Workshop on VHL and HEN, Sao Paulo, 10-11 April 2006 Health Evidence Network (HEN) Outline HEN – why, what, who, how HEN dissemination Impact of HEN reports

PowerPoint PresentationWorkshop on VHL and HEN, Sao Paulo, 10-11 April 2006
Health Evidence Network
HEN dissemination
Workshop on VHL and HEN, Sao Paulo, 10-11 April 2006
Policy-makers have difficulty
Findings from research are usually not tailor-made for policy-makers
Evidence is usually difficult to find and difficult to put into use
The style and language of research and synthesis reports is targeted to academic audiences
HEN bridges the gap between research and policy-making in public health
Health Evidence Network
HEN Technical Members
Review HEN synthesis reports
Disseminate results
Publish 1-page summaries of partners’ reports on the HEN web site
Members:
35 government agencies and other public institutions in the field of public health and health care
All United Nations agencies with a mandate in health
HEN aims
to support policy-making by answering questions from decision makers
to provide easy access to a range of information and evidence
I will focus on the first of these two, and describe the second when I show you the web site.
HEN has four means to
achieve its aims
Summaries of existing reports
Brief responses to questions coming from the HEN email box
Availability of selected policy-relevant documents and databases on the web
These are the 4 main products of HEN.
Examples of the 160
questions collected by HEN
What is the efficacy/effectiveness of antenatal care?
What are the main risk factors for disability in old age and how can disability be prevented?
Which are the most effective and cost-effective interventions for tobacco control?
Should mass screening for prostate cancer be introduced at the national level?
HEN has a 6-step process
for synthesis preparation
Identifying the question
to draft the answer
Final comments by author
Policy-makers want short answers
What is the efficacy/effectiveness of antenatal care?
Antenatal care is necessary but should be kept at a simplified level
What are the main risk factors for disability in old age and how can disability be prevented?
Encourage the elderly to exercise
Which are the most effective and cost-effective interventions for tobacco control?
Permanent price increases and bans on advertising
Should mass screening for prostate cancer be introduced at the national level?
No
One-page summaries of Network members
Are bigger hospitals better?
Are routine dental checks useful?
Which are the best strategies in treating dementia?
What are the most effective strategies for reducing the rate of teenage pregnancies?
What part does voluntary insurance play in European Union health care?
Institut Català de la Salut
Policy Question
Need for global evidence based health care
Adapted from: WHO Health Evidence Network member: European Observatory on Health systems (2003)
How are hospitals in Europe funded? which payment system is best?
Method
Cross-national health policy analysis, appraisals of cases studies from several European countries.
Results
No single payment model seems to be superior in terms of health outcomes, quality or efficiency
Impact
Recommendation
A country approach should reflect societal priorities including the relative importance of different health outcomes, quality or efficiency
21.bin
Main dissemination tool
Access to other sources of evidence
HEN Production and Citation
Europe 35
Countries translate HEN into…
Lithuanian: “What are the arguments for community-based mental health care?”
French: “What are the arguments for community-based mental health care?”
Italian: “What are the most effective and cost-effective interventions in alcohol control?”
Spanish: “What evidence is there about the effects of health care reforms on gender equity, particularly in health?”
Polish: “What are the best strategies for ensuring quality in hospitals?"
