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Making evidence and policy in public health emergencies: lessons from COVID-19 for adaptive evidence-making and intervention

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dc.contributor.author Lancaster, Kari
dc.contributor.author Rhodes, Tim
dc.contributor.author Rosengarten, Marsha
dc.date.accessioned 2022-04-01T00:54:43Z
dc.date.available 2022-04-01T00:54:43Z
dc.date.issued 2020
dc.identifier.citation : Lancaster, K., Rhodes, T. and Rosengarten, M. (2020) Making evidence and policy in public health emergencies: lessons from COVID-19 for adaptive evidence-making and intervention, Evidence & Policy, vol 16, no 3, 477–490, DOI: 10.1332/174426420X15913559981103 sm
dc.identifier.issn • Online ISSN 1744-2656 •
dc.identifier.uri ${sadil.baseUrl}/handle/123456789/3638
dc.description 14 p. ; PDF sm
dc.description.abstract Background: In public health emergencies, evidence, intervention, decisions and translation proceed simultaneously, in greatly compressed timeframes, with knowledge and advice constantly in flux. Idealised approaches to evidence-based policy and practice are ill equipped to deal with the uncertainties arising in evolving situations of need. Key points for discussion: There is much to learn from rapid assessment and outbreak science approaches. These emphasise methodological pluralism, adaptive knowledge generation, intervention pragmatism, and an understanding of health and intervention as situated in their practices of implementation. The unprecedented challenges of novel viral outbreaks like COVID-19 do not simply require us to speed up existing evidence-based approaches, but necessitate new ways of thinking about how a more emergent and adaptive evidence-making might be done. The COVID-19 pandemic requires us to appraise critically what constitutes ‘evidence-enough’ for iterative rapid decisions in-the-now. There are important lessons for how evidence and intervention co-emerge in social practices, and for how evidence-making and intervening proceeds through dialogue incorporating multiple forms of evidence and expertise. Conclusions and implications: Rather than treating adaptive evidence-making and decision making as a break from the routine, we argue that this should be a defining feature of an ‘evidence-making intervention’ approach to health. sm
dc.description.sponsorship The Centre for Social Research in Health at the University of New South Wales (UNSW) is supported by a grant from the Australian Government Department of Health. We are grateful for support from the UNSW SHARP (Professor Tim Rhodes) and Scientia Fellowship (Dr Kari Lancaster) programmes sm
dc.language.iso en sm
dc.publisher Policy Press sm
dc.relation.ispartofseries Evidence & Policy • vol 16 • no 3 • 477–490;
dc.relation.ispartofseries Evidence & Policy: A Journal of Research, Debate and Practice, Volume 16, Number 3, August 2020, pp. 477-490(14);
dc.subject public health emergencies sm
dc.subject decision making sm
dc.subject evidence-making intervention sm
dc.subject COVID-19 sm
dc.title Making evidence and policy in public health emergencies: lessons from COVID-19 for adaptive evidence-making and intervention sm
dc.type Article sm


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