1. Reza Majdzadeh, Professor of Epidemiology, Tehran University of Medical Sciences TUMS-KTE group 30 Slides

2. Become familiar with knowledge utilization models and importance of collaboration for collectivity of efforts, Identify that wide spectrum of interventions are necessary for using knowledge as evidence for decision making, Accept need to address knowledge translation barriers at institutional level. TUMS-KTE group 2/ 30

3. How should knowledge be put to use? 3/ 30

4. Where am I? You’re 30 metres above the ground in a balloon You must be a researcher Yes. How did you know? Because what you told me is absolutely correct but completely useless You must be a policy maker Yes, how did you know? Because you don’t know where you are, you don’t know where you’re going, and now you’re blaming me The problem 4/ 30

5. Knowledge driven, Problem solving, Enlightenment, Strategic, Interactive or Deliberative. 5 /30 Multiple perspectives on evidence based decision making in health care, Toronto: University of Toronto Press,P. 18-40.

6. Knowledge is valuable itself, Useful applications will derive from good science, Evaluation of produced knowledge is responsibility of scientific community by peer-review, Use is under the responsibility of practitioners, Interactions between scientists and practitioners are not defined, Universities have passive role in knowledge utilization. 6 /30

7. Practitioners’ needs should be fulfilled by scientists, Practitioners should tell scientists what the problems are, Creative problem definition determine use, Useful knowledge is produced by giving constraints to scientists, Knowledge emerges from practice. 7 /30

8. Knowledge is not just a tool but it is also a cultural capital, Critical mass of knowledgeable people is essential for further development, Knowledge use is more conceptual, Knowledge penetrates society through an unpredictable process of interactions. 8 /30

9. Knowledge is a strategic resource that can be accumulated, exchanged, or even applied just in specific situations, Use derives from negotiations between scientists and practitioners orchestrated by strategic situations. 9 /30

10. Knowledge is valuable but it is not complete, Knowledge is public good, Knowledge is applied when it is openly debated; use is a negotiated outcome, Increased interactions and cooperation between scientists and producers should be sought throughout the knowledge production processes. 10 /30

11. 11 /30

12. 12 /30

13. 13/ 30

14. 14 /30

15. Knowledge driven, Problem solving, Enlightenment, Strategic, Interactive or Deliberative. 15 /30

16. TUMS-KTE group 16/ 30

17. ScienceDecision-Making 17 /30

18.  Macro  Meso  Micro Changing using evidence Professional Practices (CPGs. QA) Patient Behaviours (Health Care Utilization, etc.) Institutional Management (Acquisition) (Monitoring of utilization) Service Planning/Organisation Coverage/Reimbursement Regulation 18/ 30

19. Stakeholder involvement Media involvement Educational sessions with decision makers Use of knowledge brokers Graham I. KT ICEBeRG Symposium 2005 19/ 30

20. TUMS-KTE group 20/ 30

21. Promotion criteria Relation between the research organizations and decision making organization Budget and facilities for KT activities Having knowledge networks TUMS-KTE group 21/ 30

22. 1. Objective of research activities Advancement in knowledge Problem solving 2. Basis for formation of groups 3. Responsible for evaluation Mono-disciplinary By producers, exclusively With participation of non- university bodies Inter-disciplinary (Albert, 1999) 22/ 30

23. Cochrane Collaboration Guideline development agencies Health Technology Assessment agencies Evidence -Informed Policy Network (EVIPnet) TUMS-KTE group 23/ 30

24. TUMS-KTE group 24/ 30

25.  Macro  Meso  Micro Changing using evidence 25/ 30  National Innovation System  Institution Individuals

26. 26/ 30

27. ScienceTechnologyInnovation Knowledge creation Changing knowledge to a service and or a good Providing service and or a good to people 27/ 30

28. TUMS-KTE group 28/ 30

29. National innovation systems are defined as the “... set of distinct institutions which jointly and individually contribute to the development and diffusion of new knowledge..................... it is a system of interconnected institutions to create, store and transfer the knowledge and skills”. (Metcalfe, 1995) TUMS-KTE group 29/ 30

30. Become familiar with knowledge utilization models and importance of collaboration for collectivity of efforts, Identify that wide spectrum of interventions are necessary for using knowledge as evidence for decision making, Accept need to address knowledge translation barriers at institutional level, TUMS-KTE group 30/ 30

31. TUMS-KTE group 31/ 30