This document discusses knowledge transfer between researchers and policymakers. It begins with an overview of the knowledge cycle and evidence-based healthcare. It notes that while researchers seek truth and policymakers seek compromise, their common goal is improving public health. The document recommends establishing units to facilitate knowledge transfer and decision support. It also suggests training policymakers to identify how research can help and accessing evidence to inform decisions. The overall message is that researchers and policymakers must understand each other and work together toward their shared goal of improving health outcomes.
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Knowledge transfer, and evidence informed health policy-minster's meeting
1. Knowledge Transfer, and Evidence-Informed Health Policy Undersecretary Meeting, Feb. 26, 2009 Ghaiath M.A. Hussein MBBS, MHSc. (Bioethics) Research Directorate Federal Ministry of Health
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4. خريطة توضح حجم دول العالم من حيث الإنفاق على البحوث والتنمية وأكثر واقل عشر دول إنفاقا على البحوث في العالم ( بالدولار لكل مواطن لكل عام ). المصدر : www.worldmapper.org
5. خريطة توضح حجم دول العالم من حيث عدد المقالات العلمية المنشورة، وجدول يوضح عدد المقالات العلمية المنشورة لكل مليون من السكان لعام 2001 م . المصدر : www.worldmapper.org
10. Components of EBM/H Modified from Huneborg, 2000 EBHC Individual Clinical /Policy Expertise Best External Evidence Patient/Population’s Values & Expectations
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13. Hierarchy of Evidence Systematic Reviews and Meta-analysis Randomized controlled trials with definitive results RCTs with non-definitive results Cohort studies Case Control studies Cross-sectional surveys Case reports / opinions
17. You’re 30 metres above the ground in a balloon You must be a researcher Yes. How did you know? Because what you told me is absolutely correct but completely useless You must be a policy maker Yes, how did you know? Because you don’t know where you are, you don’t know where you’re going, and now you’re blaming me The problem / 30 Where am I?
18. A research institution is a "knowledge" factory Input: information Output: information Processing Knowledge
19. The policy and execution grinding mill Information Policy and communication Processing Knowledge Analyses of threats and benefits Impact Testing Evaluation
20. Many “Leaks” from research & practice If 80% achieved at each stage then 0.8 x 0.8 x 0.8 x 0.8 x 0.8 x 0.8 x 0.8 = 0.21 Aware Accept Target Doable Recall Agree Done Valid Research
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25. Source: Institute of Health Economics, Alberta, Canada, 2008. Stakeholders for different types of research
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30. Feature distinguishing ( academic ) research and policy-makers Researchers Policy - makers Overall goal To advance science To improve the performance of health systems Specific objectives Tenure track positions Publications To gain popular and political support Output Detailed reports, based on science Press release s Desired outcome Respect of peers Perception more important than what happens in reality Time factor Some studies can take years Demand results in the short term Accountable to Peers and editors of medical journals Cabinet and c onstituents
31. How to Bridge the gaps? Science Decision-Making Knowledge Brokers
35. What we do now as Research Directorate? Train, Review, curricula Seminars Website Database
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Hinweis der Redaktion
By best research we mean clinically relevant research ,often from basic science of medicine, but especially from patient-centered clinical research. this new evidence invalidates previously accepted diagnostic tests &treatment and replace them with a more powerful more accurate more efficacious and safer. Clinical expertise it we mean the ability to use our clinical skills and past experience to identify each patients unique health state and diagnosis ,their individual risks and the benefits of potential interventions, their personal values and expectations Patient values: it is the preference, concerns expectations that each pts brings to the clinical encounter which must be integrated into the clinical decisions if they are to serve the patient When these 3 elements are integrated clinicians &pts form a diagnostic &therapeutic alliance which will optimizes clinical outcomes &quality of life.
The KTE TUMS model was the attaintment of this research.