scholarly journals Management Practices to Build Evidence-Based Decision-Making Capacity for Chronic Disease Prevention in Georgia: A Case Study

2018 ◽  
Vol 15 ◽  
Author(s):  
Peg Allen ◽  
Jean C. O’Connor ◽  
Leslie A. Best ◽  
Meenakshi Lakshman ◽  
Rebekah R. Jacob ◽  
...  
Keyword(s):  
Decision Making ◽  
Chronic Disease ◽  
Disease Prevention ◽  
Management Practices ◽  
Chronic Disease Prevention ◽  
Evidence Based ◽  
Decision Making Capacity ◽  
Evidence Based Decision Making

What is a Culture of Evidence? How do you Get One? and … Should you Want One?

2014 ◽  
Vol 116 (3) ◽  
pp. 1-27 ◽  
Author(s):  
Charles A. Peck ◽  
Morva A. Mcdonald
Keyword(s):  
Decision Making ◽  
Teacher Education ◽  
Organizational Factors ◽  
Outcome Data ◽  
Evidence Based ◽  
Retrospective Case ◽  
Large Measure ◽  
Culture Of Evidence ◽  
Evidence Based Decision Making

Background/Context Contemporary state and national policy rhetoric reflects increased press for “evidence-based” decision making within programs of teacher education, including admonitions that programs develop a “culture of evidence” in making decisions regarding policy and practice. Recent case study reports suggest that evidence-based decision making in teacher education involves far more than access to data—including a complex interplay of motivational, technical, and organizational factors. Purpose In this paper we use a framework derived from Cultural Historical Activity Theory to describe changes in organizational practice within two teacher education programs as they began to use new sources of outcome data to make decisions about program design, curriculum and instruction. Research Design We use a retrospective case study approach, drawing on interviews, observations and documents collected in two university programs undergoing evidence-based renewal. Conclusions We argue for the value of a CHAT perspective as a tool for clarifying linkages between the highly abstract and rhetorically charged concept of a “culture of evidence” and concrete organizational practices in teacher education. We conclude that the meaning of a “culture of evidence” depends in large measure on the motivations underlying its development.

Cancer Prevention Through Scaling-Up the Process of Evidence-Based Decision-Making in a State Health Department

2018 ◽  
Author(s):  
Peg M. Allen ◽  
Linda J. Ahrendt ◽  
Kiley A. Hump ◽  
Ross C. Brownson
Keyword(s):  
Decision Making ◽  
Organizational Climate ◽  
Cancer Prevention ◽  
Management Practices ◽  
Scale Up ◽  
Organizational Capacity ◽  
Health Agency ◽  
Evidence Based ◽  
Leadership Support ◽  
Evidence Based Decision Making

This case study provides an example of a collaboration between a university and a public health agency to build organizational capacity to spread data-driven decision-making, implementation, and evaluation of evidence-based cancer prevention strategies. The Office of Chronic Disease Prevention and Health Promotion at the South Dakota Department of Health provided the key management practices for scale-up of evidence-based decision-making (EBDM): leadership support, training, a supportive organizational climate and culture, inclusion of partners, and outcomes-based contracting with partnering organizations. A pre–post survey showed increased use of research evidence for several job tasks, including selection of interventions and evaluation. Perceived work unit access to skills in prioritization and adapting interventions also increased. The 16 staff and partners interviewed perceived leadership support, federal funding requirements, and an initial multi-day training as the key facilitators for spreading EBDM.

Sustainable Evidence-Based Decision-Making: A Case Study

2002 ◽  
Vol 15 (1) ◽  
pp. 37-39
Author(s):  
Wendy Young ◽  
Tim Young ◽  
George Rewa ◽  
Peter Coyte ◽  
Keyword(s):  
Decision Making ◽  
Evidence Based ◽  
Evidence Based Decision Making

scholarly journals Knowledge exchange systems for youth health and chronic disease prevention: a tri-provincial case study

2013 ◽  
Vol 33 (4) ◽  
pp. 257-266 ◽  
Author(s):  
D Murnaghan ◽  
W Morrison ◽  
EJ Griffith ◽  
BL Bell ◽  
LA Duffley ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Disease Prevention ◽  
Study Design ◽  
Program Planning ◽  
Knowledge Exchange ◽  
Lessons Learned ◽  
Chronic Disease Prevention ◽  
Youth Health ◽  
Case Study Design

