Resisting complexity evidence based knowledge and the neglect of practice
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Resisting complexity; evidence based knowledge and the neglect of practice. Mette Irmgard Snertingdal (SIRUS) Cecilie Basberg Neumann (AFI).

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Resisting complexity evidence based knowledge and the neglect of practice

Resisting complexity; evidence based knowledge and the neglect of practice

Mette Irmgard Snertingdal (SIRUS)

Cecilie Basberg Neumann (AFI)


Evidence based medicine is the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients

(Sackett 1996 p. 71)


  • “Drug Policy and the Public Good are collaboratively written by an international group of career scientist to provide an analytical basis on which to build relevant global drug policies and to inform policy makers who have direct responsibility for public health and social welfare”

    (Babor et.al 2010)


Science takes stock
“Science takes stock” written by an international group of career scientist to provide an analytical basis on which to build relevant global drug policies and to inform policy makers who have direct responsibility for public health and social welfare”


Thought figure
Thought figure: written by an international group of career scientist to provide an analytical basis on which to build relevant global drug policies and to inform policy makers who have direct responsibility for public health and social welfare”

Policymakers

Literature review

Evaluation data

Practitioners


Knowledge hierarchy
Knowledge hierarchy written by an international group of career scientist to provide an analytical basis on which to build relevant global drug policies and to inform policy makers who have direct responsibility for public health and social welfare”


What does the concept of evidence refer to
What does the concept of evidence refer to? written by an international group of career scientist to provide an analytical basis on which to build relevant global drug policies and to inform policy makers who have direct responsibility for public health and social welfare”

That the knowledge produced by social scientists are:

  • Unambiguous?

  • Irrefutable?

  • Speak for themselves?



How should the practitioners relate to the evidence produced by science
How should the practitioners relate to the evidence produced by science?

Evidence based practice can:

  • Reduce the practitioners autonomy and increase their responsibility

  • Lead to a “cookbook” approach where the profession specific assessments are made redundant

  • Be used politically to cut down on foundlings to health and social care


Research utilization
Research Utilization by science?

  • Research seldom change the direction of a given policy (Weiss 1977, 1980, 1999)

  • Policymakers will use the evidence which is best adjusted to the political logic and rhetoric ( Black 2001, Stevens 2007)

  • Evidence is used if it supports the consensus and is used selectively if there is a lack of consensus (Weiss 1977, Black 2001, Stevens 2007)


What level of policymaking should be evidence based
What level by science?of policymaking should be evidence based?

A) Practice policies (use of recourses by practitioners)

B) Service policies (recourses allocation, pattern of services)

C) Governance policies (organizational and financial structures)


What level of drug policy should be evidence based
What level of by science?drug policy should be evidence based?



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