Evidence forms used by decision-makers in EIDM: A scoping review based on EVIPNet cases

Article type
Authors
Li R1, SONG X1, Lian Z1, Yang K1
1 Centre for Evidence-Based Social Science/Center for Health Technology Assessment, School of Public Health, Lanzhou University , Lanzhou, China; Centre for Evidence-Based Medicine, School of Basic Medical Science, Lanzhou University, Lanzhou, China
Abstract
Background: Decision-makers act as demanders for evidence and use evidence to make decisions. Analyzing the use of evidence and its application by different decision-makers is conducive to supporting evidence-informed decision-making.
Objective: To identify the decision-makers who used evidence, and describe the application of evidence in EVIPNet.
Methods: Web of Science, PubMed, EVIPNet, and the WHO website were systematically searched until February 8th, 2024. According to the Global Commission on Evidence to Address Societal Challenges (The Evidence Commission report) definitions of four types of decision-makers. Divide decision-makers into four categories: government policymakers, professionals, organizational leaders, and citizens. Studies were analyzed according to the above four types of decision-makers on EVIPNet country team cases, which were manually selected and coded by two independent reviewers, and any conflicts were discussed with a third reviewer.
Results: According to the Global Commission on Evidence to Address Societal Challenges (The Evidence Commission report) definitions of four types of decision-makers. Searches 43 cases of evidence use were finally included after screening, and represented 14 countries. (1) 69.8% (n=30) cases only involved decision-makers who were government policymakers; (2) 18.6% (n=8) cases involved government policymakers and professionals; (3) 9.3% (n=4) cases only involved professionals; (4) 2.3% (n=1) cases only involved organizational leaders.
Conclusion: Government policymakers are the largest group of decision-makers. however, citizens are under-involved in decision-making on the use of evidence. More consideration needs to be given to the challenges faced by citizens in the use of evidence in EVIPNet.