...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Social science and medicine >Evidence-based policy-making: the implications of globally-applicable research for context-specific problem-solving in developing countries.
【24h】

Evidence-based policy-making: the implications of globally-applicable research for context-specific problem-solving in developing countries.

机译：基于证据的政策 - 制定：全球适用研究对发展中国家的上下文解决问题的影响。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

In the past 15 or so years, the "evidence-based medicine" (EBM) framework has become increasingly institutionalized, facilitating its transfer across the globe. In the late 1990s, the basic principles of EBM began to have a marked influence in a number of non-clinical public policy arenas. Policy-makers working in these areas are now being urged to move away from developing policies according to political ideologies to a more legitimate approach based on scientific fact, conceptual diffusion of EBM to non-clinical arenas has exposed epistemologically destabilizing views regarding the definition of "science," particularly as it relates to the demands of global versus national/sub-national policy-making. Using the maternal and neonatal subfield as an ethnographic case-study, this paper explores the effects of these divergences on EBPM in 5 developing countries (Bangladesh, Burkina Faso, Ghana, Malawi and Nepal). In doing so, our analysis aims to explain why EBPM has thus far had a limited impact in the area of context-specific programmatic policy-development and implementation at the national and sub-national levels. Results highlight that the political contexts in which EBPM is played out promote uniformity of methodological and policy approaches, despite the fact that disciplinary diversity is being called for repeatedly in the public health literature. Even in situations where national EBPM diverges from international priorities, national evidence-based policies are found to hold little weight in countering global policy interests, which some informants claim are themselves legitimated, rather than informed, by evidence. Informants also highlight the way interpretations of research findings are shaped by the broader political context within which donors set priorities and distribute limited resources - contexts that are driven by the need to provide generalisable research recommendations based on scientifically replicable methods. Added to this are clear rifts between senior and junior-level experts within countries that constrain national and sub-national research agendas from serving as tools for empowered knowledge production and problem-solving. We conclude by arguing for diverse forms of research that can more effectively address context-specific problems. While such diversity may render EBPM more conflict-ridden, debate is by no means an undesirable characteristic in any evolving system of knowledge, for it has the potential to foster critical insight and localized change.
机译：在过去的15年左右，“基于循证医学”（EBM）框架已经越来越多地制度化，促进了全球转移。在20世纪90年代末，EBM的基本原则开始对许多非临床公共政策竞技场有一个明显的影响。现在正在敦促在这些领域工作的政策制定者根据政治意识形态转向发展政策，以基于科学事实的更合法的方法，eBM对非临床竞技场的概念扩散已经暴露了关于“科学，“特别是它与全球与国家/次国家政策制定的要求有关。使用母亲和新生儿子场作为民族造影案例研究，本文探讨了5个发展中国家在ebpm上的影响（孟加拉国，布基纳法索，加纳，马拉维和尼泊尔）对ebpm的影响。在这样做时，我们的分析旨在解释为什么EBPM迄今为止在国家和次国家层面的上下文的方案政策制定和实施中的影响有限。结果强调，展示EBPM的政治背景促进了促进了方法论和政策方法的统一性，尽管在公共卫生文学中反复呼吁纪律流达。即使在国家EBPM偏离国际优先事项的情况下，发现国家循证政策也在反击全球政策利益方面持平重量，其中一些信息人声称自己是由证据合法的，而不是通过证据了解。通告商还强调了研究结果的解释方式的形状，在捐助者确定优先事项和分发有限的资源方面的形状，这些背景是必要提供基于科学复制的方法提供普遍的研究建议。添加到这是在国家和初级专家之间解散的裂缝，这些专家在国家和次国家研究议程担任赋予知识生产和解决问题的工具。我们通过争论不同形式的研究来得出，这些研究可以更有效地解决特定于背景的问题。虽然这种多样性可能会使EBPM更加冲突，但辩论绝不是任何不断发展的知识体系中的不良特征，因为它有可能促进关键的洞察力和局部变化。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号