Rationality versus reality: the challenges of evidence-based decision making for health policy makers

In Health industry, Uncategorized on May 28, 2010 by Hanna Tagged: , ,

So titles an interesting article at pre-publication stage in Implementation Science.  It argues that we need to understand how people think AKA the ‘cognitive information processing framework’ before we can understand how evidence can be translated to policy. It actually reads like arguing why the scientific method as opposed to irrational political will or personal bias (even if it is just to find an easy answer as opposed to the best one) should be used to make policy. I don’t know this is possible however when politics is more about opinions of how the world is or should be and science is about evidence and finding the best way to explain something by trying to be objective.

One Response to “Rationality versus reality: the challenges of evidence-based decision making for health policy makers”

  1. Must go over and read that article. I often find the health economics arguments rather discouraging when applied to problems I have worked myself into a bit of a curry over- they usually say things aren’t worth treating as they cost millions of dollars per disability-adjusted year of life saved. Then I come up against groups of medicos who won’t do something because they say their clinical judgment has always served them well and why change? There doesn’t seem to be a way to divorce people from ideas (that lead to actions by them) even when there are strong rational, scientific and economic arguments about why they should adapt. Humans are sooo irrational in their natural state- most of the world is run on opinion- especially the medical world and politics is just an unapproachable topic when you are “on the outside”. So hoping that rational evidence-based medicine stemming from good research is going to get a proper look-see in the nationwide scheme of things is probably just going to make me depressed. I can wish for “champions” to get things moving, but in reality these “champions” have a hard enough time with their colleagues- and I know politically motivated change in the health field is so slow, I’ll die before I perceive a significant difference!

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