Influencing Healthcare and Policy through Epidemiological Research Flashcards
Who first discovered the infectious nature of disease?
Ignaz simmelweiss
What did Edward jenner do for eradication of diseases?
He observed the effect of prior cow pox infection for small pox which paved the way for the concept of vaccination. His theory was right and led to eradication of small pox.
How are epidemiological study results used in treating early breast cancer?
Australian Clinical Guidelines are available for hormone therapies based on evidence from clinical trials.
How is choice of initial therapy for breast cancer guided?
Age
Menopause status
Tumour size
Patient clinical history
If a woman is on endocrine therapies for breast cancer when do epidemiological studies show she will discontinue treatment?
No chemo or mastectomy and medication needed to be prescribed for hot flushing means these women are likely to discontinue.
Why does only some evidence get translated to real world policy and practice?
Lots of studies in the literature
Costly treatment
Established practice hard to change
Skepticism
Political and factional groups being against it.
What factors influence knowledge translation?
Knowledge translation is about ensuring that:
Stakeholders are aware (and use) research evidence to inform their decision making.
research is informed by experience and needs of stakeholders.
What factors should be considered in knowledge translation?
What information should be translated?
To whom should research knowledge be translated?
How (and through what avenue) should research knowledge be disseminated
With what effect should research knowledge be translated?
How can translation of research evidence be improved?
Improving dissemination by researchers
Multiple approaches targeting different stakeholder groups. Peer-reviewed papers, presentations, policy briefs, toolkits, media releases.
Increase demand from decision makers
Establish relationships between researchers and policy makers
Knowledge brokers (becoming the ‘honest broker’)
What are the main knowledge brokers in Australia?
saxinstitute. org.au
ahha. asn.au/deebleinstitute
