Evidence, policy, impact: WHO guide for evidence-informed decision-making
[ https://apps.who.int/iris/handle/10665/350994 ]
April 6th 2022 Webinar of the WHO guidide for evidence-informed decision-making
Evidence Informed Decision making (EIDM). Guidance on how to implement evidence and policies but also on collaboration and conversations about evidence informed decision making.
The WHO guide and repository for evidence informed decision making that establishes collaboration across different workstreams of the clinical evidence ecosystems. The guidance supports knowledge translation especially in areas in which there might be limited resources and technologies and the guidance attempts to bridge gaps in globally available systems of guidance. Once evidence informed decision making is agreed, supporting the evidence use is a very different set of skills and the UN system entities are moving away from an 'expert knows best' philosophy. Part of the guidance production process has been a citizen policy dialogue. The core principles for the consideration of the use of evidence informed guidance are (not necessarily in this order):
- Identify the problem
- Design solutions
- Design implementation
- Communicate and engage
- Implement, monitor, evaluate and adjust
- Consider global health and equity
- Sustain change
The Guidance includes
- A textbook on EIDM
- A toolbox for users
- An online repository of EIDM and
- A complementary online repository to support the main online repository
The interlocking components of the development and management of EIDM are (and not necessarily in this order):
- Knowledge translation
- Ad hoc studies, evaluation and monitoring
- National surveys
- Routine data and information processing
- Guideline development and adaptation
- Health technology assessment
110 EIDM tools were assessed, 47 EIDM tools were initially included. High quality EIDMs recognized factors such as context and acceptability, For success the EIDM creators must understand the problem, design the solution and achieve impact through the production of key tools, best practices and additional resources. Successful EIDM is a systematic and transparent processing to support structure and methods of delivery. Evidence enquiry creates primary research. This research is synthesized to produce secondary research. Tertiary research produces evidence products.
The repositories will, if I remember correctly, be in Chinese, Russian, French, English, Portuguese, Spanish and Japanese.
When one looks at the core principles for the consideration of the use of evidence informed decision making, -
- Identify the problem
- Design solutions
- Design implementation
- Communicate and engage
- Implement, monitor, evaluate and adjust
- Sustain change
The principles and implementation are all part of the UK primary contract and EHR [Electronic Health Records]. The Quality Outcome Frameworks recorded the outcomes and task completion digitally using prearranged coding. Payments are according to results but also outcomes can be measured by primary care independently of payment. This can work on the individual patient, practice population or national public health population.
For prevention of NCDs the patients and families really have to be part of the solutions as agents of implementation.
HIFA profile: Richard Fitton is a retired family doctor - GP. Professional interests: Health literacy, patient partnership of trust and implementation of healthcare with professionals, family and public involvement in the prevention of modern lifestyle diseases, patients using access to professional records to overcome confidentiality barriers to care, patients as part of the policing of the use of their patient data
Email address: richardpeterfitton7 AT gmail.com
