scholarly journals The Organic Turn: Coping With Pandemic and Non-pandemic Challenges by Integrating Evidence-, Theory-, Experience-, and Context-Based Knowledge in Advising Health Policy

2021 ◽  
Vol 9 ◽  
Author(s):  
Holger Pfaff ◽  
Jochen Schmitt
Keyword(s):  
Health Policy ◽  
Knowledge Production ◽  
Organizational Innovation ◽  
Expert Knowledge ◽  
Evidence Theory ◽  
Evidence Based ◽  
Contextual Knowledge ◽  
Knowledge Processing ◽  
Conceptual Paper ◽  
Evidence Based Healthcare

The COVID-19 pandemic has posed an extraordinary challenge for public health and health policy. Questions have arisen concerning the main strategies to cope with this situation and the lessons to be learned from the pandemic. This conceptual paper aims to clarify these questions via sociological concepts. Regarding coping strategies used during the pandemic, there is a strong tendency for health policymakers to rely on expert knowledge rather than on evidence-based knowledge. This has caused the evidence-based healthcare community to respond to urgent demands for advice by rapidly processing new knowledge. Nonetheless, health policymakers still mainly rely on experts in making policy decisions. Our sociological analysis of this situation identified three lessons for coping with pandemic and non-pandemic health challenges: (1) the phenomenon of accelerating knowledge processing could be interpreted from the organizational innovation perspective as a shift from traditional mechanistic knowledge processing to more organic forms of knowledge processing. This can be described as an “organic turn.” (2) The return of experts is part of this organic turn and shows that experts provide both evidence-based knowledge as well as theoretical, experiential, and contextual knowledge. (3) Experts can use theory to expeditiously provide advice at times when there is limited evidence available and to provide complexity-reducing orientation for decisionmakers at times where knowledge production leads to an overload of knowledge; thus, evidence-based knowledge should be complemented by theory-based knowledge in a structured two-way interaction to obtain the most comprehensive and valid recommendations for health policy.

Where next for evidence based healthcare?

BMJ ◽  
2013 ◽  
Vol 346 (feb06 1) ◽  
pp. f766-f766 ◽  
Author(s):  
C. Heneghan ◽  
F. Godlee
Keyword(s):  
Evidence Based ◽  
Evidence Based Healthcare

Can complexity in welfare professionals’ work be handled with standardised professional knowledge?

2017 ◽  
Author(s):  
Lars Evertsson ◽  
Björn Blom ◽  
Marek Perlinski ◽  
Devin Rexvid
Keyword(s):  
Social Workers ◽  
Social Services ◽  
Expert Knowledge ◽  
Empirical Studies ◽  
Professional Knowledge ◽  
Welfare States ◽  
Evidence Based ◽  
Professional Body ◽  
Problematic Situations ◽  
Use Of Knowledge

Complexity in professional work is often discussed in relation to the professional body of knowledge. There is a tendency to relate professional success, problems and shortcomings to flaws and limitations in the professions’ expert knowledge or use of knowledge. To reduce complexity, overcome problematic situations and achieve best practice, welfare states invest considerable resources in raising professional groups’ level of knowledge and use of evidence-based knowledge. Non-medical professions such as social workers are expected to adopt and implement the principles that underpin evidence-based medicine. However, based on two empirical studies of social workers within Swedish social services, this chapter argues that problematic situations and complexity in social work can have sources other than lack of knowledge or insufficient use of knowledge. The chapter argues that these complex and problematic situations cannot be solved by standardised professional knowledge about interventions and results.

Can Complexity Move UK Policy beyond ‘Evidence-Based Policy Making’ and the ‘Audit Culture’? Applying a ‘Complexity Cascade’ to Education and Health Policy

2011 ◽  
Vol 60 (1) ◽  
pp. 20-43 ◽  
Author(s):  
Robert Geyer
Keyword(s):  
Health Policy ◽  
Policy Making ◽  
Policy Response ◽  
Evidence Based ◽  
Visual Metaphor ◽  
Negative Effects ◽  
Audit Culture ◽  
Education And Health ◽  
Evidence Based Policy ◽  
The Uk

For much of the twentieth century UK public policy has been based on a strong centralist, rationalist and managerialist framework. This orientation was significantly amplified by New Labour in the 1990s and 2000s, leading to the development of ‘evidence-based policy making’ (EBPM) and the ‘audit culture’ – a trend that looks set to continue under the current government. Substantial criticisms have been raised against the targeting/audit strategies of the audit culture and other forms of EBPM, particularly in complex policy areas. This article accepts these criticisms and argues that in order to move beyond these problems one must not only look at the basic foundation of policy strategies, but also develop practical alternatives to those strategies. To that end, the article examines one of the most basic and common tools of the targeting/audit culture, the aggregate linear X-Y graph, and shows that when it has been applied to UK education policy, it leads to: (1) an extrapolation tendency; (2) a fluctuating ‘crisis–success' policy response process; and (3) an intensifying targeting/auditing trend. To move beyond these problems, one needs a visual metaphor which combines an ability to see the direction of policy travel with an aspect of continual openness that undermines the extrapolation tendency, crisis–success policy response and targeting/auditing trend. Using a general complexity approach, and building on the work of Geyer and Rihani, this article will attempt to show that a ‘complexity cascade’ tool can be used to overcome these weaknesses and avoid their negative effects in both education and health policy in the UK.

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