMTSL and monitoring its practice. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=2337902 Thu, 16 Apr 2009 04:00:00 +0100 2337902 http://www.medworm.com/index.php?rid=2293499&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F7%2F1%2F4 Conclusions: The authors intend, by sharing the LO frameworks and the ELO model, to help organizations identify their capacities to learn and share knowledge about evidence-based practice innovations. The ELO model will need further validation and improvement through its use in organizational settings and applied health services research. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=2293499 Thu, 26 Mar 2009 04:00:00 +0100 2293499 http://www.medworm.com/index.php?rid=2272074&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F7%2F1%2F3 The development and implementation of electronic health records (EHR) have occurred slowly in the United States. To date, these approaches have, for the most part, followed four developmental tracks: (a) Enhancement of immunization registries and linkage with other health records to produce Child Health Profiles (CHP), (b) Regional Health Information Organization (RHIO) demonstration projects to link together patient medical records, (c) Insurance company projects linked to ICD-9 codes and patient records for cost-benefit assessments, and (d) Consortia of EHR developers collaborating to model systems requirements and standards for data linkage. Until recently, these separate efforts have been conducted in the very silos that they had intended to eliminate, and there is still considerable d... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=2272074 Mon, 16 Mar 2009 04:00:00 +0100 2272074 http://www.medworm.com/index.php?rid=2254790&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F7%2F1%2F2 Conclusion: Peer review in the traditional mould should be recognised as inappropriate in Aboriginal research. Building research projects relevant to policy and practice in Indigenous health may require a shift to a new way of selecting, funding and conducting research. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=2254790 Fri, 13 Feb 2009 05:00:00 +0100 2254790 http://www.medworm.com/index.php?rid=2180558&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F7%2F1%2F2 Conclusions: Peer review in the traditional mould should be recognised as inappropriate in Aboriginal research. Building research projects relevant to policy and practice in Indigenous health may require a shift to a new way of selecting, funding and conducting research. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=2180558 Fri, 13 Feb 2009 05:00:00 +0100 2180558 http://www.medworm.com/index.php?rid=2119190&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F7%2F1%2F1 Conclusion: Complying with systems science principles and the congruence of pertinent cycles, U.S. health care would likely dramatically improve its value creation for all of society as well as its resiliency and long-term sustainability.Immediate corrective steps could be taken: Prioritize and incentivize health over care; restore fiscal soundness by combining health and life insurance for the benefit of the insured and the payer; rebalance horizontal/providers and vertical/government hierarchies. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=2119190 Fri, 02 Jan 2009 05:00:00 +0100 2119190 http://www.medworm.com/index.php?rid=2071903&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F7%2F1%2F1 Conclusions: Complying with systems science principles and the congruence of pertinent cycles, U.S. health care would likely dramatically improve its value creation for all of society as well as its resiliency and long-term sustainability. Immediate corrective steps could be taken: Prioritize and incentivize health over care; restore fiscal soundness by combining health and life insurance for the benefit of the insured and the payer; rebalance horizontal/providers and vertical/government hierarchies. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=2071903 Fri, 02 Jan 2009 05:00:00 +0100 2071903 http://www.medworm.com/index.php?rid=2050569&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F6%2F1%2F13 Conclusions: Arizona healthcare system coverage for tobacco cessation in the year 2000 was comparable to national survey findings of the same year. The findings that only 10% of "Managed Medicaid" organizations covered tobacco treatment medication and were significantly less likely to cover behavioral therapy were important given the nearly double smoking prevalence among Medicaid patients. Throughout the years of the program, the strategic plan of the Arizona Department of Health Services Bureau of Tobacco Education and Prevention has included the goal of identifying and eliminating tobacco related disparities for special populations, including low-income groups. Of importance, in 2008 the Arizona Health Care Cost Containment System was authorized to provide tobacco cessation pharmacother... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=2050569 Fri, 19 Dec 2008 05:00:00 +0100 2050569 http://www.medworm.com/index.php?rid=2044625&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F6%2F1%2F12 Conclusion: Networks of researchers were important not only in using research information to shape policy but also in placing issues on the policy agenda. A policy context which created a window of opportunity for new research-informed policy development was also crucial. