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Table 3 Drivers for short-term planning

From: Planning ahead in public health? A qualitative study of the time horizons used in public health decision-making

Organisational systems
   m Politicians and public perceived as thinking in terms of short term electoral payback
   m Policies perceived to have limited shelf life
   m Commissioning framework is short term
   m Evidence-based policy making leads to a focus on short term interventions evaluated by randomised control trials (RCTs)
   m Disruption caused by reorganisations
   m System set up (the NHS and the government)
   m European legislation
Difficulty of long term forecasting
   m Service reorganisations
   m Perceived poor quality evidence for long-term intervention
   m Research not produced in a timely fashion to inform decisions
   m Focus on short term targets and deadlines
   m Accuracy of forecasting limited
   m Uncertainty of effects of major long term processes like climate change and global food shortages on public health
   m Public heath professionals perceived to have limited influence on long term planning process
   m Lack of long-term perspective think tank