• Title/Summary/Keyword: Evidence-based Policy-making

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Understanding the Evidence-Based Policy Making (EBPM) Discourse in the Making of the Master Plan of National Research (RIRN) Indonesia 2017-2045

  • Setiadarma, Eunike Gloria
    • STI Policy Review
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    • v.9 no.1
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    • pp.30-54
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    • 2018
  • The government of Indonesia has initiated the Master Plan of National Research (RIRN) 2017-2045 as a policy umbrella of national research activity. The initiative has been in place since 2015, yet the process required a long period of coordination. And with the extensive movement of evidence-based policymaking (EBPM), there has been a call of expectation towards policymakers to accurately use scientific evidence in their policymaking process. However, the complexity of policymaking process renders the ideal notion of EBPM questionable. This research attempts to understand how the EBPM as an idea can shape the interactions of actors in the policymaking process by using the discursive institutionalism as the analytical framework. By conducting ten interviews with actors involved in the making of RIRN and close examination of the policy documents for content analysis, this research describes the institutional features of EBPM discourse in Indonesia, which are reflected in the interactions of policy actors in the policymaking process of RIRN. This research also offers descriptive and learning narratives on the role of discourse in the policymaking process.

Evidence-based Pharmaceutical Policy-making; A Challenging Task? Vivid Voices from Korean Experts (근거중심 의약품 정책 결정; 극복하기 어려운 과제인가? 한국 전문가의 생생한 의견)

  • Lee, Iyn-Hyang
    • Korean Journal of Clinical Pharmacy
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    • v.23 no.3
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    • pp.185-196
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    • 2013
  • This study aims to explore the difficulties of evidence-based pharmaceutical policy-making in the Korean context where several pharmaceutical policies were introduced within a short period. Semi-structured in-depth interviews were performed with eight experts in the Korean pharmaceutical arena. The key challenge in Korean situation might be the apparent lack of available evidence caused by the limited resources, the lack of policy consistency and coordination ability in the authorities and distrust across stakeholders. To build an evidence-based tradition, it is essential to resolve the tangible lack. At once, more fundamental changes seem to be required in the intangible policy environments.

Roles of Health Technology Assessment for Better Health and Universal Health Coverage in Korea (우리나라 보건의료 발전을 위한 의료기술평가의 역할)

  • Lee, Young Sung
    • Health Policy and Management
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    • v.28 no.3
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    • pp.263-271
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    • 2018
  • Health technology assessment (HTA) is defined as multidisciplinary policy analysis to look into the medical, economic, social, and ethical implications of the development, distribution, and use of health technology. Following the recent changes in the social environment, there are increasing needs to improve Korea's healthcare environment by, inter alia, assessing health technologies in an organized, timely manner in accordance with the government's strategies to ensure that citizens' medical expenses are kept at a stable level. Dedicated to HTA and research, the National Evidence-based Healthcare Collaborating Agency (NECA) analyzes and provides grounds on the clinical safety, efficacy, and economic feasibility of health technologies. HTA offers the most suitable grounds for decision making not only by healthcare professionals but also by policy makers and citizens as seen in a case in 2009 where research revealed that glucosamine lacked preventive and treatment effects for osteoarthritis and glucosamine was subsequently excluded from the National Health Insurance's benefit list to stop the insurance scheme from suffering financial losses and citizens from paying unnecessary medical expenses. For the development of HTA in Korea, the NECA will continue exerting itself to accomplish its mission of providing policy support by health technology reassessment, promoting the establishment and use of big data and HTA platforms for public interest, and developing a new value-based HTA system.

