Comment augmenter l'adhésion aux mutuelles de santé en se basant sur la théorie de l'autodétermination?

La théorie de l'autodétermination postule que la satisfaction de trois besoins fondamentaux (besoins d'autonomie, de compétence et d'affiliation sociale) peuvent conduire un individu à être motivé pour changer de comportement. L'adhésion aux mutuelles de santé en Afrique reste encore très faible et les promoteurs des mutuelles de santé se battent jour et nuit pour trouver des stratégies, des méthodes et des outils pour améliorer l'adhésion. La théorie de l'autodétermination peut donc se prêter comme une base de connaissances sur la quelle la compréhension des types de motivations qui existent, pourraient aider à la planification et la mise en oeuvre d'actions et d'activités pour stimuler la motivation des populations à adhérer aux mutuelles de santé. 

Le présent document est donc une étude de cas dont les résultats sont vulgarisés dans le but de faciliter l'appropriation de la théorie par les promoteurs des mutuelles de santé dans un contexte de très  faible utilisation des résultats de la recherche et des connaissances disponibles.


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Résultats enquête sur les besoins en informations scientifiques des intervenants en santé

L'enquête a été lancé il y a quelques semaines de cela et avait pour objectifs d'identifier les besoins en informations scientifiques des intervenants en santé. Pour plus de détails sur les résultats, voir le rapport ci joint en PDF.


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Knowledge transfer on complex social interventions in public health: a scoping study


Dagenais, C., Malo, M., Robert, E., Ouimet, M., Berthelette, D., & Ridde, V. (2013). Knowledge transfer on complex social interventions in public health: a scoping study. (W. Glanzel, Ed.) PLoS ONE8(12), e80233. 



Scientific knowledge can help develop interventions that improve public health. The objectives of this review are (1) to describe the status of research on knowledge transfer strategies in the field of complex social interventions in public health and (2) to identify priorities for future research in this field.


A scoping study is an exploratory study. After searching databases of bibliographic references and specialized periodicals, we summarized the relevant studies using a predetermined assessment framework. In-depth analysis focused on the following items: types of knowledge transfer strategies, fields of public health, types of publics, types of utilization, and types of research specifications.


From the 1,374 references identified, we selected 26 studies. The strategies targeted mostly administrators of organizations and practitioners. The articles generally dealt with instrumental utilization and most often used qualitative methods. In general, the bias risk for the studies is high.


Researchers need to consider the methodological challenges in this field of research in order to improve assessment of more complex knowledge transfer strategies (when they exist), not just diffusion/dissemination strategies and conceptual and persuasive utilization.



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A systematic review of barriers to and facilitators of the use of evidence by policy makers

Kathryn Oliver, Simon Innvar, Theo Lorenc, Jenny Woodman and James Thomas (2014). A systematic review of barriers to and facilitators of the use of evidence by policy makers. BMC Health Service Research, 14:2 




The gap between research and practice or policy is often described as a problem. To identify new barriers of and facilitators to the use of evidence by policymakers, and assess the state of research in this area, we updated a systematic review.


Systematic review. We searched online databases including Medline, Embase, SocSci Abstracts, CDS, DARE, Psychlit, Cochrane Library, NHSEED, HTA, PAIS, IBSS (Search dates: July 2000 - September 2012). Studies were included if they were primary research or systematic reviews about factors affecting the use of evidence in policy. Studies were coded to extract data on methods, topic, focus, results and population.


145 new studies were identified, of which over half were published after 2010. Thirteen systematic reviews were included. Compared with the original review, a much wider range of policy topics was found. Although still primarily in the health field, studies were also drawn from criminal justice, traffic policy, drug policy, and partnership working. The most frequently reported barriers to evidence uptake were poor access to good quality relevant research, and lack of timely research output. The most frequently reported facilitators were collaboration between researchers and policymakers, and improved relationships and skills. There is an increasing amount of research into new models of knowledge transfer, and evaluations of interventions such as knowledge brokerage.


Timely access to good quality and relevant research evidence, collaborations with policymakers and

relationship - and skills-building with policymakers are reported to be the most important factors in influencing the use of evidence. Although investigations into the use of evidence have spread beyond the health field and into more countries, the main barriers and facilitators remained the same as in the earlier review.Few studies provide clear definitions of policy, evidence or policymaker. Nor are empirical data about policy processes or implementation of policy widely available. It is therefore difficult to describe the role of evidence and other factors influencing policy. Future research and policy priorities should aim to illuminate these concepts and processes, target the factors identified in this review, and consider new methods of overcoming the barriers described.



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