From: Evidence use in equity focused health impact assessment: a realist evaluation
Case Study Site | Contextual factors | Mechanisma | Outcomes related to use of evidence |
---|---|---|---|
PHU A | Organizational support for and interaction with knowledge broker | Increased practitioner confidence; trust in knowledge broker | More likely to use academic evidence source in the future (self-report) |
Real or perceived lack of time or skill to interpret evidence | Unable to “identify with” academic sources; (i.e., lack of consonance) | Limited use of academic evidence (i.e., references) in EFHIA | |
Familiarity with practical evidence (i.e., local surveillance, personal experience) | Safety and trust using own knowledge | Preferential use of practical evidence to complete EFHIA | |
PHU B | Set organizational direction for program action | Seeking alignment of evidence with desired action | Positive attitudinal change toward evidence (all sources) |
Real or perceived evidence characteristics of local data (reliable/relevant) | Evidence use experienced as positive “return on investment”; (i.e., good correspondence) | Use of practical evidence (i.e., local surveillance, personal experience) | |
Real or perceived evidence characteristics of academic data (difficult to access/not directly relevant) | Evidence use experienced as negative “return on investment”; (i.e., poor correspondence) | Limited use of academic evidence | |
PHU C | Unclear expectations or unclear EFHIA mandate | Hesitancy or acquiescence to existing knowledge | Limited evidence sought |
PHU D | Policy role in organization (non-clinical; non front-line service delivery oriented) | Strongly held individual and role-based evidence-use values | Increase use of academic evidence |