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=2044625 Wed, 17 Dec 2008 05:00:00 +0100 2044625 http://www.medworm.com/index.php?rid=1919872&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F6%2F1%2F11 Conclusions: This paper highlights the paucity of evidence about medicines coverage in CHI. Given the policy commitment to expand CHI in several countries (e.g. Rwanda, Lao PDR) and the potential of CHI to improve medicines access and use, systematic research is needed on medicine benefits and their performance, including the impacts of CHI on access to, affordability, and use of medicines at the household level. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=1919872 Thu, 30 Oct 2008 04:00:00 +0100 1919872 http://www.medworm.com/index.php?rid=1796700&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F6%2F1%2F9 Conclusion: Star shape network structure and dependency on a single big member is a common feature observed in our case study. Scientific output measures correlate with the network structure of research centers. Network analysis seems a useful method to explore the subtle scientific contexts in research organizations. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=1796700 Tue, 16 Sep 2008 04:00:00 +0100 1796700 http://www.medworm.com/index.php?rid=1673502&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F6%2F1%2F8 Conclusions: As partnerships mature the needs of partners change and new challenges emerge. Partners' differing research priorities (national v international; policy-led v academic-led) need to be balanced and equitable funding mechanisms developed recognising the needs and constraints faced by both southern and northern partners. Institutionalising partnerships (through long-term development of trust, engagement of a broad range of staff in joint activities and joint-appointment of staff), and developing responsive mechanisms for governing these partnerships (through regular joint negotiation of research priorities and funding issues), can address these challenges in mutually acceptable ways. Indeed, by late 2005 the partnership under scrutiny in this paper had evolved into a wider consor... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=1673502 Fri, 01 Aug 2008 04:00:00 +0100 1673502 http://www.medworm.com/index.php?rid=1601671&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F6%2F1%2F7 Scoping studies have been used across a range of disciplines for a wide variety of purposes. However, their value is increasingly limited by a lack of definition and clarity of purpose. The UK's Service Delivery and Organisation Research Programme (SDO) has extensive experience of commissioning and using such studies; twenty four have now been completed. This review article has four objectives; to describe the nature of the scoping studies that have been commissioned by the SDO Programme; to consider the impact of and uses made of such studies; to provide definitions for the different elements that may constitute a scoping study; and to describe the lessons learnt by the SDO Programme in commissioning scoping studies. Scoping studies are imprecisely defined but usually consist of one or mo... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=1601671 Wed, 09 Jul 2008 04:00:00 +0100 1601671 http://www.medworm.com/index.php?rid=1515397&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F6%2F1%2F6 Conclusion: The present study is the first large scale analysis of global research activity and output over the last 50 years. The presently described assessment of operating figures at the national and international level can be used to identify single areas of research that are heavily focused. Further research on qualitative output benchmarking is needed to improve current policy settings for research evaluation. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=1515397 Fri, 13 Jun 2008 04:00:00 +0100 1515397 http://www.medworm.com/index.php?rid=1326705&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F6%2F1%2F5 Conclusions: QIDS demonstrates that a large, prospective, randomized controlled policy experiment can be successfully implemented at a national level as part of sectoral reform. While we believe policy experiments should be used to generate evidence-based health policy, to do this requires opportunity and trust, strong collaborative relationships, and timing. This study nurtures the growing attitude that translation of scientific findings from the bedside to the community can be done successfully and that we should raise the bar on project evaluation and the policy-making process. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=1326705 Tue, 25 Mar 2008 04:00:00 +0100 1326705 http://www.medworm.com/index.php?rid=1291665&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F6%2F1%2F4 The complex evidence-policy interface in low and middle income country settings is receiving increasing attention. Future Health Systems (FHS): Innovations for Equity, is a research consortium conducting health systems explorations in six Asian and African countries: Bangladesh, India, China, Afghanistan, Uganda, and Nigeria. The cross-country research consortium provides a unique opportunity to explore the research-policy interface. Three key activities were undertaken during the initial phase of this five-year project. First, key considerations in strengthening evidence-policy linkages in health system research were developed by FHS researchers through workshops and electronic communications. Four key considerations in strengthening evidence-policy linkages are postulated: development co... