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综合性评价;确定医护服务政策制定与分析的证据基础
Author(s) -
Kennedy Catriona,
O’Reilly Pauline,
O’Connell Rhona,
O’Leary Denise,
Fealy Gerard,
Hegarty JosephineMary,
Brady AnneMarie,
Nicholson Emma,
McNamara Martin,
Casey Mary
Publication year - 2019
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.14121
Subject(s) - context (archaeology) , relevance (law) , identification (biology) , content analysis , process (computing) , policy analysis , health policy , cinahl , stakeholder , formal concept analysis , health care , political science , process management , management science , computer science , public relations , medline , sociology , public administration , business , engineering , social science , paleontology , botany , law , biology , operating system , algorithm
Aim The aim of this was to identify and synthesize the evidence underpinning the health policymaking process to inform the development of a health‐related policy analysis framework. Design A mixed methods review using “Best Fit” Framework synthesis. Data Sources PUBMED and CINAHL+ databases for English language papers published between March 2013 – March 2017. Review Methods Titles were screened, data abstracted and analysed by two authors at each stage. Findings from included studies were coded against six a priori categories which had been constructed through a preliminary literature review, consultation and consensus. Results Sixty‐eight papers were included. There exists empirical support for six key domains which require to be addressed in the policymaking and analysis process: (1) Context; (2) Process; (3) Content; (4) Stakeholder Consultation; (5) Implementation; and (6) Evaluation. Failure to contextualize and integrate these six domains in problem identification, policy analysis, strategy and policy development, policy enactment and policy implementation is problematic. Conclusion There is a need to test and refine the constructs linked to the policymaking cycle taking cognizance of the context where these are developed, implemented and evaluated. Impact This review makes a novel contribution to the synthesis of evidence to inform the policymaking and analysis process. Findings illuminate the complexity of policymaking, the competing pressures involved and the importance of the local, national and international context. These findings have international relevance and provide empirical support for key criteria to guide those involved in context specific policymaking and/or the analysis of existing policy.