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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
Acknowledgement  ,[object Object],[object Object],[object Object],[object Object]
Outline of the presentation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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
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
The ‘Classical’ Knowledge Cycle Researchers Policy makers
What is KT? ,[object Object],[object Object]
What’s  E vidence- B ased  H ealth c are? ,[object Object]
Why do we need to be evidence-based? ,[object Object],[object Object],[object Object]
Components of EBM/H Modified from Huneborg, 2000 EBHC Individual  Clinical /Policy Expertise Best  External  Evidence Patient/Population’s Values & Expectations
Steps of evidence based medicine ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
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
Evidence Pyramid
Potential contribution of evidence to policy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Science Decision-Making
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?
A research institution is a "knowledge" factory Input: information Output:  information Processing Knowledge
The policy and execution  grinding mill Information Policy  and communication Processing Knowledge Analyses of threats and benefits Impact Testing Evaluation
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
Need a ‘new look’? ,[object Object],[object Object]
Research ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Access to ,[object Object],[object Object],[object Object],environment work social conditions economic conditions
[object Object],[object Object],Understanding how to test, scale-up and follow through on the introduction of interventions to optimise their benefits Impact The spectrum of research for development Biomedical research Health policy and systems research Social sciences and behavioural research Operational research Basic research: physical and biological sciences, including chemistry, pharmacology, toxicology,  genetics, etc. Research on policy formulation, relationship  to evidence, prioritization, etc. Research and development for medicines, vaccines, diagnostics, appliances, etc. Research on health systems management, functions, efficiency, effectiveness, system factors affecting access, scale-up, monitoring and evaluation, etc. Research on social and behavioral factors influencing health and their relation to equity, access,  lifestyle and health-seeking behaviours, etc. Research on factors affecting functioning of programmes,  effectiveness of targeting, impact on behaviour, disease burdens and public health, etc.
Source:  Institute of Health Economics, Alberta, Canada, 2008. Stakeholders for different types of research
[object Object]
Matter of Fact! ,[object Object],[object Object]
Another Set of Facts! ,[object Object],[object Object],[object Object]
Researchers and Policy makers are two separate communities? ,[object Object],[object Object]
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
How to Bridge the gaps? Science Decision-Making Knowledge Brokers
 
 
Reza Majdzadeh
What we do now as Research Directorate? Train, Review, curricula Seminars Website Database
Steps Forward ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Key Messages ,[object Object],[object Object],[object Object],[object Object]
 
 

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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
  • 6. The ‘Classical’ Knowledge Cycle Researchers Policy makers
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  • 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
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  • 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
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  • 35. What we do now as Research Directorate? Train, Review, curricula Seminars Website Database
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Hinweis der Redaktion

  1. 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.
  2. The KTE TUMS model was the attaintment of this research.