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=1291665 Tue, 11 Mar 2008 04:00:00 +0100 1291665 http://www.medworm.com/index.php?rid=1289427&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F6%2F1%2F3 Health and medical research invariably impacts on the lives of everyday people. Organisations in the developed world are increasingly involving the public in health research projects, and research governance structures and processes. The form the involvement takes varies, as does the level of involvement, from individuals, to groups, to the wider community. Lay community members can be trained to independently review health and medical research, and wider societal involvement in funding decisions, can be effectively fostered. The theoretical foundation, design and development of a task based consumer-training program, including a number of enabling factors to support the success of such training are presented. This work is likely to be of value to those planning to train consumers in techn... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=1289427 Sun, 09 Mar 2008 05:00:00 +0100 1289427 http://www.medworm.com/index.php?rid=1185254&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F6%2F1%2F2 The optimal support of health-related research and development with public money is a complex challenge. Over the last century, policy makers in England have conceived and implemented a variety of models, ranging from independent, curiosity driven research to needs-based state commissions, and promoting different bodies to oversee scientific work. This paper traces these approaches, identifies the principles that drove them, and discusses their role in shaping policy for publicly funded health research, up to the recent launch of a new research strategy by the Department of Health (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=1185254 Tue, 29 Jan 2008 05:00:00 +0100 1185254 http://www.medworm.com/index.php?rid=1148862&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F6%2F1%2F1 - (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=1148862 Fri, 11 Jan 2008 05:00:00 +0100 1148862 http://www.medworm.com/index.php?rid=1088334&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F5%2F1%2F14 There exists a disconnection between evolving policies in the policy arenas of mental health, housing, and income support in Canada. One of the complexities associated with analysing the intersection of these policies is that federal, provincial, and municipal level policies are involved. Canada is one of the few developed countries without a national mental health policy and because of the federal policy reforms of the 1970s, the provincial governments now oversee the process of deinstitutionalization from the hospital to the community level. During this same period the availability of affordable housing has decreased as responsibility for social housing has been transfered from the federal government to the provincial and/or municipal levels of government. Canada also stands alone in ter... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=1088334 Wed, 12 Dec 2007 05:00:00 +0100 1088334 http://www.medworm.com/index.php?rid=989020&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F5%2F1%2F13 Comparative, multi-country research has been underutilised as a means to inform health system development. South-south collaboration has been particularly poor, even though there have been clearly identified benefits of such endeavours. This commentary argues that in a context of HIV/AIDS, the need for regional learning has become even greater. This is because of the regional nature of the problem and the unique challenges that it creates for health systems. We draw on the experience of doing comparative research in South Africa, Tanzania and Zambia, to demonstrate that it can be useful for determining preconditions for the success of health care reforms, for affirming common issues faced by countries in the region, and for developing research capacity. Furthermore, these benefits can be d... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=989020 Tue, 30 Oct 2007 04:00:00 +0100 989020 http://www.medworm.com/index.php?rid=969161&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F5%2F1%2F12 Conclusions: These findings offer validation of a long-standing theory about the importance of political participation, and suggest strategies for public health advocates seeking to establish new legislation. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=969161 Mon, 22 Oct 2007 04:00:00 +0100 969161 http://www.medworm.com/index.php?rid=953494&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F5%2F1%2F11 Conclusions: The results show that in the case of Lao PDR, research capacity development is at a crucial stage for implementing research into policy and practice. If research is going to make a consistent impact on policymaking in the Lao health care sector, the attitude towards research will need to be changed in order to get research prioritised, both among those conducting research, and among policymakers and practitioners. Our findings indicate that there is awareness about the barriers in this process. