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ISBN 9289050296

9789289050296

Policy makers need to access up-to-date and high-quality health system information.

Stake holders may try to influence health policy as well as make decisions within their own area of work. Both groups want easily obtainable and clear evidence based on systematic and transparent research methods. Knowledge brokers (including researchers) want to know how to best communicate to decision-makers and need information about policy priorities in order to inform policy processes and share health system information effectively.

The purpose of this book is to spark innovation in knowledge brokering and to encourage debate on how information is prepared and how it will be understood and used. Part I looks at knowledge brokering from different vantage points and part II describes knowledge brokering in action.

It is hoped that this book will give health system policy-makers, stakeholders and researchers a clear understanding of knowledge brokering and its implications for the organization and management of knowledge-brokering initiatives.

This book results from a study on knowledge-brokering practices in Europe that was undertaken between 2009 and 2011, called BRIDGE (Scoping study of approaches to Brokering knowledge and Research Information to support the Development and Governance of health systems in Europe).

The authors

John N Lavis is Director, McMaster Health Forum; Associate Director, Centre for Health Economics and Policy Analysis; Professor, Department of Clinical Epidemiology & Biostatistics and Associate Member, Department of Political Science, McMaster University, Hamilton, Canada;

and Adjunct Professor of Global Health, Department of Global Health and Population, Harvard School of Public Health, Boston, USA.

Cristina Catallo is Associate Professor, School of Nursing, Ryerson University, Toronto, Canada;

and Postdoctoral Fellow, Program in Policy Decision-making, McMaster University, Hamilton, Canada.

BRIDGE Study Team, which includes Josep Figueras, Mark Leys, David McDaid, Gabriele Pastorino, Govin Permanand and John-Arne Røttingen.

Observatory Studies Series No. 36

35

Bridging the worlds of research and policy in European health

systems

Observatory Studies Series

36

Bernd Rechel, Erica Richardson and Martin McKee

TRENDS IN HEAL TH S Y S TEMS IN THE F ORMER SO VIET COUNTRIE S

Edited by John N Lavis,

Cristina Catallo and the BRIDGE Study Team

Cover_WHO_nr36_Mise en page 1 22/01/15 14:49 Page 1

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Bridging the worlds of research and policy in European health systems

Edited by

John N Lavis, Cristina Catallo and the BRIDGE Study Team

on Health Systems and Policies European

a partnership hosted by WHO

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Keywords:

HEALTH POLICY HEALTHCARE RESEARCH KNOWLEDGE

POLICY MAKING

© World Health Organization 2013 (acting as the host organization for, and secretariat of, the European Observatory on Health Systems and Policies)

All rights reserved. The European Observatory on Health Systems and Policies welcomes requests for permission to reproduce or translate its publications, in part or in full.

The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the European Observatory on Health Systems and Policies concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement.

The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the European Observatory on Health Systems and Policies in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters.

All reasonable precautions have been taken by the European Observatory on Health Systems and Policies to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either express or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the European Observatory on Health Systems and Policies be liable for damages arising from its use. The views expressed by authors, editors, or expert groups do not necessarily represent the decisions or the stated policy of the European Observatory on Health Systems and Policies or any of its partners.

ISBN 978 92 890 5029 6

Address requests about publications to: Publications, WHO Regional Office for Europe, UN City, Marmorvej 51, DK-2100 Copenhagen Ø, Denmark.

Alternatively, complete an online request form for documentation, health information, or for permission to quote or translate, on the Regional Office web site (http://www.euro.who.int/pubrequest).

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The European Observatory on Health Systems and Policies supports and promotes evidence- based health policy-making through comprehensive and rigorous analysis of health systems in Europe. It brings together a wide range of policy-makers, academics and practitioners to analyse trends in health reform, drawing on experience from across Europe to illuminate policy issues.

The European Observatory on Health Systems and Policies is a partnership, hosted by the WHO Regional Office for Europe, which includes the Governments of Austria, Belgium, Finland, Ireland, Norway, Slovenia, Sweden, the United Kingdom and the Veneto Region of Italy; the European Commission; the World Bank; UNCAM (French National Union of Health Insurance Funds); the London School of Economics and Political Science; and the London School of Hygiene & Tropical Medicine.

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Contents

List of figures and tables List of abbreviations

Part I

Chapter 1 Introduction: knowledge brokering

John N Lavis, Christina Catallo and the BRIDGE Study Team Introduction

Purpose and organization of the book Companion products

Bridging research and policy

References

Chapter 2 A way to approach knowledge brokering: the BRIDGE framework and criteria

John N Lavis, Govin Permanand and the BRIDGE Study Team Key messages

A way to approach knowledge brokering Research objective

Developing a framework and criteria for knowledge brokering Findings from the iterative development process

BRIDGE framework and criteria

Strengths and weaknesses of the approach Lessons learned

References

Chapter 3 Forthcoming

Chapter 4 Knowledge-brokering mechanisms and models used in Europe:

website reviews in 31 countries

Christina Catallo, John N Lavis and the BRIDGE Study Team Key messages

Knowledge-brokering mechanisms and models used in Europe Research objective

Using websites to find and describe knowledge-brokering

organizations

Findings from the website reviews

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vi Bridging the worlds of research and policy in European health systems

Strengths and weaknesses of the approach

Lessons learned

References

Part II

Chapter 5 Forthcoming

Chapter 6 Knowledge brokering in Belgium: feeding the process of collaborative

policy-making

Mark Leys Key messages

Knowledge brokering in Belgium

National context for knowledge brokering

Key attributes of the policy-making context in Belgium Knowledge brokering mechanisms and models in use Spotlight on a selected knowledge-brokering organization Case studies of intersections with policy-making processes

