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Policymakers' and other stakeholders' perceptions of key considerations for health system decisions and the presentation of evidence to inform those considerations: an international survey.

Vogel JP, Oxman AD, Glenton C, Rosenbaum S, Lewin S, Gülmezoglu AM, Souza JP - Health Res Policy Syst (2013)

Bottom Line: All components of our evidence summary were rated as important by over 90% of respondents.Survey respondents were supportive of the DECIDE framework for health system decisions and the use of succinct summaries of the estimated size of effects and the quality of evidence.It is uncertain whether the findings of this survey represent the views of policymakers with little or no healthcare and research experience.

View Article: PubMed Central - HTML - PubMed

Affiliation: School of Population Health, Faculty of Medicine, Dentistry and Health Sciences, University of Western Australia, 35 Stirling Highway, Crawley 6009, Australia.

ABSTRACT

Background: The DECIDE framework was developed to support evidence-informed health system decisions through evidence summaries tailored to health policymakers. The objective of this study was to determine policymakers' perceptions regarding the criteria in the DECIDE framework and how best to summarise and present evidence to support health system decisions.

Methods: We conducted an online survey of a diverse group of stakeholders with health system decision experience from 15 countries and the World Health Organization. We asked about perceptions of criteria relevant to making health system decisions, use of evidence, grading systems, and evidence summaries.

Results: We received 112 responses (70% response rate). Most respondents had healthcare (85%) and research (79%) experience. They (99%) indicated that systematic consideration of the available evidence would help to improve health system decision-making processes and supported the use of evidence from other countries (94%) and grading systems (81%). All ten criteria in the DECIDE framework were rated as important in the decision-making process. Respondents had divergent views regarding whether the same (38%) or different (45%) grading systems should be used across different types of health decisions. All components of our evidence summary were rated as important by over 90% of respondents.

Conclusions: Survey respondents were supportive of the DECIDE framework for health system decisions and the use of succinct summaries of the estimated size of effects and the quality of evidence. It is uncertain whether the findings of this survey represent the views of policymakers with little or no healthcare and research experience.

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Survey responses regarding criteria considered for individual health system decisions.
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Figure 1: Survey responses regarding criteria considered for individual health system decisions.

Mentions: We asked participants to describe a recent healthcare decision with which they had been involved or had the opportunity to follow closely. One hundred and two respondents (91.1%) had such an example and 10 (8.9%) respondents imagined a current or recent decision. Figure 1 shows their responses regarding whether our criteria were considered for their health system decisions. Over 75% of respondents stated they had considered these criteria in their decision, except for value for money (67%) and impacts on equity (70%). Comments were infrequent but almost universally in support of the need to consider these criteria and the lack of evidence on certain criteria, such as equity and implementation, for health system decisions. Two respondents indicated that consideration of these criteria is mandatory for decisions taken in their organization. Most (86.4%) of the respondents had considered evidence from other countries for their decision, and 94.3% of respondents agreed or somewhat agreed that evidence from other countries should be used to inform health system decisions. Most (90.9%) of the respondents stated they knew what a systematic review was. However, only 60.2% of respondents had used evidence from a systematic review to inform their decision. In response to our question on whether systematic consideration of the available research evidence would help to improve health system decision-making, 98.9% stated it would or it probably would.


Policymakers' and other stakeholders' perceptions of key considerations for health system decisions and the presentation of evidence to inform those considerations: an international survey.

Vogel JP, Oxman AD, Glenton C, Rosenbaum S, Lewin S, Gülmezoglu AM, Souza JP - Health Res Policy Syst (2013)

Survey responses regarding criteria considered for individual health system decisions.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3672010&req=5

Figure 1: Survey responses regarding criteria considered for individual health system decisions.
Mentions: We asked participants to describe a recent healthcare decision with which they had been involved or had the opportunity to follow closely. One hundred and two respondents (91.1%) had such an example and 10 (8.9%) respondents imagined a current or recent decision. Figure 1 shows their responses regarding whether our criteria were considered for their health system decisions. Over 75% of respondents stated they had considered these criteria in their decision, except for value for money (67%) and impacts on equity (70%). Comments were infrequent but almost universally in support of the need to consider these criteria and the lack of evidence on certain criteria, such as equity and implementation, for health system decisions. Two respondents indicated that consideration of these criteria is mandatory for decisions taken in their organization. Most (86.4%) of the respondents had considered evidence from other countries for their decision, and 94.3% of respondents agreed or somewhat agreed that evidence from other countries should be used to inform health system decisions. Most (90.9%) of the respondents stated they knew what a systematic review was. However, only 60.2% of respondents had used evidence from a systematic review to inform their decision. In response to our question on whether systematic consideration of the available research evidence would help to improve health system decision-making, 98.9% stated it would or it probably would.

Bottom Line: All components of our evidence summary were rated as important by over 90% of respondents.Survey respondents were supportive of the DECIDE framework for health system decisions and the use of succinct summaries of the estimated size of effects and the quality of evidence.It is uncertain whether the findings of this survey represent the views of policymakers with little or no healthcare and research experience.

View Article: PubMed Central - HTML - PubMed

Affiliation: School of Population Health, Faculty of Medicine, Dentistry and Health Sciences, University of Western Australia, 35 Stirling Highway, Crawley 6009, Australia.

ABSTRACT

Background: The DECIDE framework was developed to support evidence-informed health system decisions through evidence summaries tailored to health policymakers. The objective of this study was to determine policymakers' perceptions regarding the criteria in the DECIDE framework and how best to summarise and present evidence to support health system decisions.

Methods: We conducted an online survey of a diverse group of stakeholders with health system decision experience from 15 countries and the World Health Organization. We asked about perceptions of criteria relevant to making health system decisions, use of evidence, grading systems, and evidence summaries.

Results: We received 112 responses (70% response rate). Most respondents had healthcare (85%) and research (79%) experience. They (99%) indicated that systematic consideration of the available evidence would help to improve health system decision-making processes and supported the use of evidence from other countries (94%) and grading systems (81%). All ten criteria in the DECIDE framework were rated as important in the decision-making process. Respondents had divergent views regarding whether the same (38%) or different (45%) grading systems should be used across different types of health decisions. All components of our evidence summary were rated as important by over 90% of respondents.

Conclusions: Survey respondents were supportive of the DECIDE framework for health system decisions and the use of succinct summaries of the estimated size of effects and the quality of evidence. It is uncertain whether the findings of this survey represent the views of policymakers with little or no healthcare and research experience.

Show MeSH