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=953494 Tue, 16 Oct 2007 04:00:00 +0100 953494 http://www.medworm.com/index.php?rid=905285&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F5%2F1%2F10 Micronutrient deficiency undernutrition, is due to insufficient levels of essential vitamins and minerals in the diet, remains one of the most prevalent and preventable nutritional problems in the world, today. Micronutrient undernutrition is the most common form of malnutrition. Compared to the 180 million children with protein-energy malnutrition, 3.5-5 billion persons are iron-deficient, and 140-250 million persons are vitamin A-deficient. Micronutrient deficiencies diminish physical, cognitive, and reproductive development. Undernutrition is both a cause and a result of poor human health and achievement. Middle-income nations, such as China, also suffer from micronutrient undernutrition's effects. In China's poor western provinces, despite supplementation and fortification efforts, st... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=905285 Wed, 26 Sep 2007 04:00:00 +0100 905285 http://www.medworm.com/index.php?rid=901855&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F5%2F1%2F9 Collaboration among health care providers and across systems is proposed as a strategy to improve health care delivery the world over. Over the past two decades, health care providers have been encouraged to work in partnership and build interdisciplinary teams. More recently, the notion of networks has entered this discourse but the lack of consensus and understanding about what is meant by adopting a network approach in health services limits its use. Also crucial to this discussion is the work of distinguishing the nature and extent of the impact of social relationships - generally referred to as social capital. In this paper, we review the rationale for collaboration in health care systems; provide an overview and synthesis of key concepts; dispel some common misconceptions of networks... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=901855 Tue, 25 Sep 2007 04:00:00 +0100 901855 http://www.medworm.com/index.php?rid=665422&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F5%2F1%2F8 Conclusion: If virtual work groups are to be used by the NHS in the future, then there is a need for more research into the role of social context and its relationship to the effectiveness of newly formed virtual groups. Equally as important are studies that examine the effects of socio-technical interaction on groups undertaking tasks in the real world of work. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=665422 Wed, 06 Jun 2007 04:00:00 +0100 665422 http://www.medworm.com/index.php?rid=656591&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F5%2F1%2F7 The interest in quality management in health care has increased in the last decades as the financial crises in most health systems generated the need for solutions to contain costs while maintaining quality of care. In Germany the development of quality management procedures has been closely linked with health care reforms. Starting in the early nineties quality management issues gained momentum in reform legislation only 10 years later. This review summarizes recent developments in medical quality management as related to the federal reform legislation in Germany. It provides an overview on the infrastructure, actors and on the current discussion concerning quality management in medical care. Germany had to catch up on implementing quality management in the health system compared to othe... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=656591 Tue, 05 Jun 2007 04:00:00 +0100 656591 http://www.medworm.com/index.php?rid=646584&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F5%2F1%2F6 Conclusions: Notwithstanding the empirical nature of the issues, the results point at the need to assess the effect of insurance coverage more profoundly than what is commonly done. Applying rigorous analysis to survey data in other settings will contribute to bringing out better evidence on what types of programs perform most effectively and equitably in different contexts. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=646584 Wed, 30 May 2007 04:00:00 +0100 646584 http://www.medworm.com/index.php?rid=642616&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F5%2F1%2F5 In the landmark 1990 publication Scholarship Reconsidered, Boyer challenged the teaching verses research debates by advocating for the scholarship of discovery, teaching, integration, and application. The scholarship of discovery considers publications and research as the yardstick in the merit, promotion and tenure system the world over. But this narrow view of scholarship does not fully support the obligations of universities to serve global societies and to improve health and health equity. Mechanisms to report the scholarship of teaching have been developed and adopted by some universities. In this article, we contribute to the less developed areas of scholarship, i.e. integration and application. We firstly situate the scholarship of discovery, teaching, integration and application wi... