Health Sciences 3400A/B Lecture Notes - Lecture 8: Evidence-Based Medicine, Wicked Problem, Decision-Making

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Agenda setting, problem definition, develop policy, implementation, evaluation. Bureaucrats not elected in but serve a role. They"re present for a longer period of time, they are expected to be experts whether it be experience or through education. They are meant to stay permanent despite the results of the election. Ministers are not often experts in the content area. Not involved directly but in other ways, such as delivering. Often times they"re put into information and persuasion, regulation, public provision, and markets and market like incentives. Many health issues are wicked problems, hard to define problem and disagreement on the solution. Evidence based medicine if we have an answer through science we ought to act this way. But sometimes we don"t, which is evidence informed decision making. Interest groups do not try to infiltrate decision making, they try to influence the process. Policy implementation taking a concept into reality. There are some policies that failed because it doesn"t go as planned.

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