Health systems and policy research evidence in health policy making in Israel: what are researchers’ practices in transferring knowledge to policy makers?

Ellen, Moriah; Lavis, John N.; Sharon, Assaf; Shemer, Joshua

doi:10.1186/1478-4505-12-67

Cited by 17 publications

(23 citation statements)

References 38 publications

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“…We were able to identify perceived facilitators among men and women, such as the presence of structures linking researchers and target audiences, the investment of target audiences in KTE efforts and the presence of stable contacts among target audience. To some extent these ndings are in-line with studies conducted in other settings (28)(29)(30).…”

Section: Discussionsupporting

confidence: 89%

Gender Barriers to Knowledge Transfer and Exchange Among Vaccine Researchers in Low-, Middle- and High-Income Countries – An International Cross-Sectional Study in 44 Countries

El-Halabi

McCabe

Forsberg

et al. 2020

Preprint

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Background: Globally, women constitute 30% of researchers. Despite an increasing proportion of women in research, they are still less likely to have international collaborations. Literature on barriers to knowledge transfer and exchange (KTE) between men and women, remain limited. This study aimed to elucidate perceived gender barriers to KTE activities in vaccination related research in low, middle- and high-income countries. Methods: This was a cross-sectional data from a self-administered questionnaire distributed to researchers in the field of vaccination research. Structural factors to KTE were assessed using 12 statements measured with 5-point Likert scale, ranging from 1 (strongly disagree) to 5 (strongly agree). An index ranging from 12 to 60 points was created to assess structural factors to KTE, with higher score indicating higher perceived barriers. Linear regression modelling was applied to examine the association between KTE barriers and gender. Results: Regardless of gender, researchers experienced challenges with respect to KTE activities, particularly factors related to the availability of human and financial resources, and level of technical expertise among their target audience. We were also able to identify perceived facilitators among men and women, such as the presence of structures that link researchers and target audiences, the investment of target audiences in KTE efforts and the presence of stable contacts among target audience. Our linear regression analysis showed that women have a reduction of 1.069 in their scores in comparison with men (R2=0.014; B=-1.069; 95%CI -4.035;1.897). Conclusions: Men and women shared common perspectives on barriers to KTE. KTE activities could be strengthened by improving structural efforts to reduce gender differences and increase collaborations between researchers and their target audience.

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Section: Discussionsupporting

confidence: 89%

Gender Barriers to Knowledge Transfer and Exchange Among Vaccine Researchers in Low-, Middle- and High-Income Countries – An International Cross-Sectional Study in 44 Countries

El-Halabi

McCabe

Forsberg

et al. 2020

Preprint

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“…What is interesting to note is that most of the areas where policymakers identified a need for improvement fall within the responsibilities of the researchers. Most researchers that focus on health systems and policy research in Israel have acknowledged that they are minimally involved in KTE activities [ 34 ]. However, while increasing initiatives both within research production and push efforts to improve the use of HSPR in decision making is important, there are initiatives that can be undertaken by policymakers and decision makers as well.…”

Section: Discussionmentioning

confidence: 99%

“…Most researchers that conduct health systems research in Israel are based either in research institutes, academic institutions, government agencies, the four health insurance funds, or hospital settings, and many researchers have cross appointments in a number of the aforementioned institutions. This previous research has demonstrated that less than half of the respondents were involved in various KTE activities such as interacting with knowledge users throughout the research process and developing reports and summaries that used language appropriate for their target audiences [ 34 ]. More than a third of the researchers in Israel reported that they were frequently or always involved in interactions with target audience through the research process (i.e.…”

Section: Introductionmentioning

confidence: 99%

“…during developing a research question or executing the research) or through formal or informal meetings during conferences, workshops or conversations. However, less than half of the researchers stated that they were engaged in bridging activities aimed to facilitate target audiences to use research [ 34 ]. While there is engagement from the researchers in Israel, it is important to note that health system researchers are only one part of the equation when it comes to ensuring the use of research in health policymaking.…”

Section: Introductionmentioning

confidence: 99%

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Views of health system policymakers on the role of research in health policymaking in Israel

