Cited by 100Health Policy Implementation ScienceMental Health and Patient InvolvementMeta-analysis and systematic reviews

Engaging policy-makers, health system managers, and policy analysts in the knowledge synthesis process: a scoping review

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Tricco, Andrea C., Zarin, Wasifa, Rios, Patricia, Nincic, Vera, Khan, Paul A., Ghassemi, Marco, Diaz, Sanober, Pham, Ba’ +2 more·2018·Implementation Science

Abstract

BACKGROUND: It is unclear how to engage a wide range of knowledge users in research. We aimed to map the evidence on engaging knowledge users with an emphasis on policy-makers, health system managers, and policy analysts in the knowledge synthesis process through a scoping review. METHODS: We used the Joanna Briggs Institute guidance for scoping reviews. Nine electronic databases (e.g., MEDLINE), two grey literature sources (e.g., OpenSIGLE), and reference lists of relevant systematic reviews were searched from 1996 to August 2016. We included any type of study describing strategies, barriers and facilitators, or assessing the impact of engaging policy-makers, health system managers, and policy analysts in the knowledge synthesis process. Screening and data abstraction were conducted by two reviewers independently with a third reviewer resolving discrepancies. Frequency and thematic analyses were conducted. RESULTS: After screening 8395 titles and abstracts followed by 394 full-texts, 84 unique documents and 7 companion reports fulfilled our eligibility criteria. All 84 documents were published in the last 10 years, and half were prepared in North America. The most common type of knowledge synthesis with knowledge user engagement was a systematic review (36%). The knowledge synthesis most commonly addressed an issue at the level of national healthcare system (48%) and focused on health services delivery (17%) in high-income countries (86%). Policy-makers were the most common (64%) knowledge users, followed by healthcare professionals (49%) and government agencies as well as patients and caregivers (34%). Knowledge users were engaged in conceptualization and design (49%), literature search and data collection (52%), data synthesis and interpretation (71%), and knowledge dissemination and application (44%). Knowledge users were most commonly engaged as key informants through meetings and workshops as well as surveys, focus groups, and interviews either in-person or by telephone and emails. Knowledge user content expertise/awareness was a common facilitator (18%), while lack of time or opportunity to participate was a common barrier (12%). CONCLUSIONS: Knowledge users were most commonly engaged during the data synthesis and interpretation phases of the knowledge synthesis conduct. Researchers should document and evaluate knowledge user engagement in knowledge synthesis. REGISTRATION DETAILS: Open Science Framework ( https://osf.io/4dy53/ ).

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  • Areas where ongoing research and development of scoping review guidance are occurring include inclusion of consultation with stakeholder groups, clarity on when scoping reviews are the appropriate method over other synthesis approaches, approaches for mapping and presenting results, and assessment of the methodological quality of scoping reviews themselves.

    “Areas where ongoing research and development of scoping review guidance are occurring include inclusion of consultation with stakeholder groups such as end users and consumer representatives [35], clarity on when scoping reviews are the appropriate method over other synthesis approaches [3], approaches for mapping and presenting results in ways that clearly address the review’s research objective(”

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  1. [20]Tricco AC, Zarin W, Rios P, Pham B, Straus SE, Langlois E. Barriers, facilitators, strategies and outcomes to engaging policy-makers, healthcare managers, and policy analysts in knowledge synthesis: a scoping review protocol. Open Science Framwork. 2016; https://osf.io/4dy53/ PMC5223640 28011815
  2. [22]Langlois EV Straus SE Mijumbi-Deve R Lewin S Tricco AC Tricco AC Langlois EV Straus SE Chapter 1: the need for rapid reviews to inform health policy and systems Rapid reviews to strengthen health policy and systems: a 2017 Practical Guide Geneva World Health Organization
  3. [43]Committee on Integrating Primary Care and Public Health Primary care and public health-exploring integration to improve population health 2012 24851288
  4. [46]Cottrell E Whitlock E Kato E Uhl S Belinson S Chang C AHRQ methods for effective health care. Defining the benefits of stakeholder engagement in systematic reviews 2014 Rockville Agency for Healthcare Research and Quality (US) 24783309

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Authors
Tricco, A. C., Zarin, W., Rios, P., Nincic, V., Khan, P. A., Ghassemi, M., Diaz, S., Pham, B., Straus, S. E., & Langlois, E. V.
Affiliations
  • St. Michael's Hospital (CA)
  • University of Toronto (CA)
Corresponding author
Tricco, Andrea C.
Venue
Implementation Science
Published
2018-02-12
Volume
13
Issue
1
Pages
31-31
ISSN
1748-5908 (ISSN-L)
OpenAlex
W2801546261
Cited by
100
References
65
Citations by year
2026: 11 · 2025: 6 · 2024: 15 · 2023: 10 · 2022: 20 · 2021: 14 · 2020: 7 · 2019: 10 · 2018: 7
FWCI
1.72
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Implementation Science (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • TSpace (University of Toronto) (submittedVersion, cc-by-nc-sa)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • Alliance for Health Policy and Systems Research
  • Norwegian Government Agency for Development Cooperation
  • Swedish International Development Cooperation Agency
  • UK Department for International Development
  • Canada Research Chairs (Tier 2, Tier 1)
Topics
  • Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
  • Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
  • Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Meta-analysis and systematic reviews
Keywords
knowledge synthesis, policy makers, health system managers, policy analysts, knowledge translation, barriers and facilitators, knowledge dissemination, health care delivery, national health care system
MeSH terms
Administrative Personnel, Decision Making, Delivery of Health Care, Health Policy, Health Services Administration, Humans, Male, Policy Making, Knowledge

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