Structural analysis of health-relevant policy-making information exchange networks in Canada

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Structural analysis of health-relevant policymaking information exchange networks in Canada Damien Contandriopoulos1, François Benoît2, Denise Bryant-Lukosius3, Annie Carrier4, Nancy Carter3, Raisa Deber5, Arnaud Duhoux1, Trisha Greenhalgh6, Catherine Larouche7, Bernard-Simon Leclerc8, Adrian Levy9, Ruth Martin-Misener10, Katerina Maximova11, Kimberlyn McGrail12, Candace Nykiforuk11, Noralou Roos13, Robert Schwartz14, Thomas W. Valente15, Sabrina Wong12, Evert Lindquist16, Carolyn Pullen17, Anne Lardeux1 and Melanie Perroux1*

Abstract Background: Health systems worldwide struggle to identify, adopt, and implement in a timely and system-wide manner the best—evidence-informed—policy-level practices. Yet, there is still only limited evidence about individual and institutional best practices for fostering the use of scientific evidence in policy-making processes The present project is the first national-level attempt to (1) map and structurally analyze—quantitatively—health-relevant policymaking networks that connect evidence production, synthesis, interpretation, and use; (2) qualitatively investigate the interaction patterns of a subsample of actors with high centrality metrics within these networks to develop an in-depth understanding of evidence circulation processes; and (3) combine these findings in order to assess a policy network’s “absorptive capacity” regarding scientific evidence and integrate them into a conceptually sound and empirically grounded framework. Methods: The project is divided into two research components. The first component is based on quantitative analysis of ties (relationships) that link nodes (participants) in a network. Network data will be collected through a multi-step snowball sampling strategy. Data will be analyzed structurally using social network mapping and analysis methods. The second component is based on qualitative interviews with a subsample of the Web survey participants having central, bridging, or atypical positions in the network. Interviews will focus on the process through which evidence circulates and enters practice. Results from both components will then be integrated through an assessment of the network’s and subnetwork’s effectiveness in identifying, capturing, interpreting, sharing, reframing, and recodifying scientific evidence in policy-making processes. Discussion: Knowledge developed from this project has the potential both to strengthen the scientific understanding of how policy-level knowledge transfer and exchange functions and to provide significantly improved advice on how to ensure evidence plays a more prominent role in public policies. Keywords: Health-relevant policies, Heath policy, Knowledge exchange, Policy-making, Social network analysis

* Correspondence: [email protected] 1 Faculté des Sciences Infirmières, Université de Montréal, C.P. 6128 succursale Centre-ville, Montréal, QC H3C 3J7, Canada Full list of author information is available at the end of the article © The Author(s). 2017 Open Access This ar