Developing and refining the methods for a ‘one-stop shop’ for research evidence about health systems

Health Research Policy and Systems, Feb 2015

Background Policymakers, stakeholders and researchers have not been able to find research evidence about health systems using an easily understood taxonomy of topics, know when they have conducted a comprehensive search of the many types of research evidence relevant to them, or rapidly identify decision-relevant information in their search results. Methods To address these gaps, we developed an approach to building a ‘one-stop shop’ for research evidence about health systems. We developed a taxonomy of health system topics and iteratively refined it by drawing on existing categorization schemes and by using it to categorize progressively larger bundles of research evidence. We identified systematic reviews, systematic review protocols, and review-derived products through searches of Medline, hand searches of several databases indexing systematic reviews, hand searches of journals, and continuous scanning of listservs and websites. We developed an approach to providing ‘added value’ to existing content (e.g., coding systematic reviews according to the countries in which included studies were conducted) and to expanding the types of evidence eligible for inclusion (e.g., economic evaluations and health system descriptions). Lastly, we developed an approach to continuously updating the online one-stop shop in seven supported languages. Results The taxonomy is organized by governance, financial, and delivery arrangements and by implementation strategies. The ‘one-stop shop’, called Health Systems Evidence, contains a comprehensive inventory of evidence briefs, overviews of systematic reviews, systematic reviews, systematic review protocols, registered systematic review titles, economic evaluations and costing studies, health reform descriptions and health system descriptions, and many types of added-value coding. It is continuously updated and new content is regularly translated into Arabic, Chinese, English, French, Portuguese, Russian, and Spanish. Conclusions Policymakers and stakeholders can now easily access and use a wide variety of types of research evidence about health systems to inform decision-making and advocacy. Researchers and research funding agencies can use Health Systems Evidence to identify gaps in the current stock of research evidence and domains that could benefit from primary research, systematic reviews, and review overviews.

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Developing and refining the methods for a ‘one-stop shop’ for research evidence about health systems

Health Research Policy and Systems Developing and refining the methods for a 'one-stop shop' for research evidence about health systems John N Lavis 0 1 Michael G Wilson 0 1 Kaelan A Moat 0 1 Amanda C Hammill 0 1 Jennifer A Boyko Jeremy M Grimshaw Signe Flottorp 0 Centre for Health Economics and Policy Analysis, McMaster University , 1280 Main St. West, CRL-209, Hamilton, ON L8S 4K1 , Canada 1 McMaster Health Forum , 1280 Main St. West, MML-417, Hamilton, ON L8S 4L6 , Canada Background: Policymakers, stakeholders and researchers have not been able to find research evidence about health systems using an easily understood taxonomy of topics, know when they have conducted a comprehensive search of the many types of research evidence relevant to them, or rapidly identify decision-relevant information in their search results. Methods: To address these gaps, we developed an approach to building a 'one-stop shop' for research evidence about health systems. We developed a taxonomy of health system topics and iteratively refined it by drawing on existing categorization schemes and by using it to categorize progressively larger bundles of research evidence. We identified systematic reviews, systematic review protocols, and review-derived products through searches of Medline, hand searches of several databases indexing systematic reviews, hand searches of journals, and continuous scanning of listservs and websites. We developed an approach to providing 'added value' to existing content (e.g., coding systematic reviews according to the countries in which included studies were conducted) and to expanding the types of evidence eligible for inclusion (e.g., economic evaluations and health system descriptions). Lastly, we developed an approach to continuously updating the online one-stop shop in seven supported languages. Results: The taxonomy is organized by governance, financial, and delivery arrangements and by implementation strategies. The 'one-stop shop', called Health Systems Evidence, contains a comprehensive inventory of evidence briefs, overviews of systematic reviews, systematic reviews, systematic review protocols, registered systematic review titles, economic evaluations and costing studies, health reform descriptions and health system descriptions, and many types of added-value coding. It is continuously updated and new content is regularly translated into Arabic, Chinese, English, French, Portuguese, Russian, and Spanish. Conclusions: Policymakers and stakeholders can now easily access and use a wide variety of types of research evidence about health systems to inform decision-making and advocacy. Researchers and research funding agencies can use Health Systems Evidence to identify gaps in the current stock of research evidence and domains that could benefit from primary research, systematic reviews, and review overviews. - Background One-stop shops for research evidence can allow health system policymakers, stakeholders, and researchers to find and use the best available research evidence efficiently in the limited time they have available to make, inform, or advocate for a decision. Such resources have been highlighted as a central pillar of broader efforts to support evidence-informed decision-making about health systems [1]. One-stop shops are critical to ensuring that policymakers have timely access to research evidence when pressing issues emerge; this is one of the key factors found to increase the prospects for research use by policymakers [2]. However, while one-stop shops have been developed to address questions regarding clinical programs and services and prescription drugs [3-7], as well as to address questions regarding public health programs and services [8,9], no similar resource existed for questions ab out health systems (i.e., how we strengthen healthcare and public health systems or how we get cost-effective healthcare and public health programs and services, as well as drugs and other technologies, to those who need them). Developing a one-stop shop for health system policymakers, stakeholders, and researchers requires addressing three challenges. First, these groups need to be able to find research evidence about health systems using an easily understood taxonomy of topics. Such a taxonomy would ideally be organized in a way that reflects the ways in which these groups think about health systems (i.e., by focusing on policy levers, which can include both health system arrangements and implementation strategies) and using terminology they are familiar with. While a number of taxonomies exist [10], they tend either to lack the specificity needed to capture the many different types of policy levers that exist (e.g., World Health Organization (WHO) building blocks of health systems taxonomy [11]) or the breadth of levers available in health systems (e.g., taxonomies focusing on particular health system domains such as human resources or pharmaceutical policy [12,13]). Second, health (...truncated)


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John N Lavis, Michael G Wilson, Kaelan A Moat, Amanda C Hammill, Jennifer A Boyko, Jeremy M Grimshaw, Signe Flottorp. Developing and refining the methods for a ‘one-stop shop’ for research evidence about health systems, Health Research Policy and Systems, 2015, pp. 10, 13, DOI: 10.1186/1478-4505-13-10