we typically think of acutely and chronically mentally ill patients as those who belong in psychiatric hospitals and the latter category of patients belonging in “regular” hospitals, but the intersection of physical and mental illness draws attention to important challenges for policy-makers and organizational leaders. this article illuminates some broad trends in the health status of people wi...

Libraries have been written about the theory and practice of public policy making. Yet, this enormous scholarship has proved insufficient to lift the veil of mystery and idiosyncrasy that shrouds the art of decision making. The heady ambition to turn both clinical practice and health policy into evidence-based bastions of rationalist decision making has been downgraded; the vocabulary is now “e...

The effective practice of evidence-based medicine requires the application of ‘current best evidence’ to individual patient care.1 While there is consensus that it is critical to include patients’ individual preferences in medical decision-making,1–4 the best way to involve patients in the process is unclear. Patient preferences may be dictated by specifi c circumstances, such as age, as well a...

the aim of this study was to evaluate the status of health mangers’ evidence-based decision-making in kermanshah university of medial sciences in 2013. in this descriptive - analytical survey, research tool was a 33-item questionnaire based on kansas standard. the study sample was randomly drawn from among 180 experts, heads and deputies of health care centers in kermanshah province. the collec...

The paper aims at addressing the problem of what makes specific aiding to decide within public policy making problem situations. Under such a perspective it analyses some basic concepts such as “public policy”, “deliberation”, “legitimation”, “accountability” and shows the necessity to expand the concept of rationality which is expected to be behind the acceptability of a public policy. We then...

The objective of this empirical study was to understand the perspectives and attitudes of policy-makers towards the use and impact of research in the health sector in low- and middle-income countries. The study used data from 83 semi-structured, in-depth interviews conducted with purposively selected policy-makers at the national level in Argentina, Egypt, Iran, Malawi, Oman and Singapore. The ...