title: [The role of research-based evidence in health system policy decision-making].
abstract: Different models may be used for explaining how research-based evidence is used in healthcare system policy-making. It is argued that models arising from a clinical setting (i.e. evidence-based policy-making model) could be useful regarding some types of healthcare system decision-making. However, such models are "silent" concerning the influence of political contextual factors on healthcare policy-making and are thus inconsistent with decision-making regarding the modification of healthcare system arrangements. Other political science-based models would seem to be more useful for understanding that research is just one factor affecting decision-making and that different types of research-based evidence can be used instrumentally, conceptual or strategically during different policy-making stages.
authors.affiliation: McMaster University, Hamilton, Canada, patinodf@mcmaster.ca; moatka@mcmaster.ca.
authors.forename: Daniel
authors.initials: D
authors.lastname: Patiño
authors.affiliation: Department of Political Science, McMaster University, Hamilton, Canada, lavisj@mcmaster.ca.
authors.forename: John N
authors.initials: JN
authors.lastname: Lavis
authors.affiliation: McMaster University, Hamilton, Canada, patinodf@mcmaster.ca; moatka@mcmaster.ca.
authors.forename: Kaelan
authors.initials: K
authors.lastname: Moat
mesh_terms: D035843:Biomedical Research; D000066491:Clinical Decision-Making; D003105:Colombia; D003695:Delivery of Health Care; D055317:Evidence-Based Practice; D006291:Health Policy; D006801:Humans; D011050:Policy Making