Lessons learned

Conclusions

References

Chapter 7 Knowledge brokering in England: adding value in crowded landscapes and short policy cycles

David McDaid Key messages

Knowledge brokering in England

National context for knowledge brokering

Key attributes of the policy-making context in England Knowledge brokering mechanisms and models in use Spotlight on selected knowledge-brokering organizations Case studies of intersections with policy-making processes Lessons learned

Conclusions

References

Chapter 8 Knowledge brokering in Norway: bringing rigour and transparency to policy inputs

Govin Permanand, Anne Karin Lindahl, John-Arne Røttingen Key messages

Knowledge brokering in Norway

National context for knowledge brokering Key attributes of the policy-making context

Knowledge-brokering mechanisms and models in use Spotlight on a selected knowledge-brokering organization Case studies of intersections with policy-making processes

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vii Contents

Lessons learned

Conclusions

References

Chapter 9 Knowledge brokering in Spain: matching brokering mechanisms to policy processes

Constantino Sakellarides, José R Repullo, Wendy Wisbaum Key messages

Knowledge brokering in Spain

National context for knowledge brokering

Key attributes of the policy-making context in Spain Knowledge brokering mechanisms and models in use Spotlight on selected knowledge-brokering organizations Case studies of intersections with policy-making processes Lessons learned

Conclusions

References

Chapter 10 Conclusion: next steps for knowledge brokering in Europe John N Lavis, Christina Catallo and the BRIDGE Study Team Key messages

Conclusions

Using a multifaceted approach

Findings and outputs from the BRIDGE study Strengths and weaknesses of the approach

Lessons learned: next steps for knowledge brokering in Europe

References

Appendix A Glossary and list of online resources

Appendix B Inclusion criteria for knowledge-brokering organizations in the BRIDGE

study

Appendix C Data-collection tool for website reviews

Appendix D Country correspondents for website reviews and validators for eligibility

assessments

Appendix E Organizations included in the BRIDGE study and those carefully considered but excluded

Appendix F Interview guide for site visits Appendix G Handouts for site visits

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List of figures and tables

Figures

Fig. 2.1 BRIDGE framework for knowledge brokering

Tables

Table 2.1 Links between policy questions and the types of health systems information needed

Table 2.2 BRIDGE criteria to assess knowledge-brokering mechanisms and models

Table 2.3 Attributes of the national policy-making context that can influence knowledge brokering

Table 4.1 Number of knowledge-brokering organizations, by scale of operation and target audience

Table 4.2 Number of information-packaging mechanisms used by knowledge-brokering organizations, by type

Table 4.3 Characteristics of innovative information-packaging mechanisms used by knowledge-brokering organizations (part 1)

Table 4.4 Characteristics of innovative information-packaging mechanisms used by knowledge-brokering organizations (part 2)

Table 4.5 Number of interactive knowledge-sharing mechanisms used by knowledge-brokering organizations, by type

Table 4.6 Characteristics of innovative interactive knowledge-sharing mechanisms used by knowledge-brokering organizations (part 1) Table 4.7 Characteristics of innovative interactive knowledge-sharing

mechanisms used by knowledge-brokering organizations (part 2) Table 4.8 Characteristics of innovative interactive knowledge-sharing

mechanisms used by knowledge-brokering organizations (part 3)

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Bridging the worlds of research and policy in European health systems

Table 4.9 Number of knowledge-brokering organizations providing key description on their websites

Table 6.1 Attributes of the Belgian policy-making context that can influence knowledge brokering

Table 6.2 Knowledge-brokering mechanisms and models used in Belgium Table 7.1 Attributes of the policy-making context in England that can influence

knowledge brokering

Table 7.2 Knowledge-brokering mechanisms used in England

Table 8.1 Attributes of the policy-making context in Norway that can influence knowledge brokering

Table 8.2 Knowledge-brokering mechanisms used in Norway

Table 9.1 Attributes of the policy-making context in Spain that can influence knowledge brokering

Table 9.2 Knowledge-brokering mechanisms used in Spain

Table 9.3 Interaction between knowledge-brokering organizations and policy-making processes

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List of abbreviations

BRIDGE Scoping study of approaches to Brokering knowledge and Research Information to support the Development and Governance of health systems in Europe

CEMPH Centre for the Economics of Mental and Physical Health (England) CNPT National Committee for the Prevention of Smoking (Spain) CSR comprehensive spending review (England)

EFTA European Free Trade Association FAD Avedis Donabedian Foundation (Spain)

FPS Federal Public Services for Health, Food Chain Safety and Environment (Belgium)

GDP gross domestic product GP general practitioner

HELFO Norwegian Health Economics Administration Helse Nord RHF Northern Norway Regional Health Authority Helse Sør-Øst South-Eastern Norway Regional Health Authority HTA health technology assessment

IPH Federal Scientific Institute of Public Health (Belgium) KCE Belgian Health Care Knowledge Centre

MAB maximum billing (Belgium)

NIHDI National Institute of Health and Disability Insurance (Belgium) NIHR National Institute for Health Research (England)

NGO nongovernmental organization NHS National Health Service (England)

NOKC Norwegian Knowledge Centre for the Health Services NSF national service framework (England)

OECD Organisation for Economic Co-operation and Development OSE Observatory of European Health (Spain)

PSSRU Personal Social Services Research Unit (England)

SDO Service Delivery and Organisation [Programme] (England) SESPAS Spanish Society of Public Health and Health Administration SHC Superior Health Council (Belgium)

SNS Spanish national health system

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