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Policy options to increase motivation for improving evidence-informed health policy-making in Iran

Authors
  • Sajadi, Haniye Sadat1
  • Majdzadeh, Reza1
  • Ehsani-Chimeh, Elham1
  • Yazdizadeh, Bahareh1
  • Nikooee, Sima1
  • Pourabbasi, Ata1
  • Lavis, John2, 3
  • 1 Tehran University of Medical Sciences, Tehran, Iran , Tehran (Iran)
  • 2 McMaster University, Hamilton, Canada , Hamilton (Canada)
  • 3 University of Johannesburg, Johannesburg, South Africa , Johannesburg (South Africa)
Type
Published Article
Journal
Health Research Policy and Systems
Publisher
BioMed Central
Publication Date
Jun 07, 2021
Volume
19
Issue
1
Identifiers
DOI: 10.1186/s12961-021-00737-7
Source
Springer Nature
Keywords
License
Green

Abstract

BackgroundCurrent incentive programmes are not sufficient to motivate researchers and policy-makers to use research evidence in policy-making. We conducted a mixed-methods design to identify context-based policy options for strengthening motivations among health researchers and policy-makers to support evidence-informed health policy-making (EIHP) in Iran.MethodsThis study was conducted in 2019 in two phases. In the first phase, we conducted a scoping review to extract interventions implemented or proposed to strengthen motivations to support EIHP. Additionally, we employed a comparative case study design for reviewing the performance evaluation (PE) processes in Iran and other selected countries to determine the current individual and organizational incentives to encourage EIHP. In the second phase, we developed two policy briefs and then convened two policy dialogues, with 12 and 8 key informants, respectively, where the briefs were discussed. Data were analysed using manifest content analysis in order to propose contextualized policy options.ResultsThe policy options identified to motivate health researchers and policy-makers to support EIHP in Iran were: revising the criteria of academic PE; designing appropriate incentive programmes for nonacademic researchers; developing an indicator for the evaluation of research impact on policy-making or health outcomes; revising the current policies of scientific journals; revising existing funding mechanisms; presenting the knowledge translation plan when submitting a research proposal, as a mandatory condition; encouraging and supporting mechanisms for increasing interactions between policy-makers and researchers; and revising some administrative processes (e.g. managers and staff PEs; selection, appointment, and changing managers and reward mechanisms).ConclusionsThe current individual or organizational incentives are mainly focused on publications, rather than encouraging researchers and policy-makers to support EIHP. Relying more on incentives that consider the other impacts of research (e.g. impacts on health system and policy, or health outcomes) is recommended. These incentives may encourage individuals and organizations to be more involved in conducting research evidence, resulting in promoting EIHP.Trial registrationNA.

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