Introduction The research teams undertook a case study design using a common analytical framework to investigate three provincial (Prince Edward Island, New Brunswick and Manitoba) knowledge exchange systems. These three knowledge exchange systems seek to generate and enhance the use of evidence in policy development, program planning and evaluation to improve youth health and chronic disease prevention. Methods We applied a case study design to explore the lessons learned, that is, key conditions or processes contributing to the development of knowledge exchange capacity, using a multi-data collection method to gain an in-depth understanding. Data management, synthesis and analysis activities were concurrent, iterative and ongoing. The lessons learned were organized into seven "clusters". Results Key findings demonstrated that knowledge exchange is a complex process requiring champions, collaborative partnerships, regional readiness and the adaptation of knowledge exchange to diverse stakeholders. Discussion Overall, knowledge exchange systems can increase the capacity to exchange and use evidence by moving beyond collecting and reporting data. Areas of influence included development of new partnerships, expanded knowledge-sharing activities, and refinement of policy and practice approaches related to youth health and chronic disease prevention.

scholarly journals Comparing Knowledge, Accessibility, and Use of Evidence-Based Chronic Disease Prevention Processes Across Four Countries

2018 ◽  
Vol 6 ◽  
Author(s):  
Anna J. DeRuyter ◽  
Xiangji Ying ◽  
Elizabeth L. Budd ◽  
Karishma Furtado ◽  
Rodrigo Reis ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Disease Prevention ◽  
Chronic Disease Prevention ◽  
Evidence Based ◽  
Knowledge Accessibility

scholarly journals General Practitioners’ Perceptions of their Practice of Evidence-based Chronic Disease Prevention Interventions: A Quantitative Study in Shanghai, China

2020 ◽  
Author(s):  
Feng Fan ◽  
Chen Chen ◽  
Delei Shen ◽  
Zhaohu Yu ◽  
Xin Liu ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Disease Prevention ◽  
Urban Areas ◽  
Linear Regression Analysis ◽  
Organizational Factors ◽  
Chronic Disease Prevention ◽  
Health Priorities ◽  
Evidence Based ◽  
Evaluation Tool ◽  
Community Healthcare

Abstract Background Despite increasing calls internationally for the inclusion of evidence-based decision-making (EBDM) processes in chronic disease prevention and control programming and policymaking, there is relatively sparse research assessing the current capacity of physicians and the factors influencing that capacity in China.Method A total of 892 physicians were collected from community healthcare centers (CHCs) in Shanghai, China. The experience-based chronic disease prevention (EBCDP) evaluation tool assessed physicians’ awareness, adoption, implementation and maintenance of EBCDP based on the RE-AIM framework. Linear regression analysis was used to assess associations between each EBCDP process and personal characteristics or organizational factors. Result Physicians from CHCs perceived their awareness (mean=4.90, SD=1.02) and maintenance (mean=4.71, SD=1.07) of EBCDP to be relatively low. Physicians with lower titles and monthly incomes >9,000 RMB per month tended to have relatively higher scores for the awareness, adoption, and implementation of EBCDP (P<0.05). Those who participated in one program were less likely to adopt (b=-0.284, P=0.007), implement (b=-0.292, P=0.004), and maintain (b=-0.225, P=0.025) EBCDP than those who participated in more programs. Physicians in general practice (Western medicine) had a lower level of awareness of EBCDP than those in other departments (P<0.0001). Those who were from the suburbs had lower scores regarding awareness (b=-0.150, P=0.047), implementation (b=-0.171, P=0.029), and maintenance (b=-0.237, P=0.002) compared with those from urban areas. Physicians in CHCs affiliated with universities had higher scores on all four EBCDP processes compared with those in CHCs not affiliated with a university. Conclusions This study provides evidence quantitatively illustrating the practice of EBCDP among physicians in CHCs with various personal and organizational characteristics. More solutions should be provided to increase their awareness of EBCDP to stimulate the use of EBCDP for chronic disease prevention and other public health priorities.

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