this can explain why few of the interviewees saw the dissemination of research results as their responsibility, and why it is more important with "know-who" than "know-how" in influencing policy. Also, a low-income country such as Lao PDR has many battles to fight, and research does not automatically top the agenda, including HSR. In general, many policymakers are ignorant of policy-relevant research, and this is true for Lao PDR, as enough, especially if the policymakers do not know how to use the results, or if the results contradict the interests of the policymaker. Even if the research results reach
the implementers at grassroots level, these "street-level bureaucrats" face difficulties when they have to translate research into practice. The lack of resources, instructions aboout what to do and resistance against change can create almost insurmountable obstacles for research results requires attitude chang among medical staff as well as policymakers. Whereas some respondents saw some development in the direction of more positive attitude to research, they admitted that this is only beginning of a long-term process. Another aggravating factor was that many in the medical profesion do not see evidence to be in their own interest.
this can explain why few of the interviewees saw the dissemination of research results as their responsibility, and why it is more important with "know-who" than "know-how" in influencing policy. Also, a low-income country such as Lao PDR has many battles to fight, and research does not automatically top the agenda, including HSR. In general, many policymakers are ignorant of policy-relevant research, and this is true for Lao PDR, as enough, especially if the policymakers do not know how to use the results, or if the results contradict the interests of the policymaker. Even if the research results reach
the implementers at grassroots level, these "street-level bureaucrats" face difficulties when they have to translate research into practice. The lack of resources, instructions aboout what to do and resistance against change can create almost insurmountable obstacles for research results requires attitude chang among medical staff as well as policymakers. Whereas some respondents saw some development in the direction of more positive attitude to research, they admitted that this is only beginning of a long-term process. Another aggravating factor was that many in the medical profesion do not see evidence to be in their own interest.
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