In search of healthy policy ecologies for education in relation to sustainability: Beyond evidence-based policy and post-truth politics

2020 ◽  
Vol 18 (8) ◽  
pp. 976-994 ◽  
Author(s):  
Robert Stratford ◽  
Arjen E Wals

There is a rational assumption built into some research projects that policy contexts are influenced by the quality of the evidence. This is, at best, only somewhat true some of the time. Through policy ethnographies, two education researchers working in the context of sustainability discuss their experiences with evidence-based policy. Central to both accounts is how critical messages about such issues as race, wellbeing and sustainability can become diluted and even lost. In the existing ‘politics of unsustainability’, and at a time of ‘post-truth’ politics, these accounts also show the limits of evidence-based policy. We argue that those working with ‘the evidence’ need to be open about how evidence-based approaches can end up supporting the ‘status quo’. Moreover, while approaches such as knowledge mobilisation emphasise the relational qualities of policy contexts, and the importance of simple compelling narratives for decision-makers, they, like many other practices, do not sufficiently theorise the power structures surrounding knowledge and the policy context. In addition to the careful use of evidence, we argue that there needs to be greater emphasis on building healthy policy ecologies – including far more emphasis on building critical and creative policy alternatives, especially in areas like sustainability and education.

2017 ◽  
Vol 16 (3) ◽  
pp. 62-66
Author(s):  
Krystyna Klimaszewska ◽  
Mariola Bartusek

Abstract Introduction. Urinary incontinence, meaning irrespective of will leakage of urine, is a serious health problem, and has the status of social disease basing on the epidemiological data concerning number of affected populations suffering from it Taking into consideration the chronic character of the disease and increasing social discomfort including social exclusion, the costs of treatment and rehabilitation should be lower so patients could improve the quality of their lives in other aspects. That is why it is important to deeply analyze the costs of urinary incontinence in terms of diagnostics, treatment and rehabilitation. Aim. Costs analysis related to diagnostics and treatment of urinary incontinence incurred by patient, or co-financed/funded by the National Health Fund on the basis of the literature review. Summary. The few but regularly prepared reports show that there is a clear need for changes in the funding of services provided to patients with health needs. Both the social and economic aspects are important for each patient and should be deeply analysed by public funds decision makers. It would be much easier to take an action if the probability of complete cure was high.


2020 ◽  

The Handbook on Using Administrative Data for Research and Evidence-based Policy offers guidance for researchers, data providers, and decision-makers who would like to use administrative data to inform policy. Administrative data has the potential to change the future of research, in particular when combined with experiments that can help test the effectiveness of planned programs and evaluate new hypotheses. This Handbook offers a roadmap to overcome potential challenges in using administrative data for research and evaluation purposes. The technical chapters address data use agreements, working with institutional review boards, physical data security, privacy, and more. Ten complementary case studies showcase diverse models of successful administrative data partnerships in the US, Canada, Europe, Africa, and Asia.


2020 ◽  
pp. 1726-1741
Author(s):  
Colin Chapman ◽  
Crona Hodges

This chapter considers the potential for citizen science to contribute to policy development. A background to evidence-based policy making is given, and the requirement for data to be robust, reliable and, increasingly, cost-effective is noted. The potential for the use of ‘co-design' strategies with stakeholders, to add value to their engagement as well as provide more meaningful data that can contribute to policy development, is presented and discussed. Barriers to uptake can be institutional and the quality of data used in evidence-based policy making will always need to be fully assured. Data must be appropriate to the decision making process at hand and there is potential for citizen science to fill important, existing data-gaps.


2021 ◽  
Vol 8 ◽  
Author(s):  
Rong Zhang ◽  
Si-yu Yan ◽  
Yun-yun Wang ◽  
Qiao Huang ◽  
Xiang-ying Ren ◽  
...  

