november 23

Question 1

evidence based medicine

Answer 1

the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients

Question 2

evidence based health policy

Answer 2

movement within public policy to give evidence greater weight in shaping policy decision

Question 3

evidence informed health policy

Answer 3

the integration of experience, judgement and expertise with the best available external evidence from systematic research

Question 4

how long does it take for new clinical evidence to change clinical practise?

Answer 4

17 years on average

Question 5

three parts of evidence informed health policy

Answer 5

1. knowledge creation and distillation
2. dissemination and diffusion (getting it out into the world)
3. organizational adoption and implementation

Question 6

formative evaluation

Answer 6

evaluation to assess program, view to modify or develop it so it improves

Question 7

Summative evaluation

Answer 7

evaluation designed to produce an overall verdict on a policy or programme in terms of the balance of costs and benefits
done long after the policy has been put in place

Question 8

example of evidence and policy:

Answer 8

ontario to lower age for regular breast cancer screening to 40

Question 9

reasons to not have evidence

Answer 9

evidence can not be accessed, evidence is ignored, evidence is hard to read

Question 10

evidence is ——– but not —— for policy making

Answer 10

necessary, sufficient

Question 11

what drives policy making

Answer 11

multiple, often competing accounts of the nature of policy problems, and so research evidence may fail to align with these multiple accounts

Question 12

knowledge creation and distilation

Answer 12

researchers create new information by running studies, writing papers, trying to think through new issues, and we try to distill those into small “key” things we found in our study.

Question 13

knowledge dissemination and diffusion

Answer 13

getting it out into the world, social media etc

Question 14

adoption and implementation

Answer 14

break it down so people are interested

Question 15

who is usually excluded from research

Answer 15

pregnant women, marginilized people

Question 16

3 issues with evidence based medicine

Answer 16

1. research may not be relevant for all treatment situations
2. there is a lack of evidence in many areas
3. research can be influenced by biases

Question 17

3 examples of joining scientists with policy makers

Answer 17

1. linkage and exchange
2. co-production of knowledge
3. advocacy coalitions

Question 18

linkage and exchange

Answer 18

mutual exchange and creation of knowledge between scientists and policy makers

Question 19

co-production of knowledge

Answer 19

include physicians, patients and other people who will be effected