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Bull World Health Organ. 2012 Nov 01;90(11):847-53. doi: 10.2471/BLT.12.104968. Epub 2012 Sep 14.

Use of evidence to support healthy public policy: a policy effectiveness-feasibility loop.

Bulletin of the World Health Organization

Sarah Bowman, Nigel Unwin, Julia Critchley, Simon Capewell, Abdullatif Husseini, Wasim Maziak, Shahaduz Zaman, Habiba Ben Romdhane, Fouad Fouad, Peter Phillimore, Belgin Unal, Rana Khatib, Azza Shoaibi, Balsam Ahmad

Affiliations

  1. Institute of Health and Society, Newcastle University, Newcastle, England.

PMID: 23226897 PMCID: PMC3506406 DOI: 10.2471/BLT.12.104968

Abstract

Public policy plays a key role in improving population health and in the control of diseases, including non-communicable diseases. However, an evidence-based approach to formulating healthy public policy has been difficult to implement, partly on account of barriers that hinder integrated work between researchers and policy-makers. This paper describes a "policy effectiveness-feasibility loop" (PEFL) that brings together epidemiological modelling, local situation analysis and option appraisal to foster collaboration between researchers and policy-makers. Epidemiological modelling explores the determinants of trends in disease and the potential health benefits of modifying them. Situation analysis investigates the current conceptualization of policy, the level of policy awareness and commitment among key stakeholders, and what actually happens in practice, thereby helping to identify policy gaps. Option appraisal integrates epidemiological modelling and situation analysis to investigate the feasibility, costs and likely health benefits of various policy options. The authors illustrate how PEFL was used in a project to inform public policy for the prevention of cardiovascular diseases and diabetes in four parts of the eastern Mediterranean. They conclude that PEFL may offer a useful framework for researchers and policy-makers to successfully work together to generate evidence-based policy, and they encourage further evaluation of this approach.

References

  1. Am J Public Health. 2009 Sep;99(9):1576-83 - PubMed
  2. BMC Public Health. 2008 Dec 18;8:415 - PubMed
  3. Health Res Policy Syst. 2003 Jan 13;1(1):2 - PubMed
  4. Public Health. 1999 May;113(3):141-6 - PubMed
  5. MMWR Morb Mortal Wkly Rep. 1999 Apr 2;48(12):241-3 - PubMed
  6. J Epidemiol Community Health. 2001 Sep;55(9):622-3 - PubMed
  7. BMC Public Health. 2009 Jan 22;9:30 - PubMed
  8. Public Health. 2012 Mar;126(3):217-219 - PubMed
  9. Health Res Policy Syst. 2009 Dec 16;7 Suppl 1:S13 - PubMed
  10. N Engl J Med. 2007 Jun 7;356(23):2388-98 - PubMed
  11. Bull World Health Organ. 1993;71(1):15-21 - PubMed
  12. BMJ. 2006 Feb 11;332(7537):358-61 - PubMed
  13. Asia Pac J Public Health. 2009 Jul;21(3):244-51 - PubMed
  14. J Health Serv Res Policy. 2008 Oct;13(4):209-14 - PubMed
  15. Lancet. 2007 Dec 15;370(9604):2044-53 - PubMed
  16. BMJ. 2005 Sep 17;331(7517):614 - PubMed
  17. Public Health. 2009 Jan;123(1):e14-20 - PubMed
  18. Int J Public Health. 2015 Jan;60 Suppl 1:S1-2 - PubMed
  19. Health Res Policy Syst. 2009 Dec 16;7 Suppl 1:S14 - PubMed

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