Nurses′ Research Activities and Barriers of Research Utilization (임상 간호사들의 연구 관련 활동 실태 및 연구결과 활용의 장애 요인)

  • 오의금;오현주;이윤정
    • Journal of Korean Academy of Nursing
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    • v.34 no.5
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    • pp.838-848
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    • 2004
  • Purpose: This study was to describe nurses' research activities, perceptions and performances of evidence-based practice and barriers to the use of research evidence in nursing practice in Korea. Method: A cross-sectional survey design was used. A questionnaire, except for Barriers Scale, was developed for the study. Data was collected from a convenient sample of 437 registered nurses working at research and education oriented university hospitals. Result: Nurses' research-related activities were relatively low compared to previous studies. Also perceptions and performances of evidence based nursing practice were low. Preferred informational resources for clinical decision making were identified as ward manuals/clinical guidelines, manager/senior nurses, and literature/research. The major barriers to research utilization were a lack of implication for practice along with inadequate facilitation to implement research evidence and difficulty understanding research written in English. Priorities of barriers factor were Administrator, Communication, Adopter, and Research. Conclusion: The findings provide directions for future training, education, and managerial policy to achieve successful evidence based nursing practice.

A Study of Relationship between Research Outcome and Policy Decision Making: For invigoration of Convergence Research (융합연구의 활성화를 위한 연구 성과와 정책 결정의 영향 관계에 관한 연구)

  • Noh, Younghee;Park, Minsu;Lee, Kwang Hee
    • The Journal of the Korea Contents Association
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    • v.20 no.9
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    • pp.43-55
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    • 2020
  • The purpose of this study was to find ways to impact policies in order to invigorate convergence research as a whole (including science or engineering-based and its humanities-based counterpart), so it can be recognized as the science of its own form. Firstly we looked at the definition of convergence research. Secondly, we looked at the definition of policy and how policies are produced. Lastly, we explored the relationship between convergence research and policy decision making. The current issues faced by the convergence research were the fact that it was largely under-appreciated and inadequately supported both in terms of policy and financial support. In this study, we explore the relationship between research and policy based on a research utilization model, which can be categorized the research and policy relationship into four types. Then we sought for various cases to explore how research can affect policies as scientific evidence; how the technological changes caused by convergence research can be shaped into policies; and then provide insights for what challenges needed to be addressed in order to have a positive impact on the relationship.

A Study on Developing Science Service of Science and Technology Policy (과학기술 정책의 과학화 서비스 개발에 관한 연구)

  • Shin, Mun-Bong;Chun, Seung-Su;WhangBo, Taeg-Keun
    • Journal of Information Technology Services
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    • v.11 no.1
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    • pp.83-92
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    • 2012
  • The development of science and technology oriented knowledge society accelerates the convergence between scientific theory and industrial technology and increases the complexity problem of social and economic sectors. These cause the difficulty of securing the reliability and objectivity of science and technology policy. These also are barriers of balanced evaluation between rational science and technology policy making, management, and policy coordination. In this regard, Advanced countries in science and technology develops policy support system and promotes the program of evidence-based SciSIP(Science of Science and Innovation policy) together. This paper introduces a new approach developing science service of science and technology policy utilizing business intelligence technology in Korea. Also, it proposes the integration method of policy knowledge base and component-based service supporting S&T policy decision-making process and introduces services case studies.

An Analysis on the Nurse Expansion Policies through Policy Network (정책네트워크 이론을 이용한 간호사 확보를 위한 정책과정 분석)

  • Ko, Yu-Kyung;Park, Bo-hyun
    • Health Policy and Management
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    • v.25 no.2
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    • pp.129-139
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    • 2015
  • Background: Policy network theory was proved to be an appropriate analytic tool for the current social welfare policy making process. This study aimed to analyze policy making process related to the nurse expansion and policy output while focusing on the interactions and activities among various policy actors. Methods: In this study, we used reports related to the need for expansion of nursing personnel journals, dissertations, newspaper articles, for hearings and debate policies for securing nurse data, and interviews. We examined three components of policy network, that is, policy actors, interactions, linkage of interest. Results: For that to expand the nurse before the 2000s in expanding the supply of medical supplies have been conducted without much disagreement among policy actors under the government's initiative. However, there was lacked a close relationship between the expanding supply of nurses and inaccurate analysis of supply and demand. As the policy is applied between the various policy actors' needs and claims, conflict was intensified and many policy options had been developed. Government only took a role as a coordinator among policy actors in the 2000's. Also, it was difficult to find sufficient and clear evidence that policy-making process based on fair judgment. Conclusion: Therefore, it is urgently required to determine the policy through a social consensus to address the appropriate policy means and the process by correct analysis of the policy issues.