Ellen

Horowitz

Vaknin

et al. 2016

Isr J Health Policy Res

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BackgroundThe use of research evidence in health policymaking is an international challenge. Health systems, including that of Israel, are usually characterized by scarce resources and the necessity to make rapid policy decisions. Knowledge transfer and exchange (KTE) has emerged as a paradigm to start bridging the “know-do” gap. The purpose of this study was to explore the views of health system policymakers and senior executives involved in the policy development process in Israel regarding the role of health systems and policy research (HSPR) in health policymaking, the barriers and facilitators to the use of evidence in the policymaking process, and suggestions for improving the use of HSPR in the policymaking process.MethodsA survey and an interview were verbally administered in a single face-to-face meeting with health system policymakers and senior executives involved in the policy development process in Israel. The data collection period was from July to October 2014. The potential participants included members of Knesset, officials from Israel’s Ministry of Health, Ministry of Finance, health services organizations, and other stakeholder organizations (i.e., National Insurance Institute). The close-ended questions were based on previous surveys that had been conducted in this field. Interviews were tape recorded and transcribed. Descriptive statistics were conducted for close ended survey-questions and thematic analysis was conducted for open-ended interview questions.ResultsThere were 32 participants in this study. Participants felt that the use of HSPR helps raise awareness on policy issues, yet the actual use of HSPR was hindered for many reasons. Facilitators do exist to support the use of HSPR in the policymaking process, such as a strong foundation of relationships between researchers and policymakers. However, many barriers exist such as the lack of relevance and timeliness of much of the currently available research to support decision-making and the paucity of funding to support research use. Suggestions to improve the use of HSPR focused on improving dissemination of research findings and ensuring that the research was more relevant and timely.ConclusionsThis research demonstrated that health systems policymakers in Israel perceive having strong relationships and collaborations with researchers however there is room for improvement, e.g. partnering in research projects to ensure relevance and use. Furthermore, health system policymakers seem to be interested in receiving relevant research in a more useable format and are open to using research in decision making.

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“…The target was health systems and policy researchers from academic institutions, hospital settings, government agencies, the four health insurance funds, and research institutes (for more details on the development of the list of potential respondents, see [30]). All potential respondents were identified by (1) examining publicly available web sites associated with each of the aforementioned institution types and identifying those researchers that focused on health systems and policy, and (2) examining the list of research projects that were funded by the National Institute for Health Policy and obtaining the emails of the associated researchers (email addresses were obtained for all identified respondents).…”

Section: Methodsmentioning

confidence: 99%

Examining the use of health systems and policy research in the health policymaking process in Israel: views of researchers

Ellen

Lavis

Shemer

2016

Health Res Policy Sys

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BackgroundAll too often, health policy and management decisions are made without making use of or consulting with the best available research evidence, which can lead to ineffective and inefficient health systems. One of the main actors that can ensure the use of evidence to inform policymaking is researchers. The objective of this study is to explore Israeli health systems and policy researchers’ views and perceptions regarding the role of health systems and policy research (HSPR) in health policymaking and the barriers and facilitators to the use of evidence in the policymaking process.MethodsA survey of researchers who have conducted HSPR in Israel was developed. The survey consisted of a demographics section and closed questions, which focused on support both within the researchers’ organisations and the broader environment for KTE activities, perceptions on the policymaking process, and the potential influencing factors on the process. The survey was sent to all health systems and policy researchers in Israel from academic institutions, hospital settings, government agencies, the four health insurance funds, and research institutes (n = 107). All responses were analyzed using descriptive statistics. For close-ended questions about level of agreement we combined together the two highest categories (agree or strongly agree) for analysis.ResultsThirty-seven respondents participated in the survey. While many respondents felt that the use of HSPR may help raise awareness on policy issues, the majority of respondents felt that the actual use of HSPR was hindered for many reasons. While facilitators do exist to support the use of research evidence in policymaking, numerous barriers hinder the process such as challenges in government/provider relations, policymakers lacking the expertise for acquiring, assessing, and applying HSPR and priorities in the health system drawing attention away from HSPR. Furthermore, it is perceived by a majority of respondents that the health insurance funds and the physician organisations exert a strong influence in the policymaking process.ConclusionsHealth system and policy researchers in Israel need to be introduced to the benefits and potential advantages of evidence-informed policy in an organised and systematic way. Future research should examine the perceptions of policymakers in Israel and thus we can gain a broader perspective on where the actual issues lie.

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Health systems and policy research evidence in health policy making in Israel: what are researchers’ practices in transferring knowledge to policy makers?

Cited by 17 publications

References 38 publications

Gender Barriers to Knowledge Transfer and Exchange Among Vaccine Researchers in Low-, Middle- and High-Income Countries – An International Cross-Sectional Study in 44 Countries

Gender Barriers to Knowledge Transfer and Exchange Among Vaccine Researchers in Low-, Middle- and High-Income Countries – An International Cross-Sectional Study in 44 Countries

Views of health system policymakers on the role of research in health policymaking in Israel

Examining the use of health systems and policy research in the health policymaking process in Israel: views of researchers

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