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dc.contributor.authorLi, Ryan
dc.contributor.authorRuiz, Francis
dc.contributor.authorCulyer, Anthony J
dc.contributor.authorChalkidou, Kalipso
dc.contributor.authorHofman, Karen J
dc.date.accessioned2020-03-31T05:17:00Z
dc.date.available2020-03-31T05:17:00Z
dc.date.issued2017
dc.identifier.issn2046-1402
dc.identifier.doi10.12688/f1000research.10966.1
dc.identifier.urihttp://hdl.handle.net/10072/392820
dc.description.abstractPriority-setting in health is risky and challenging, particularly in resource-constrained settings. It is not simply a narrow technical exercise, and involves the mobilisation of a wide range of capacities among stakeholders – not only the technical capacity to “do” research in economic evaluations. Using the Individuals, Nodes, Networks and Environment (INNE) framework, we identify those stakeholders, whose capacity needs will vary along the evidence-to-policy continuum. Policymakers and healthcare managers require the capacity to commission and use relevant evidence (including evidence of clinical and cost-effectiveness, and of social values); academics need to understand and respond to decision-makers’ needs to produce relevant research. The health system at all levels will need institutional capacity building to incentivise routine generation and use of evidence. Knowledge brokers, including priority-setting agencies (such as England’s National Institute for Health and Care Excellence, and Health Interventions and Technology Assessment Program, Thailand) and the media can play an important role in facilitating engagement and knowledge transfer between the various actors. Especially at the outset but at every step, it is critical that patients and the public understand that trade-offs are inherent in priority-setting, and careful efforts should be made to engage them, and to hear their views throughout the process. There is thus no single approach to capacity building; rather a spectrum of activities that recognises the roles and skills of all stakeholders. A range of methods, including formal and informal training, networking and engagement, and support through collaboration on projects, should be flexibly employed (and tailored to specific needs of each country) to support institutionalisation of evidence-informed priority-setting. Finally, capacity building should be a two-way process; those who build capacity should also attend to their own capacity development in order to sustain and improve impact.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherF1000 Research Ltd
dc.relation.ispartofpagefrom231
dc.relation.ispartofjournalF1000Res
dc.relation.ispartofvolume6
dc.subject.fieldofresearchBiochemistry and cell biology
dc.subject.fieldofresearchClinical sciences
dc.subject.fieldofresearchOncology and carcinogenesis
dc.subject.fieldofresearchHealth services and systems
dc.subject.fieldofresearchPublic health
dc.subject.fieldofresearchcode3101
dc.subject.fieldofresearchcode3202
dc.subject.fieldofresearchcode3211
dc.subject.fieldofresearchcode4203
dc.subject.fieldofresearchcode4206
dc.subject.keywordsINNE framework
dc.subject.keywordscapacity development
dc.subject.keywordsevidence-informed priority setting
dc.subject.keywordshealth policy
dc.subject.keywordshealth technology assessment
dc.titleEvidence-informed capacity building for setting health priorities in low- and middle-income countries: A framework and recommendations for further research
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationLi, R; Ruiz, F; Culyer, AJ; Chalkidou, K; Hofman, KJ, Evidence-informed capacity building for setting health priorities in low- and middle-income countries: A framework and recommendations for further research., F1000Res, 2017, 6, pp. 231-
dcterms.dateAccepted2017-03-06
dcterms.licensehttps://creativecommons.org/licenses/by/4.0/
dc.date.updated2020-03-30T23:03:28Z
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© 2017 Li R et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Data associated with the article are available under the terms of the Creative Commons Zero "No rights reserved" data waiver (CC0 1.0 Public domain dedication).
gro.hasfulltextFull Text
gro.griffith.authorChalkidou, Kalipso


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