Evidence-Informed Oral Health Policy Making: Opportunities and Challenges

Author:

Listl S.1,Baltussen R.2,Carrasco-Labra A.3ORCID,Carrer F.C.4ORCID,Lavis J.N.5

Affiliation:

1. Radboud University Medical Center, Radboud Institute of Health Sciences (RIHS), Department of Dentistry - Quality and Safety of Oral Healthcare, Nijmegen, the Netherlands

2. Department for Health Evidence, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands

3. Center for Integrative Global Oral Health, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA, USA

4. Department of Community Dentistry, School of Dentistry, University of Sao Paulo, Sao Paulo, Brazil

5. McMaster Health Forum, Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario, Canada

Abstract

Despite a clear need for improvement in oral health systems, progress in oral health systems transformation has been slow. Substantial gaps persist in leveraging evidence and stakeholder values for collective problem solving. To truly enable evidence-informed oral health policy making, substantial “know-how” and “know-do” gaps still need to be overcome. However, there is a unique opportunity for the oral health community to learn and evolve from previous successes and failures in evidence-informed health policy making. As stated by the Global Commission on Evidence to Address Societal Challenges, COVID-19 has created a once-in-a-generation focus on evidence, which has fast-tracked collaboration among decision makers, researchers, and evidence intermediaries. In addition, this has led to a growing recognition of the need to formalize and strengthen evidence-support systems. This article provides an overview of recent advancements in evidence-informed health policy making, including normative goals and a health systems taxonomy, the role of evidence-support and evidence-implementation systems to improve context-specific decision-making processes, the evolution of learning health systems, and the important role of citizen deliberations. The article also highlights opportunities for evidence-informed policy making to drive change in oral health systems. All in all, strengthening capacities for evidence-informed health policy making is critical to enable and enact improvements in oral health systems.

Publisher

SAGE Publications

Subject

General Dentistry

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