Development of section for evidence-based health care in National Institutes of Health and the Ministry of Health, Malaysia

Article type
Authors
Muhamad NA1, Lodz NA1, Abdul Mutalip MH1, Mustapha N2, Ab Ghani RM3, Ismail SA4, Aris T1
1Institute for Public Health, National Institutes of Health, Ministry of Health
2Faculty of Science and Technology, Open University
3Sector for Evidence-based Healthcare, Division for Research Policy and Planning, National Institutes of Health, Ministry of Health
4Division for Research Policy and Planning, National Institutes of Health, Ministry of Health
Abstract
Background: in 2019, all research institutes under the National Institutes of Health (NIH), Ministry of Health (MOH), Malaysia relocated to a new facility. A new centre was created under the National Institutes of Health,
called Sector for Evidence-based Healthcare (EBH). The EBH provides a focal point for promoting the principles of evidence-based practice through engagement, knowledge sharing, research and education. The mission of the EBH is to support patient care quality, safety, and value through evidence-based practice.

Objectives: to improve expertise in evidence-based practice and disseminate better quality evidence to all stakeholder levels and to make the most of its resources to help improve research.

Methods: EBH has created a team or a group of people, who can be involved either from outside the NIH or be employees of NIH. The team members can continue to hold other positions in the designated institution and work in the role either full-time or part-time. EBH is built around a few pillars. The typical focus areas include:
1) Dissemination – helping policy-makers and stakeholders understand healthcare evidence for better informed decision-making.
2) Research – systematic reviews and meta-analyses, evidence maps, scoping reviews, rapid reviews and collaboration between EBH with other agencies in NIH/MOH to develop other key reviews and policy briefs.
3) Training – support researchers and policy-makers through capacity building that emphasizes evidence-based practice through systematic reviews and meta-analysis, searching databases, public engagement activities and promotion of the use of evidence. EBH will perform rapid systematic reviews to inform institutional decision-making, translate evidence into practice through clinical decision support interventions and clinical pathways, and provide education in evidence-based quality improvement to trainees and staff.

Conclusion: EBM will ensure the delivery and dissemination of better quality evidence at all stakeholder levels and generate better tools and resources for wider communication.

Patient or healthcare consumer involvement: consumers are defined as patients, caregivers, and members of the public but exclude groups that may also be identified as consumers of guidelines, including health professionals, providers, and commissioners of services. We invited consumers to participate during training, teaching sessions on how to search for evidence through the Cochrane Library and by public engagement through open day concept and introduction of the new sector.