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Interpretation and use of evidence in state policymaking: a qualitative analysis
  1. Dorie E Apollonio1,
  2. Lisa A Bero2
  1. 1Department of Clinical Pharmacy, University of California, San Francisco, San Francisco, California, USA
  2. 2Department of Pharmacy, Faculty of Pharmacy and Charles Perkins Centre, University of Sydney, Sydney, New South Wales, Australia
  1. Correspondence to Dr Dorie E Apollonio; Dorie.Apollonio{at}ucsf.edu

Abstract

Introduction Researchers advocating for evidence-informed policy have attempted to encourage policymakers to develop a greater understanding of research and researchers to develop a better understanding of the policymaking process. Our aim was to apply findings drawn from studies of the policymaking process, specifically the theory of policy windows, to identify strategies used to integrate evidence into policymaking and points in the policymaking process where evidence was more or less relevant.

Methods Our observational study relied on interviews conducted with 24 policymakers from the USA who had been trained to interpret scientific research in multiple iterations of an evidence-based workshop. Participants were asked to describe cases where they had been involved in making health policy and to provide examples in which research was used, either successfully or unsuccessfully. Interviews were transcribed, independently coded by multiple members of the study team and analysed for content using key words, concepts identified by participants and concepts arising from review of the texts.

Results Our results suggest that policymakers who focused on health issues used multiple strategies to encourage evidence-informed policymaking. The respondents used a strict definition of what constituted evidence, and relied on their experience with research to discourage the use of less rigorous research. Their experience suggested that evidence was less useful in identifying problems, encouraging political action or ensuring feasibility and more useful in developing policy alternatives.

Conclusions Past research has suggested multiple strategies to increase the use of evidence in policymaking, including the development of rapid-response research and policy-oriented summaries of data. Our findings suggest that these strategies may be most relevant to the policymaking stream, which develops policy alternatives. In addition, we identify several strategies that policymakers and researchers can apply to encourage evidence-informed policymaking.

  • QUALITATIVE RESEARCH

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

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Footnotes

  • Twitter Follow Dorothy Apollonio @apollonio

  • Contributors Both authors conceived and designed the paper, interpreted the results, reviewed and revised the manuscript in preparation for publication, and read and approved the final manuscript. DEA drafted the manuscript.

  • Funding This work was supported by the National Institutes of Health CA140236, the University of California, San Francisco Research Allocation Program and the Flight Attendant Medical Research Institute.

  • Disclaimer The funders had no role in the data collection, interpretation or reporting.

  • Competing interests None declared.

  • Ethics approval Ethical approval was provided by the UCSF Committee on Human Research (#H2758-21541-06).

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data sharing statement No additional data are available.