More than “using research”: the real challenges in promoting evidence-informed decision-making
Citation: Bowen, S., Erickson, T., Martens, P., Crockett, S. (2009). More than “using research”: the real challenges in promoting evidence-informed decision-making. Heathcare Policy, 4(3), 87-102.
Link: http://www.longwoods.com/content/20538
Why I think it’s interesting: The objectives of this study were to explore decision maker and planner perspectives on the nature and use of evidence and the barriers to evidence-informed decision-making (EIDM). The authors discuss several findings that I think are relevant to KT and to anyone interested in evidence-informed decision-making, especially at the policy level:
- There is little consensus on what evidence is, what kinds of evidence are most appropriate and how ‘evidence use’ can be demonstrated
- Issues that negatively impacted decision makers’ ability to practice EIDM include: workload, politicized decision-making, organizational factors
- Barriers to EIDM, often considered factors external to the health authority, included: politics trumping evidence, lack of time/resources, leadership/communication/organizational structures, crisis management/constant change, workload impeding one’s ability to focus on EIDM, technology, research capacity and data availability
- Strategies to promote EIDM should address the barriers (structural, contextual, system-level) found in complex decision-making environments and focus on changing decision-making processes to support EIDM, rather than focusing on issues often perceived as being the barriers to EIDM. These latter issues often include access to evidence and decision maker capacity.
- Evidence-informed implementation, as a step beyond EIDM, requires consideration, i.e. how to implement the decisions made
Caveats/concerns: This article is about EIDM in a policy environment rather than evidence-based clinical decision-making.
I recommend it for: Anyone interested in EIDM in a policy environment.
