From evidence to policy on a national level: supporting the government’s role in a learning healthcare system

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Hultcrantz, MonicaStatens beredning för medicinsk och social utvärdering (SBU), Sverige (författare)

From evidence to policy on a national level : supporting the government’s role in a learning healthcare system

Artikel/kapitelEngelska2020

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2020
printrdacarrier

Nummerbeteckningar

LIBRIS-ID:oai:DiVA.org:umu-175781
https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-175781URI
https://doi.org/10.1002/14651858.CD202001DOI

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Språk:engelska
Sammanfattning på:engelska

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Ämneskategori:ref swepub-contenttype
Ämneskategori:art swepub-publicationtype

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Supplement 1. "The abstracts in this Supplement to the Cochrane Database of Systematic Reviews were originally submitted for presentation at the Cochrane Colloquium that was planned to take place in Toronto, Canada, on 4-7 October 2020. In May 2020, as a result of the continuining spread and impact of COVID-19, Cochrane’s Governing Board and Cochrane Canada agreed to cancel the Toronto Colloquium. Despite the cancellation, the review process for the submitted abstracts continued, and this Supplement includes accepted abstracts of research that would have been presented as oral or poster presentations."
Background: In August 2018, the Swedish government appointed a special investigator to support a national ecosystem for evidence-based healthcare. In November 2019, the inquiry received an additional task now focusing on follow-up to enable a more strategic, evidence-based and long-term sustainable management of health care on a national level. Since healthcare systems around the world face similar challenges, we believe the results of the investigation are highly relevant for a broader audience.Objectives: To analyze how governmental agencies can better support a comprehensive follow-up of health care and thereby create a learning system on a national level. This includes following the effects of the government’s initiatives and reforms and analyzing where future governmental interventions are needed.Methods: The investigator and her team have worked with an expert committee including representatives of governmental agencies, healthcare professions and healthcare providers, as well as a reference group of patient representatives. Additional information has been collected through questionnaires, workshops and meetings with stakeholders and other governmental inquiries working on related topics. Background information was collected from published research, governmental reports, existing regulations etc.Results: Although roughly estimated more than 1000 full-time government employees work with followup in Sweden, the quality, effectiveness and equity in health care is not improving at the anticipated rate. Our findings suggest that a co-ordination of the different initiatives is a prerequisite for creating a learning system on a national level. Key challenges arise in the interface between evidence and policy. At the Colloquium, we will present possible solutions to these challenges using the Swedish healthcare system as an example.Conclusions: Although a lot of efforts are made in conducting and developing methods for evidence generation, implementation and follow-up, it is apparent that the full value for patients is not reached. Facilitators are needed for a learning system on a national level, where the government’s initiatives efficiently contribute to an increased quality, effectiveness and equity in health care. Sharing experiences from national efforts can be one way of increasing the understanding of what these facilitators are. Patient or healthcare consumer involvement: We have received valuable input through regular meetings with a reference group of six representatives from different patient organizations throughout the work. The expert committee linked to the investigation also included a patient representative adding important perspectives to the discussions.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Health Care Service and Management, Health Policy and Services and Health Economy hsv//eng
SAMHÄLLSVETENSKAP Statsvetenskap Studier av offentlig förvaltning hsv//swe
SOCIAL SCIENCES Political Science Public Administration Studies hsv//eng
Governance
Evidence-informed policymaking
Evidence-based medicine
Implementation science
Quality improvement
Systems Analysis
systemanalys
statskunskap
political science
hälso- och sjukvårdsforskning
health services research

Biuppslag (personer, institutioner, konferenser, titlar ...)

Hall, UlrikaSocialdepartementet, Sverige (författare)
Lagerstedt, KatarinaInspektionen för vård och omsorg, Sverige (författare)
Richter Sundberg, Linda,Ph D,1975-Umeå universitet,Institutionen för epidemiologi och global hälsa(Swepub:umu)liasrg97 (författare)
Larsson, Lars-TorstenLunds universitet (författare)
Hellberg, LenaSocialdepartementet, Sverige (författare)
Statens beredning för medicinsk och social utvärdering (SBU), SverigeSocialdepartementet, Sverige (creator_code:org_t)

Sammanhörande titlar

Ingår i:Cochrane Database of Systematic Reviews9, s. 190-1901469-493X

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Av författaren/redakt...: Hultcrantz, Moni ...; Hall, Ulrika; Lagerstedt, Kata ...; Richter Sundberg ...; Larsson, Lars-To ...; Hellberg, Lena

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Av lärosätet: Umeå universitet

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