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Evidence Informed Decision Making In Healthcare = Ihf
Evidence Informed Decision Making In Healthcare = Ihf
Evidence Informed Decision Making In Healthcare = Ihf
Evidence Informed Decision Making In Healthcare = Ihf
Evidence Informed Decision Making In Healthcare = Ihf
Evidence Informed Decision Making In Healthcare = Ihf
Evidence Informed Decision Making In Healthcare = Ihf
Evidence Informed Decision Making In Healthcare = Ihf
Evidence Informed Decision Making In Healthcare = Ihf
Evidence Informed Decision Making In Healthcare = Ihf
Evidence Informed Decision Making In Healthcare = Ihf
Evidence Informed Decision Making In Healthcare = Ihf
Evidence Informed Decision Making In Healthcare = Ihf
Evidence Informed Decision Making In Healthcare = Ihf
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Evidence Informed Decision Making In Healthcare = Ihf

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The value of evidence informed decision and policy making: how to introduce and sustain it

The value of evidence informed decision and policy making: how to introduce and sustain it

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  • 1. 36th World Hospital Congress Parallel Session Don Juzwishin Ph.D. MHSA Reiner Banken M.D. M.Sc. November 11, 2009 Rio de Janeiro, Brazil www.ideastoaction.ca
  • 2. Themes  Describe the importance of scientific evidence on decision making systems in healthcare practice and policy  Describe the impact of scientific evidence on cost reduction and improving the quality of care to the patient www.ideastoaction.ca
  • 3. Improving Health by Improving Decision-Making Governance Health Impact Reduced Cost Improved Quality Decisions Appropriate Intervention High Quality Scientific Evidence
  • 4. Evidence for Informing Decision-Making Technological, Ethical, Legislative Conditions Political, Social, Economic Intuitive Conditions Decision-making
  • 5. Evidence … The process of evidence generation and use may be more important than the evidence itself.
  • 6. Layers of Questions & Layers of Evidence High Quality Scientific Evidence How should we do it here? Implementation Should we do it here? Appropriateness Can it work Effectiveness here? Efficacy Regulation Can it work? Technical Performance
  • 7. Context is essential for evidence- informed decision making There are decisions that… take good in context … and use it well evidence … poor evidence … … and use it poorly without context Adapted from Shaxson, L 2004: Evidence-based policy making: if it exists what makes it robust? Available at http://bit.ly/hIsNC
  • 8. Canadian Society for International Health Approach to Health System Strengthening Vision: Equity and Accountability Stewardship and Leadership “ “Health in all policies” Health Framework Social Determinants of Health Human Health Financing and Resource Allocation Resources Research for Development (Evidence-Based planning and policy-making) Health Information Systems Data for Decision- Evidence-Based making Decision-Making (Clinical and Service delivery Community Community-based) - treatments interventions and programs and health Strong and vibrant Civil Society promotion Transparent and Accountable Public/Private Sector
  • 9. Scientific Evidence for long term Health System Strengthening Vision: Equity and Accountability Stewardship and Leadership “Health in all policies” Social Determinants of Health Human Health Financing and Resource Allocation Health Framework Resources Research for Development (Evidence-Based planning and policy-making) Health Information Systems Data for Decision- Evidence-Based making Decision-Making (Clinical and Service delivery Community Community-based) - treatments interventions Strong and vibrant and health and programs Civil Society promotion Transparent and Accountable Public/Private Sector
  • 10. Professional Policy-Making for the Twenty-First Century • Forward looking • Joined-up • Outward looking • Evaluates • Innovative and • Reviews creative • Reviews • Using evidence • Learns lessons • Inclusive • UK Cabinet Office 1999, Professional Policy-Making for the Twenty-First Century, <http://www.civilservant.org.uk /profpolicymaking.pdf> www.ideastoaction.ca
  • 11. Levels of resource decisions in Health Systems Health Professionals Provider institutions Out-of-pocket Services payments Pooling of Public payers: Patients resources National, regional Taxes Population Health Insurance Private payers Adapted from Harrison and Moran p 494 in Handbook of Social Studies in Health and Medicine. Sage 1999
  • 12. How to develop evidence- based decision-making ? Linked to Appropriate level of decision governance making to be informed by HTA Linking evidence Strong support by senior to decision- decision-makers making Well trained human resources with high analytic capacity Scientific Institutional arrangements for credibility guaranteeing scientific independency Social Processes to include context credibility information from stakeholders
  • 13. Concluding remarks  What foundation would you like to stand on?  Political expediency  Opinion  Beliefs  Scientific evidence www.ideastoaction.ca
  • 14. References  Canadian Society for International Health  www.csih.org  D. Fradon, 1977, New Yorker Magazine  U.K. Cabinet Office  http://www.civilservant.org.uk/profpolicymaking.pdf  Contemporary Government Challenges of evidence-based policy-making  Australian Public Service Commission  Shaxson, L. 2004, http://bit.ly/hIsNC  Harrison and Moran in Handbook of Social Studies in Health and Medicine, 1999 www.ideastoaction.ca

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