Scientific uncertainty and the role of expert advice: the case of health checks for coronary heart disease prevention by general practitioners in the UK

Florin, Dominique

doi:10.1016/s0277-9536(99)00165-3

Cited by 8 publications

(6 citation statements)

References 28 publications

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“…The two methods used most frequently, and usually used together, come from the qualitative tradition: documentary analysis and in-depth interviews [10,11,14,63,75,77,97,98,104]. The need for having the flexibility interviewing can provide is well illustrated by studies in which the original interview schedule had to be amended to take account of the different perspectives held by policy-makers of the role of research [79].…”

Section: Reviewmentioning

confidence: 99%

The utilisation of health research in policy-making: concepts, examples and methods of assessment

Hanney

González-Block

Buxton

et al. 2003

Health Res Policy Sys

547

555

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The importance of health research utilisation in policy-making, and of understanding the mechanisms involved, is increasingly recognised. Recent reports calling for more resources to improve health in developing countries, and global pressures for accountability, draw greater attention to research-informed policy-making. Key utilisation issues have been described for at least twenty years, but the growing focus on health research systems creates additional dimensions.The utilisation of health research in policy-making should contribute to policies that may eventually lead to desired outcomes, including health gains. In this article, exploration of these issues is combined with a review of various forms of policy-making. When this is linked to analysis of different types of health research, it assists in building a comprehensive account of the diverse meanings of research utilisation.Previous studies report methods and conceptual frameworks that have been applied, if with varying degrees of success, to record utilisation in policy-making. These studies reveal various examples of research impact within a general picture of underutilisation.Factors potentially enhancing utilisation can be identified by exploration of: priority setting; activities of the health research system at the interface between research and policy-making; and the role of the recipients, or 'receptors', of health research. An interfaces and receptors model provides a framework for analysis.Recommendations about possible methods for assessing health research utilisation follow identification of the purposes of such assessments. Our conclusion is that research utilisation can be better understood, and enhanced, by developing assessment methods informed by conceptual analysis and review of previous studies.

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Section: Reviewmentioning

confidence: 99%

The utilisation of health research in policy-making: concepts, examples and methods of assessment

Hanney

González-Block

Buxton

et al. 2003

Health Res Policy Sys

547

555

View full text Add to dashboard Cite

show abstract

“…Despite its clear design, a brand new policy alternative has high uncertainty of success after its implementation (Damanpour and Schneider 2008). Therefore, experts are needed to provide prediction with expertise and analysis on the policy alternatives with high originality (Florin 1999). In addition, when a new policy instrument is not new abroad, decision makers usually need experts to introduce foreign experience after investigation, which may result in policy transfer (Stone 2000).…”

Section: Review Of Literature On Expert Involvementmentioning

confidence: 99%

Section: Knowledge Complexitymentioning

confidence: 99%

Policy Change and Expert Involvement in China

Zhu

2012

Public Administration

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Expert involvement is usually regarded as one of the causes of policy changes. However, how does the nature of policy change, in turn, influence expert involvement? This study constructs an analytical model by adopting and developing policy network and principal‐agent theories, suggesting that expert involvement can be regarded as the result of the inherent characteristics of policy change in the Chinese policy process. Two key characteristics of policy change, namely ‘loss embeddedness' and ‘knowledge complexity’, are employed to form four types of policy changes. Empirically, a comparative study with four policy change cases illustrates that Chinese experts adopt four behavioural strategies, such as linear access, outside‐in enlightenment, deprofessionalized campaign, and locked‐out, in different types of policy change. These policy change cases include the new‐type rural cooperative medical care system, the new urban medical care system, revocation of detention and repatriation system, and the new economically affordable urban housing policy.

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“…Even terms and conditions of employment of staff can justify a policy. Decisions regarding health promotion in primary care in the early 1990s were influenced by negotiations on the general practitioner contract between the profession and the department of health 13. Policy may also be shaped by electoral considerations.…”

Section: Is Healthcare Policy Evidence Based?mentioning

confidence: 99%

Evidence based policy: proceed with care Commentary: research must be taken seriously

Black

2001

BMJ

503

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Scientific uncertainty and the role of expert advice: the case of health checks for coronary heart disease prevention by general practitioners in the UK

Cited by 8 publications

References 28 publications

The utilisation of health research in policy-making: concepts, examples and methods of assessment

The utilisation of health research in policy-making: concepts, examples and methods of assessment

Policy Change and Expert Involvement in China

Evidence based policy: proceed with care Commentary: research must be taken seriously

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