A Case Study on Statistic-Based Policy: Use of the Housing Purchase Price Indices (통계기반 정책사례 연구: 주택가격지수 통계의 구축, 개선, 활용을 중심으로)

  • Park, Jin-Woo
    • The Korean Journal of Applied Statistics
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    • v.22 no.3
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    • pp.635-651
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    • 2009
  • Democratization and advancement of a society requires the Government's commitment to evidence-based policy. Though statistic is known as one of the best available evidence, there has been only a few case studies to tell real stories about using statistics for policy making. The object of this study is to suggest some real stories about using the Housing Purchase Price Survey for some property policies. By reviewing the origin and development of the survey, we evaluate the design and analysis strategies adopted in the survey. In addition, we describe how the Housing Purchase Price Indices have been used by the Government for some property policies.

Evidence based practice within the complementary medicine context

  • McLean, Lisa;Micalos, Peter Steve;McClean, Rhett;Pak, Sok Cheon
    • CELLMED
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    • v.6 no.3
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    • pp.15.1-15.4
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    • 2016
  • Evidence based practice (EBP) is a system of applying the most current and valid high quality evidence to support clinical decision making in a healthcare setting. In the twenty five years since its inception, EBP has become the accepted benchmark for excellence in healthcare. Although the system emerged within the biomedical sciences, in the years since EBP has become normative across all healthcare modalities from dentistry, allied health to complementary and alternative medicine (CAM). Practicing evidence based medicine within any modality potentially offers the patient the best available care based on high quality evidence. Yet it is the nature of the evidence that provokes some questions about the suitability of EBP across all modalities of healthcare. The meta analysis of randomized controlled trial (RCT) stands at the pinnacle of the hierarchy of evidence in EBP. This forms a challenge to CAM due to the difficulty in reducing the elementals of a holistic naturopathic assessment of a patient into an answerable question to be tested within a RCT. On one level this makes EBP paradigmatically incompatible with CAM, yet on another level it presents the opportunity to redefine the parameters of what is considered high level evidence. EBP has become a tool, and at times a weapon wielded by governments and health insurance companies to direct healthcare funding and policy. The implications of the nature of accepted evidence are becoming far reaching. The pursuit of the best available healthcare for each individual is the focus of EBP. However, the injudicious use of this system to direct health policy is fraught with biomedical bias and dominance. This issue raises the challenge to CAM to present high level evidence according to the rules of evidence, or face the annihilation of centuries of empirical knowledge.

An Exploratory Study on Policy Decision Making with Artificial Intelligence: Applying Problem Structuring Typology on Success and Failure Cases (인공지능을 활용한 정책의사결정에 관한 탐색적 연구: 문제구조화 유형으로 살펴 본 성공과 실패 사례 분석)

  • Eun, Jong-Hwan;Hwang, Sung-Soo
    • Informatization Policy
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    • v.27 no.4
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    • pp.47-66
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    • 2020
  • The rapid development of artificial intelligence technologies such as machine learning and deep learning is expanding its impact in the public administrative and public policy sphere. This paper is an exploratory study on policy decision-making in the age of artificial intelligence to design automated configuration and operation through data analysis and algorithm development. The theoretical framework was composed of the types of policy problems according to the degree of problem structuring, and the success and failure cases were classified and analyzed to derive implications. In other words, when the problem structuring is more difficult than others, the greater the possibility of failure or side effects of decision-making using artificial intelligence. Also, concerns about the neutrality of the algorithm were presented. As a policy suggestion, a subcommittee was proposed in which experts in technical and social aspects play a professional role in establishing the AI promotion system in Korea. Although the subcommittee works independently, it suggests that it is necessary to establish governance in which the results of activities can be synthesized and integrated.