Objective: This study aimed to systematically review the status and trends of Chinese clinical practice guidelines (CPGs) during the time period 2010–2020 and explore their methodological characteristics. Then, based on the strengths and weaknesses in development, offer several recommendations for the quality improvement which will serve as a reference for the users and developers of CPG.Introduction: With the development of evidence-based medicine (EBM), the CPGs play an increasingly important role in healthcare decision-making both in China and worldwide.Inclusion criteria: The CPGs that have been used to help the health professionals in the healthcare decision-making were included.Methodology: The China National Knowledge Infrastructure (CNKI) and WanFang databases were searched from 2010 to 2020 for the studies describing the general and methodological characteristics of Chinese CPGs. Comparisons of the methodological characteristics between the groups were conducted using the chi-square test or Fisher's exact test. The M-K test was adopted to identify the monotonically increasing or decreasing trends of methodological characteristics over the timespan.Results: A total of 2,654 CPGs fulfilled the inclusion criteria. The quantity and quality of the guidelines developed in China have improved over the time span. From 2010 to 2020,the guidelines had differing characteristics and covered a wide range of subjects. In total, 2,318(87.34%) guidelines focused on Western Medicine. Eight (0.30%) had been developed for patient versions of guidelines, 10(0.38%) were tentative guidelines, and 16(0.60%) were rapid advice guidelines. Medical specialty societies (including their branches) (71.1%) were the main guideline makers. The most addressed diseases were neoplasms (14.43%). The target population is mainly adults (84.97%). The methodological quality of consensus-based (CB)-CPGs was obviously lower than evidence-based (EB)-CPGs. Except for the item, “recommendations were based on evidence of systematic reviews,” there were statistical differences in all other methodological items between the EB-CPGS and CB-CPGS (P < 0.01). Higher methodological quality has been observed in EB-CPGs. All the data relating to the methodological characteristics indicated that higher methodological quality was present in the guidelines using GRADE (P < 0.01).Conclusion: The quantity and quality of the guidelines developed in China have improved between 2010 and 2020. CB-CPGs have also paid attention to the methodology quality, but obviously, this is lower than that in the EB-CPGs.


2019 ◽  
Vol 20 (3) ◽  
pp. 276-288
Author(s):  
Robyn L. Tate

AbstractHealth outcome measurement is a growth industry. Thousands of behavioural assessment instruments, developed for neurological populations alone, are available for diagnosis, prediction and evaluation of interventions. The task of selecting the best instrument for the purpose at hand is thus a daunting one for the clinician and researcher. Fortunately, there are guides that make the task easier. This presidential address covers three interrelated themes that inform assessment in neurorehabilitation: First, it reviews current concepts and the status of behavioural assessment in neurorehabilitation. It then examines evidence-based clinical practice as applied to assessment of function, along with methods to benchmark the scientific quality of assessment instruments. Finally, the article considers the need to move beyond outcome measurement in the neurorehabilitation setting.


Author(s):  
Colin Chapman ◽  
Crona Hodges

This chapter considers the potential for citizen science to contribute to policy development. A background to evidence-based policy making is given, and the requirement for data to be robust, reliable and, increasingly, cost-effective is noted. The potential for the use of ‘co-design' strategies with stakeholders, to add value to their engagement as well as provide more meaningful data that can contribute to policy development, is presented and discussed. Barriers to uptake can be institutional and the quality of data used in evidence-based policy making will always need to be fully assured. Data must be appropriate to the decision making process at hand and there is potential for citizen science to fill important, existing data-gaps.


Author(s):  
Jennifer Smith-Merry

Evidence-based policy has at its foundation a set of ideas about what makes evidence valid so that it can be trusted in the creation of policy. This validity is frequently conceptualised in terms of rigour deriving from scientific studies which adhere to highly structured processes around data collection, analysis and inscription. In comparison, the knowledge gained from lived experience, while viewed as important for ensuring that policy meets the needs of the people it is trying to serve, is characterised by its tacit nature, unstructure and difficulty in transferring from one actor to another. Validity of experiential knowledge in policy arises from the connection of policy knowledge to the lived experience of individuals. This paper considers validity in this context through exploring four modes in which experiential knowledge is currently utilised within policy. The tensions surrounding validity in the policy context find resolution through the development of a situated notion of validity decoupled from structural rigour and recoupled to context.


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