Finnish: “What is the efficacy/effectiveness of antenatal care?”
Chinese: “How can hospital performance be measured and monitored?”
Turkish: “What are the advantages and disadvantages of restructuring a health care system to be more focused on primary care services?”
Who asks questions to the HEN mailbox? (n=259)
Chart1
24
15
13
11
5
32
Sheet2
Sheet3
Number of HEN mailbox questions per month received Sept 2003 - Dec 2005
Filter added, April 2005
51
44
26
16
8
17
26
Chart2
0-1
2-5
6-10
11-15
16-20
21-40
>40
Days
51
44
26
16
8
17
26
Chart9
Chart9
0-1
2-5
6-10
11-15
16-20
21-40
>40
29
24
13
8
5
9
12
Chart6
0-1
2-5
6-10
11-15
16-20
21-40
>40
Number of working days to answer, Sept 2003 - Apr 2005
27
23
14
9
4
9
13
Chart7
0-1
2-5
6-10
11-15
16-20
21-40
>40
Number of working days to answer, May 2005 - December 2005
35
25
10
5
5
9
11
Chart17
0-1
2-5
6-10
11-15
16-20
21-40
>40
Procentage, %
Number of working days to answer target groups, May 2005 - Dec 2005
29
26
13
6
3
13
10
Chart15
0-1
2-5
6-10
11-15
16-20
21-40
>40
Procentage, %
Number of working days for target groups, Sept 2003 - April 2005
19
28
17
8
4
6
18
Sheet1
No of working days to answer, Sept 2003 - April 2005
0-1
27
51
2-5
23
44
6-10
14
26
11-15
9
16
16-20
4
8
21-40
9
17
>40
13
26
100
No of working days to answer, Sept 2003 - December 2005
0-1
29
70
2-5
24
57
6-10
13
31
11-15
8
19
16-20
5
11
21-40
9
22
>40
12
32
100
242
No of working days to answer, May 2005 - December 2005
0-1
35
19
70
2-5
25
13
57
6-10
10
5
31
11-15
5
3
19
16-20
5
3
11
21-40
9
5
22
>40
11
6
32
100
100
242
No of working days to answer, May 2005 - December 2005
0-1
29
9
2-5
26
8
6-10
13
4
11-15
6
2
16-20
3
1
21-40
13
4
>40
10
3
100
31
No of working days to answer, Sept 2003 - April 2005
0-1
19
15
2-5
28
22
6-10
17
13
11-15
8
6
16-20
4
3
21-40
6
5
>40
18
14
100
78
Sheet1
0
0
0
0
0
0
0
4
9
13
Chart12
Chart12
38687
38657
38626
38596
38565
38534
38504
38473
38443
38412
38384
38353
38322
38292
38261
38231
38200
38169
38139
38108
38078
38047
38018
37987
37956
37926
37895
37865
7
15
16
2
5
1
3
4
21
21
24
18
6
16
9
13
9
8
13
8
6
9
5
11
5
5
4
2
Chart13
Health Status / Statistics
Other questions
Topic
Percentage %
Technical content of the HEN mailbox questions Sept 2003 - Dec 2005 (n=259)
9
11
11
16
6
2
3
3
15
9
6
9
24
15
13
11
5
32
Chart16
** LEENA-having looked in the file, these are the 4 which I could see I could do.
The charts themselves can be transported into their own Chart page, which will make them bigger.
Hope these are of help to you - KATE
Who are the questioners?
Sept 03 - Dec 05
11
4
18
9
11
7
6
7
6
2003 from September
Sheet3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Time
0
0
0
0
0
0
Other questions
Other questions
Other questions
Other questions
Other questions
Other questions
Policy Makers/Network members/HQ/NGOs
2
14
4
2
14
4
Other questions
Other questions
Other questions
HEN Recommended and Described
Recommended by 17 agencies
European Region 23
North America 11
South America 1
Australia/New Zealand 3
International Agencies 9
Need for global evidence based health care
Adapted from: WHO Health Evidence Network member: European Obser vatory on Health systems (2003)
How are hospitals in Europe funded? which payment
system is best?
system is best?
from several European countries.
from several European countries.
Results
Results
No single payment model seems to be superior in terms of
health outcomes, quality or efficiency
No single payment model seems to be superior in terms of
health outcomes, quality or efficiency
Impact
Impact
Recommendation
Recommendation
relative importance of different health outcomes, quality or
efficiency
relative importance of different health outcomes, quality or
efficiency

Documents

Workshop on VHL and HEN, Sao Paulo, 10-11 April 2006 Health Evidence Network (HEN) Outline HEN – why, what, who, how HEN dissemination Impact of HEN reports