What works--Models of good practice

2001 ◽  
Keyword(s):  
2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
N Fahy

Abstract Given their shared values and challenges, European health systems should be able to learn from each other about what works best. In practice, though, turning good practice in one place into more universal practice is stubbornly difficult even within single health systems, and has proved particularly challenging between European health systems. This session will explore the nature of the challenge to implementing innovation; the nature of what implementing innovation involves, why it proves to be so challenging in practice, and the particular challenges of learning between countries, and outline what can be done in research, policy and practice to help learning across European health systems more effectively in future.


2014 ◽  
Vol 44 (2) ◽  
pp. 319-337 ◽  
Author(s):  
STEFANIE ETTELT ◽  
NICHOLAS MAYS ◽  
PAULINE ALLEN

AbstractIn England, policy piloting has become firmly established in almost all areas of public policy and is seen as good practice in establishing ‘what works’. However, equating piloting with evaluation can risk oversimplifying the relationship between piloting and policy-making.Using three case studies from health and social care – the Partnerships for Older People Projects (POPP) pilots, the Individual Budgets pilots and the Whole System Demonstrators (WSD) – the paper identifies multiple purposes of piloting, of which piloting for generating evidence of effectiveness was only one. Importantly, piloting was also aimed at promoting policy change and driving implementation, both in pilot sites and nationally. Indeed, policy makers appeared to be using pilots mainly to promote government policy, using evaluation as a strategy to strengthen the legitimacy of their decisions and to convince critical audiences. These findings highlight the ambiguous nature of piloting and thus question the extent to which piloting contributes to the agenda of evidence-based policy-making.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  

Abstract Background To support policy and practice with evidence-based information, several countries have best practice portals for public health interventions. Some of the portals were started recently (France) and other portals exist already for several years now (Netherlands). All the countries face the same challenges, which relate to how to identify the relevant practices, the assessment of the practices (how to achieve an inclusive portal while maintaining high quality), and the implementation and the use of the practices by professionals and policymakers (integrity vs. adaptation of the best practices). In addition to best practice portals the organisations are also working on the development of What works approaches. Objective The organisers will share their experiences with the development and implementation of best practice portals, and discuss the successes and challenges with the workshop participants. Three countries (the Netherlands, France and Germany) will present the successes and challenges of their best practice portal, and, as an example of a joint European approach, EuroHealthNet will discuss both joint and independent approaches from a European perspective. At the end of the workshop we will discuss the challenges and invite other countries to share their experiences and successes with best practice portals and providing evidence for policy and practice. With the objective to: Present the procedure and the assessment criteria of evaluating practices for inclusion in the portalsPresent the implementation and the use of best practices as well as the acceptance of the portalsDiscuss the issues of integrity and adaptation and how to assess the core elements of effective interventionsDiscuss the development of what works approaches (description of evidence in a short and accessible way) and their added value to best practice portalsDiscuss the value added of best practice portals, including promotion of their use by professionals and policymakers Key messages This workshop will give participants insight into best practice portals developed across Europe. It will discuss how countries identify and select good practice and evidence-based preventive interventions as well as the successes and challenges of such portals.


2012 ◽  
Vol 12 (1) ◽  
pp. 31-45 ◽  
Author(s):  
Wendy Dyer

Diversion services for adult mentally disordered offenders are back in the limelight twenty years after their original development. This article argues there are a number of important lessons to be learnt. Services of this kind ‘process’ different people in different ways with different outcomes. Current developments therefore need to provide an holistic, patient-centred approach across the whole offender pathway, which meets the needs of different groups of people. What works for some might not work for others, but patterns can be mapped and good and bad pathways identified and used to inform good practice and service improvement.


2014 ◽  
Vol 7 (2) ◽  
pp. 80-89 ◽  
Author(s):  
Jennifer Holly ◽  
Gemma Lousley

Purpose – Against Violence & Abuse (AVA) and DrugScope undertook research into good practice interventions for supporting women involved in street-based prostitution and substance use. The purpose of this paper is to report on the findings of a survey of service providers and interviews with both service users and providers about women's involvement in prostitution and substance use, their associated support needs and how these can be met by services. Design/methodology/approach – As part of a mixed methods study, this paper focuses on the findings of interviews with 19 women involved in prostitution and of a survey of and interviews with 64 services that support women involved in prostitution. Findings – Generic substance misuse services are more likely to associate women's involvement in prostitution with funding their own or their partner's substance use. By comparison, specialist sex work projects are more likely to report women using substances to manage the emotional and physical pain of selling sex. These beliefs impact on the interventions delivered, with specialist services offering a more diverse package of care than generic services. Research limitations/implications – This study covered predominantly two English regions. A more systematic study of service provision across the UK would be welcomed and could be used to inform guidance for national and local policymakers. Originality/value – This paper adds to the existing evidence base of “what works” in supporting women involved in prostitution. It is novel in its focus on women involved in prostitution who also use substances and in offering a detailed picture of the types of support currently available in England.


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