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Beyond “motherhood and apple pie”: using research evidence to inform primary health care policy

Nicholas J Glasgow, Beverly M Sibthorpe and Robert Wells
Med J Aust 2005; 183 (2): . || doi: 10.5694/j.1326-5377.2005.tb06939.x
Published online: 18 July 2005

The Australian Primary Health Care Research Institute undertakes and commissions research with the aim of increasing the links between research and policy

“Family, neighborhood, community are apple pie virtues, unassailable and unavoidable in political rhetoric.”1 In primary health care, we have our own rhetoric. The challenges facing the primary health care system are endlessly rehearsed: ageing of the population, management of chronic disease, equity, new technologies and workforce issues are but a few. These challenges are not unique to Australia — they drive reform of primary health care around the world. It is agreed that the goal of this reform is to improve health for individuals and communities, and that public policy on this reform should be in the public good, have clear objectives, be transparently communicated, and be assessable in terms of effectiveness, efficiency and achievements. It should also be informed by research evidence.2,3


  • Australian National University, Canberra, ACT.


Correspondence: Nicholas.Glasgow@anu.edu.au

  • 1. The American heritage dictionary of the English language. 4th ed. Houghton Mifflin, 2000. Available at: http://www.answers.com/topic/apple-pie (accessed Apr 2005).
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  • 3. Lavis JN, Posada FB, Haines A, Osei E. Use of research to inform public policymaking. Lancet 2004; 364: 1615-1621.
  • 4. Lomas J. Improving research dissemination and uptake in the health sector: beyond the sound of one hand clapping. McMaster Centre for Health Economics and Policy Analysis. Policy Commentary C97-1, Nov 1997.
  • 5. Glasgow NJ, Ponsonby AL, Yates RJ, et al. Proactive asthma care in childhood – a general practice based randomised controlled trial. BMJ 2003; 327: 659-663.
  • 6. Greenhalgh AT, Robert G, Macfarlane F, et al. Diffusion of innovations in service organisations: systematic review and recommendations. Milbank Q 2004; 82: 581-629.
  • 7. National Health Priority Action Council. National Service Improvement Frameworks (NSIFs). Available at: http://www.nhpac.gov.au/news_nsifs.htm (accessed May 2005).
  • 8. Australian Government Department of Health and Ageing. Primary Health Care Research Evaluation and Development (PHCRED) strategy. Available at: http://www.health.gov.au/internet/wcms/publishing.nsf (accessed May 2005).

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