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=642616 Tue, 29 May 2007 04:00:00 +0100 642616 http://www.medworm.com/index.php?rid=618292&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F5%2F1%2F4 Conclusions: More focused attention in health systems and more relevant research is needed to effectively address the 2 million stillbirths and neonatal deaths related to asphyxia. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=618292 Wed, 16 May 2007 04:00:00 +0100 618292 http://www.medworm.com/index.php?rid=508745&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F5%2F1%2F3 Conclusion: We found no evidence that the trend of weak policy implementation in the Kenyan health sector was reversed during 2005 but ongoing efforts towards hastening release of funds to the districts might help solving the issue of low absorption capacity at the district level. It is important, however, to work with clear definitions of roles and responsibilities and well-functioning communications between different levels of the system. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=508745 Thu, 29 Mar 2007 04:00:00 +0100 508745 http://www.medworm.com/index.php?rid=462188&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F5%2F1%2F2 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. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=462188 Mon, 05 Mar 2007 05:00:00 +0100 462188 http://www.medworm.com/index.php?rid=448269&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F5%2F1%2F1 Conclusions: Services have retracted despite increased investment and the public now prefer unqualified practitioners over government services. Public opinion of government health services has deteriorated and the reforms have not specifically helped the poorest people. User satisfaction could be increased if government doctors improved their interaction with patients and if waiting times were reduced by better management of facilities. (Source: Health Research Policy and Systems) Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=448269 Mon, 26 Feb 2007 05:00:00 +0100 448269 http://www.medworm.com/index.php?rid=314453&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F4%2F1%2F27 We examined overviews of systematic reviews of interventions to improve health care delivery and health care systems prepared by the Cochrane Effective Practice and Organisation of Care (EPOC) group. We also conducted searches using PubMed and three databases of methodological studies for existing systematic reviews and relevant methodological research. We did not conduct systematic reviews ourselves. Our conclusions are based on the available evidence, consideration of what WHO and other organisations are doing and logical arguments. Key questions and answers What should WHO do to disseminate and facilitate the uptake of recommendations? * WHO should choose strategies to implement their guidelines from among those which have been evaluated positively in the published literature on implem... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=314453 Fri, 08 Dec 2006 07:00:00 +0100 314453 http://www.medworm.com/index.php?rid=448272&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F4%2F1%2F25 Background: The World Health Organization (WHO), like many other organisations around the world, has recognised the need to use more rigorous processes to ensure that health care recommendations are informed by the best available research evidence. This is the thirteenth of a series of 16 reviews that have been prepared as background for advice from the WHO Advisory Committee on Health Research to WHO on how to achieve this.ObjectivesWe reviewed the literature on applicability, transferability, and adaptation of guidelines. Methods: We searched five databases for existing systematic reviews and relevant primary methodological research. We reviewed the titles of all citations and retrieved abstracts and full text articles if the citations appeared relevant to the topic. We checked the refer... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=448272 Fri, 08 Dec 2006 05:00:00 +0100 448272 http://www.medworm.com/index.php?rid=448271&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F4%2F1%2F26 Background: The World Health Organization (WHO), like many other organisations around the world, has recognised the need to use more rigorous processes to ensure that health care recommendations are informed by the best available research evidence. This is the 14th of a series of 16 reviews that have been prepared as background for advice from the WHO Advisory Committee on Health Research to WHO on how to achieve this.ObjectivesWe reviewed the literature on reporting guidelines and recommendations. Methods: We searched PubMed and three databases of methodological studies for existing systematic reviews and relevant methodological research. We did not conduct systematic reviews ourselves. Our conclusions are based on the available evidence, consideration of what WHO and other organisations ... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=448271 Fri, 08 Dec 2006 05:00:00 +0100 448271 http://www.medworm.com/index.php?rid=448270&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F4%2F1%2F28 Background: The World Health Organization (WHO), like many other organisations around the world, has recognised the need to use more rigorous processes to ensure that health care recommendations are informed by the best available research evidence. This is the last of a series of 16 reviews that have been prepared as background for advice from the WHO Advisory Committee on Health Research to WHO on how to achieve this.ObjectivesWe reviewed the literature on evaluating guidelines and recommendations, including their quality, whether they are likely to be up-to-date, and their implementation. We also considered the role of guideline developers in undertaking evaluations that are needed to inform recommendations. Methods: We searched PubMed and three databases of methodological studies for ex... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=448270 Fri, 08 Dec 2006 05:00:00 +0100 448270 http://www.medworm.com/index.php?rid=307331&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F4%2F1%2F20 Background: The World Health Organization (WHO), like many other organisations around the world, has recognised the need to use more rigorous processes to ensure that health care recommendations are informed by the best available research evidence. This is the eighth of a series of 16 reviews that have been prepared as background for advice from the WHO Advisory Committee on Health Research to WHO on how to achieve this. Objectives We reviewed the literature on the synthesis and presentation of research evidence, focusing on four key questions. Methods: We searched PubMed and three databases of methodological studies for existing systematic reviews and relevant methodological research. We did not conduct systematic reviews ourselves. Our conclusions are based on the available evidence, co... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=307331 Tue, 05 Dec 2006 07:00:00 +0100 307331 http://www.medworm.com/index.php?rid=307330&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F4%2F1%2F21 Background: The World Health Organization (WHO), like many other organisations around the world, has recognised the need to use more rigorous processes to ensure that health care recommendations are informed by the best available research evidence. This is the ninth of a series of 16 reviews that have been prepared as background for advice from the WHO Advisory Committee on Health Research to WHO on how to achieve this. Objectives We reviewed the literature on grading evidence and recommendations in guidelines. Methods: We searched PubMed and three databases of methodological studies for existing systematic reviews and relevant methodological research. We did not conduct a full systematic review ourselves. Our conclusions are based on the available evidence, consideration of what WHO and ... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=307330 Tue, 05 Dec 2006 07:00:00 +0100 307330 http://www.medworm.com/index.php?rid=307329&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F4%2F1%2F22 Background: The World Health Organization (WHO), like many other organisations around the world, has recognised the need to use more rigorous processes to ensure that health care recommendations are informed by the best available research evidence. This is the 10th of a series of 16 reviews that have been prepared as background for advice from the WHO Advisory Committee on Health Research to WHO on how to achieve this. Objectives We reviewed the literature on integrating values and consumers in guideline development. Methods: We searched PubMed and three databases of methodological studies for existing systematic reviews and relevant methodological research. We reviewed the titles of all citations and retrieved abstracts and full text articles if the citations appeared relevant to the top... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=307329 Tue, 05 Dec 2006 07:00:00 +0100 307329 http://www.medworm.com/index.php?rid=307328&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F4%2F1%2F23 Background: The World Health Organization (WHO), like many other organisations around the world, has recognised the need to use more rigorous processes to ensure that health care recommendations are informed by the best available research evidence. This is the 11th of a series of 16 reviews that have been prepared as background for advice from the WHO Advisory Committee on Health Research to WHO on how to achieve this. Objectives We reviewed the literature on incorporating considerations of cost-effectiveness, affordability and resource implications in guidelines and recommendations. Methods: We searched PubMed and three databases of methodological studies for existing systematic reviews and relevant methodological research. We did not conduct systematic reviews ourselves. Our conclusions... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=307328 Tue, 05 Dec 2006 07:00:00 +0100 307328 http://www.medworm.com/index.php?rid=307327&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F4%2F1%2F24 Background: The World Health Organization (WHO), like many other organisations around the world, has recognised the need to use more rigorous processes to ensure that health care recommendations are informed by the best available research evidence. This is the 12th of a series of 16 reviews that have been prepared as background for advice from the WHO Advisory Committee on Health Research to WHO on how to achieve this. Objectives We reviewed the literature on incorporating considerations of equity in guidelines and recommendations. Methods: We searched PubMed and three databases of methodological studies for existing systematic reviews and relevant methodological research. We did not conduct systematic reviews ourselves. Our conclusions are based on the available evidence, consideration o... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=307327 Tue, 05 Dec 2006 07:00:00 +0100 307327 http://www.medworm.com/index.php?rid=448277&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F4%2F1%2F20 Background: The World Health Organization (WHO), like many other organisations around the world, has recognised the need to use more rigorous processes to ensure that health care recommendations are informed by the best available research evidence. This is the eighth of a series of 16 reviews that have been prepared as background for advice from the WHO Advisory Committee on Health Research to WHO on how to achieve this.ObjectivesWe reviewed the literature on the synthesis and presentation of research evidence, focusing on four key questions. Methods: We searched PubMed and three databases of methodological studies for existing systematic reviews and relevant methodological research. We did not conduct systematic reviews ourselves. Our conclusions are based on the available evidence, consi... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=448277 Tue, 05 Dec 2006 05:00:00 +0100 448277 http://www.medworm.com/index.php?rid=448276&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F4%2F1%2F21 Background: The World Health Organization (WHO), like many other organisations around the world, has recognised the need to use more rigorous processes to ensure that health care recommendations are informed by the best available research evidence. This is the ninth of a series of 16 reviews that have been prepared as background for advice from the WHO Advisory Committee on Health Research to WHO on how to achieve this.ObjectivesWe reviewed the literature on grading evidence and recommendations in guidelines. Methods: We searched PubMed and three databases of methodological studies for existing systematic reviews and relevant methodological research. We did not conduct a full systematic review ourselves. Our conclusions are based on the available evidence, consideration of what WHO and oth... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=448276 Tue, 05 Dec 2006 05:00:00 +0100 448276 http://www.medworm.com/index.php?rid=448275&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F4%2F1%2F22 Background: The World Health Organization (WHO), like many other organisations around the world, has recognised the need to use more rigorous processes to ensure that health care recommendations are informed by the best available research evidence. This is the 10th of a series of 16 reviews that have been prepared as background for advice from the WHO Advisory Committee on Health Research to WHO on how to achieve this.ObjectivesWe reviewed the literature on integrating values and consumers in guideline development. Methods: We searched PubMed and three databases of methodological studies for existing systematic reviews and relevant methodological research. We reviewed the titles of all citations and retrieved abstracts and full text articles if the citations appeared relevant to the topic.... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=448275 Tue, 05 Dec 2006 05:00:00 +0100 448275 http://www.medworm.com/index.php?rid=448274&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F4%2F1%2F23 Background: The World Health Organization (WHO), like many other organisations around the world, has recognised the need to use more rigorous processes to ensure that health care recommendations are informed by the best available research evidence. This is the 11th of a series of 16 reviews that have been prepared as background for advice from the WHO Advisory Committee on Health Research to WHO on how to achieve this.ObjectivesWe reviewed the literature on incorporating considerations of cost-effectiveness, affordability and resource implications in guidelines and recommendations. Methods: We searched PubMed and three databases of methodological studies for existing systematic reviews and relevant methodological research. We did not conduct systematic reviews ourselves. Our conclusions ar... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=448274 Tue, 05 Dec 2006 05:00:00 +0100 448274 http://www.medworm.com/index.php?rid=448273&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F4%2F1%2F24 Background: The World Health Organization (WHO), like many other organisations around the world, has recognised the need to use more rigorous processes to ensure that health care recommendations are informed by the best available research evidence. This is the 12th of a series of 16 reviews that have been prepared as background for advice from the WHO Advisory Committee on Health Research to WHO on how to achieve this.ObjectivesWe reviewed the literature on incorporating considerations of equity in guidelines and recommendations. Methods: We searched PubMed and three databases of methodological studies for existing systematic reviews and relevant methodological research. We did not conduct systematic reviews ourselves. Our conclusions are based on the available evidence, consideration of w... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=448273 Tue, 05 Dec 2006 05:00:00 +0100 448273 http://www.medworm.com/index.php?rid=303278&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F4%2F1%2F16 Background: The World Health Organization (WHO), like many other organisations around the world, has recognised the need to use more rigorous processes to ensure that health care recommendations are informed by the best available research evidence. This is the fourth of a series of 16 reviews that have been prepared as background for advice from the WHO Advisory Committee on Health Research to WHO on how to achieve this. Objectives We reviewed the literature on managing conflicts of interest to address the following questions: 1) What is the best way to obtain complete and accurate disclosures on financial ties and other competing interests? 2) How to determine when a disclosed financial tie or other competing interest constitutes a conflict of interest? 3) When a conflict of interest is ... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=303278 Fri, 01 Dec 2006 07:00:00 +0100 303278 http://www.medworm.com/index.php?rid=303277&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F4%2F1%2F17 The World Health Organization (WHO), like many other organisations around the world, has recognised the need to use more rigorous processes to ensure that health care recommendations are informed by the best available research evidence. This is the fifth of a series of 16 reviews that have been prepared as background for advice from the WHO Advisory Committee on Health Research to WHO on how to achieve this.ObjectiveIn this review we address approaches to facilitate sound processes within groups that develop recommendations for health care. Methods: We searched PubMed and three databases of methodological studies for existing systematic reviews and relevant methodological research. We did not conduct systematic reviews ourselves. Our conclusions are based on the available evidence, conside... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=303277 Fri, 01 Dec 2006 07:00:00 +0100 303277 http://www.medworm.com/index.php?rid=303276&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F4%2F1%2F18 Background: The World Health Organization (WHO), like many other organisations around the world, has recognised the need to use more rigorous processes to ensure that health care recommendations are informed by the best available research evidence. This is the sixth of a series of 16 reviews that have been prepared as background for advice from the WHO Advisory Committee on Health Research to WHO on how to achieve this. Objectives We reviewed the literature on determining which outcomes are important for the development of guidelines. Methods: We searched five databases of methodological studies for existing systematic reviews and relevant methodological research. We did not conduct a complete systematic review ourselves. Our conclusions are based on the available evidence, consideration ... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=303276 Fri, 01 Dec 2006 07:00:00 +0100 303276 http://www.medworm.com/index.php?rid=303275&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F4%2F1%2F19 Background: The World Health Organization (WHO), like many other organisations around the world, has recognised the need to use more rigorous processes to ensure that health care recommendations are informed by the best available research evidence. This is the seventh of a series of 16 reviews that have been prepared as background for advice from the WHO Advisory Committee on Health Research to WHO on how to achieve this. Objectives We reviewed the literature on what constitutes evidence in guidelines and recommendations. Methods: We searched PubMed and three databases of methodological studies for existing systematic reviews and relevant methodological research. We did not conduct systematic reviews ourselves. Our conclusions are based on the available evidence, consideration of what WHO... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=303275 Fri, 01 Dec 2006 07:00:00 +0100 303275 http://www.medworm.com/index.php?rid=448278&cid=s_31014_46_f&fid=31014&url=http%3A%2F%2Fwww.health-policy-systems.com%2Fcontent%2F4%2F1%2F19 Background: The World Health Organization (WHO), like many other organisations around the world, has recognised the need to use more rigorous processes to ensure that health care recommendations are informed by the best available research evidence. This is the seventh of a series of 16 reviews that have been prepared as background for advice from the WHO Advisory Committee on Health Research to WHO on how to achieve this.ObjectivesWe reviewed the literature on what constitutes "evidence" in guidelines and recommendations. Methods: We searched PubMed and three databases of methodological studies for existing systematic reviews and relevant methodological research. We did not conduct systematic reviews ourselves. Our conclusions are based on the available evidence, consideration of what WHO ... Health Research Policy and Systems journals http://www.medworm.com/rss/comments.php?id=448278 Fri, 01 Dec 2006 05:00:00 +0100 448278