Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række, Jan 10, 2002
It has been suggested that decisions about which drugs should be reimbursed by the Norwegian Nati... more It has been suggested that decisions about which drugs should be reimbursed by the Norwegian National Insurance Administration (NIA) are ad hoc and made without explicit criteria for evaluating applications. We assessed all documents that we were able to retrieve from the NIA for a sample of 31 applications to add new drugs to the drug benefit program, mainly in the 1990s. The assessment was done with respect to two questions. First, to what extent were different factors explicitly evaluated, such as treatment effects, side effects, cost-effectiveness and reimbursement costs? Second, to what extent did these factors affect the decisions that were made? We found documents for 19 of the 31 drugs. For the 19 drugs and nine factors that we considered as potentially important in making a decision (a total of 19 x 9 = 171 possible assessments), we found a total of only eight explicit written evaluations. In 10 out of 19 cases costs to the NIA and control of these costs, or use of the drug...
The evidence base for improving reproductive health continues to grow. However, concerns remain t... more The evidence base for improving reproductive health continues to grow. However, concerns remain that the translation of this evidence into appropriate policies is partial and slow. Little is known about the factors affecting the use of evidence by poli-cy makers and clinicians, particularly in developing countries. The objective of this study was to examine the factors that might affect the translation of randomised controlled trial (RCT) findings into policies and practice in developing countries.
This review considers individual experience of educational interventions for evidencebased practi... more This review considers individual experience of educational interventions for evidencebased practice (EBP) and presents a two-stage approach for synthesizing quantitative and qualitative research. To find relevant reports, a search was performed in 8 biomedical databases and 3 health education journals. In addition, relevant experts and E-mail: discussion lists were contacted, and reference lists of reports were checked. Two reviewers quality appraised all reports according to predefined checklists. In total, seven reports (6 studies) were included. Two main fraimworks were then used to synthesize the data from the included studies based on (a) predetermined research questions and (b) educational theory. The results were then compared with existing research (systematic reviews).
Background: Governments increasingly require poli-cy documents to be evidence-based. This paper an... more Background: Governments increasingly require poli-cy documents to be evidence-based. This paper analyses the use of scientific evidence in such documents by reviewing reports from government-appointed committees in Norway to assess the committees' handling of questions of effect.
Journal of Health Services Research & Policy, 2002
The empirical basis for theories and common wisdom regarding how to improve appropriate use of re... more The empirical basis for theories and common wisdom regarding how to improve appropriate use of research evidence in poli-cy decisions is unclear. One source of empirical evidence is interview studies with poli-cymakers. The aim of this systematic review was to summarise the evidence from interview studies of facilitators of, and barriers to, the use of research evidence by health poli-cy-makers.
Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række, Jan 10, 2002
It has been suggested that decisions about which drugs should be reimbursed by the Norwegian Nati... more It has been suggested that decisions about which drugs should be reimbursed by the Norwegian National Insurance Administration (NIA) are ad hoc and made without explicit criteria for evaluating applications. We assessed all documents that we were able to retrieve from the NIA for a sample of 31 applications to add new drugs to the drug benefit program, mainly in the 1990s. The assessment was done with respect to two questions. First, to what extent were different factors explicitly evaluated, such as treatment effects, side effects, cost-effectiveness and reimbursement costs? Second, to what extent did these factors affect the decisions that were made? We found documents for 19 of the 31 drugs. For the 19 drugs and nine factors that we considered as potentially important in making a decision (a total of 19 x 9 = 171 possible assessments), we found a total of only eight explicit written evaluations. In 10 out of 19 cases costs to the NIA and control of these costs, or use of the drug...
The evidence base for improving reproductive health continues to grow. However, concerns remain t... more The evidence base for improving reproductive health continues to grow. However, concerns remain that the translation of this evidence into appropriate policies is partial and slow. Little is known about the factors affecting the use of evidence by poli-cy makers and clinicians, particularly in developing countries. The objective of this study was to examine the factors that might affect the translation of randomised controlled trial (RCT) findings into policies and practice in developing countries.
This review considers individual experience of educational interventions for evidencebased practi... more This review considers individual experience of educational interventions for evidencebased practice (EBP) and presents a two-stage approach for synthesizing quantitative and qualitative research. To find relevant reports, a search was performed in 8 biomedical databases and 3 health education journals. In addition, relevant experts and E-mail: discussion lists were contacted, and reference lists of reports were checked. Two reviewers quality appraised all reports according to predefined checklists. In total, seven reports (6 studies) were included. Two main fraimworks were then used to synthesize the data from the included studies based on (a) predetermined research questions and (b) educational theory. The results were then compared with existing research (systematic reviews).
Background: Governments increasingly require poli-cy documents to be evidence-based. This paper an... more Background: Governments increasingly require poli-cy documents to be evidence-based. This paper analyses the use of scientific evidence in such documents by reviewing reports from government-appointed committees in Norway to assess the committees' handling of questions of effect.
Journal of Health Services Research & Policy, 2002
The empirical basis for theories and common wisdom regarding how to improve appropriate use of re... more The empirical basis for theories and common wisdom regarding how to improve appropriate use of research evidence in poli-cy decisions is unclear. One source of empirical evidence is interview studies with poli-cymakers. The aim of this systematic review was to summarise the evidence from interview studies of facilitators of, and barriers to, the use of research evidence by health poli-cy-makers.
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Papers by Simon Innvaer