Please use this identifier to cite or link to this item: http://hdl.handle.net/11054/1387
Title: Research evidence supports cancer policymaking but is insufficient for change: findings of key informant interviews from five countries.
Author: Bergin, Rebecca J.
Emery, Jon
Bollard, Ruth
White, Victoria
Issue Date: 2019
Publication Title: Health Policy
Volume: 123
Issue: 6
Start Page: 572
End Page: 581
Abstract: Abstract Evidence-based policymaking values the use of research in the process of developing, implementing and evaluating policy. However, there is limited research attempting to understand how cancer policymaking occurs and the role of evidence in this process. Our study aimed to provide a deeper understanding of levers and challenges to the development and implementation of large-scale, health service policies or programs in cancer care. Within a realist framework, we conducted a thematic analysis of interviews with 13 key informants from five countries: Australia, Canada, Scotland, Denmark and New Zealand. Results identified a complex array of program mechanisms and contextual factors influencing cancer health-service policymaking. Research evidence was important and could form a rationale for change, such as by identifying unwarranted variation in cancer outcomes across or within countries. However, other factors were equally important in driving policy change, including advocacy, leadership, stakeholder collaboration, program adaptability, clinician and consumer involvement, and the influential role of context. These findings resonate with political science theories and health service reform literature, while offering novel insight into specific factors that influence policymaking in cancer care, namely clinical engagement, consumer input and policy context. Although research evidence supports policymaking, the complex ways in which cancer policies are developed and implemented requires recognition and should be considered when designing new programs and promoting the use of evidence in policymaking.
URI: http://hdl.handle.net/11054/1387
Resource Link: https://doi.org/10.1016/j.healthpol.2019.04.003
Internal ID Number: 01353
Health Subject: POLICYMAKING
HEALTH SERVICES
EVIDENCE
QUALITATIVE
REALIST
Type: Journal Article
Article
Appears in Collections:Research Output



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