2023-09-28 14:46:10 +00:00
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abstract: 'Background: As many challenges exist for access to diabetes care in
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developing countries, the International Insulin Foundation developed a
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Rapid Assessment tool and implemented this approach to identify barriers
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to care and propose concrete recommendations for decision makers. The
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objective of this paper is to identify the factors that contributed to
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informing and influencing policymakers with regards to this work.
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Methods: A documentary review comprised Stage 1. Stage 2 used an online
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questionnaire to gain insight from users of the Rapid Assessment
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results. Based on Stages 1 and 2, Stage 3 comprised in-depth interviews
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with a total of nine individuals (one individual each from the six
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participating countries; two individuals from the World Health
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Organization; one ``Global Diabetes Advocate{''''}). Interviews were
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analyzed based on a list of themes developed from Stage 2.
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Results: Stage 1 led to the identification of various types of documents
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referring to the results. The online questionnaire had a response rate
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of 33\%. Respondents directly involved in the assessment had a
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``Good{''''} or ``Very Good{''''} appreciation of most aspects and scored
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these higher than those not directly involved. From the interviews,
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formalized methods and close collaboration between the international
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team and local partners were strengths. Trust and a relationship with
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local partners were also seen as assets. All stakeholders valued the
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results and the credibility of the data generated. Local partners felt
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that more could have been done for dissemination.
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Conclusion: This study shows the importance of specific results from the
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different assessments. In addressing complex issues having external
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experts involved was seen as an advantage. The uptake of results was due
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to the credibility of the research which was influenced by a mix of the
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people involved, past assessments, trusted local partners, and the use
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of the results by knowledge brokers, such as the World Health
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Organization. Through these brokers, others gained ownership of the
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data. The methods used and the fact that this data was grounded in a
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local context also reinforced its value. Despite limitations, this study
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offers a unique perspective where a similar research approach was taken
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in six countries.'
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affiliation: 'Beran, D (Corresponding Author), Univ Hosp Geneva, Div Trop \& Humanitarian
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Med, Geneva, Switzerland.
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Beran, David, Univ Hosp Geneva, Div Trop \& Humanitarian Med, Geneva, Switzerland.
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Beran, David, Univ Geneva, Geneva, Switzerland.
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Jaime Miranda, J.; Kathia Cardenas, Maria, Univ Peruana Cayetano Heredia, CRONICAS
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Ctr Excellence Chron Dis, Lima, Peru.
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Bigdeli, Maryam, WHO, Alliance Hlth Syst \& Policy Res, CH-1211 Geneva, Switzerland.'
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article-number: '41'
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author: Beran, David and Jaime Miranda, J. and Kathia Cardenas, Maria and Bigdeli,
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Maryam
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author-email: david.beran@unige.ch
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author_list:
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- family: Beran
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given: David
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- family: Jaime Miranda
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given: J.
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- family: Kathia Cardenas
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given: Maria
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- family: Bigdeli
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given: Maryam
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da: '2023-09-28'
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doi: 10.1186/s12961-015-0029-4
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files: []
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issn: 1478-4505
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journal: HEALTH RESEARCH POLICY AND SYSTEMS
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keywords: Diabetes; Health systems; Health systems research; Policy
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keywords-plus: TRANSLATING RESEARCH; CARE
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language: English
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month: OCT 1
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number-of-cited-references: '49'
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orcid-numbers: 'Miranda, J. Jaime/0000-0002-4738-5468
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Beran, David/0000-0001-7229-3920
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CARDENAS, MARIA KATHIA/0000-0002-3173-9284'
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papis_id: f6fb1990ae1b56259de4868e0c228277
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ref: Beran2015healthsystems
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researcherid-numbers: 'Miranda, J. Jaime/A-8482-2008
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Beran, David/E-4422-2013
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'
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times-cited: '10'
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title: 'Health systems research for policy change: lessons from the implementation
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of rapid assessment protocols for diabetes in low- and middle-income settings'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000362064100002
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usage-count-last-180-days: '0'
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usage-count-since-2013: '7'
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volume: '13'
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web-of-science-categories: Health Policy \& Services
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year: '2015'
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