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The rise of evidence‐based medicine and more recently evidence‐based policy reflect the increasing importance of evidence as a basis for the organisation and delivery of health care. Evidence‐based practice is central to the “modernisation” of health care in current UK policy. The latest manifestation of this process is the emergence of evidence‐based management in health care. This paper examines the development of evidence‐based approaches in health care and questions the appropriateness of such an approach to management. The problems inherent in applying the principles of EBP to management are explored and alternative apporoach based on the notion of craft is suggesteed as more practical and realistic.

This article critically analyses the concept of evidence in evidence‐based policy, arguing that there is a key problem: there is no existing practicable theory of evidence, one which is philosophically‐grounded and yet applicable for evidence‐based policy. The article critically considers both philosophical accounts of evidence and practical treatments of evidence in evidence‐based policy. It argues that both fail in different ways to provide a theory of evidence that is adequate for evidence‐based policy. The article contributes to the debate about how evidence can and should be used to reduce contingency in science and in policy based on science.

Purpose – The purpose of this chapter is to consider “equality mainstreaming” as an international policy and to explore some of the implications this raises for public management.

Design/Methodology/Approach – The methodology is based on literature review looking at the way gender mainstreaming practices have developed a wider application to equality mainstreaming. Examining the relationship between mainstreaming and evidence-based management, it comments on the challenges this poses for public management.

Findings – Equality mainstreaming and its implications have been largely absent from public management discourse despite the growth of equality mainstreaming in international policy.

Research limitations/Implications – Research in public management should address mainstreaming and its potential for social change.

Practical implications – This chapter brings this issue to the forefront in an effort to engage academics and public managers.

Social implications – This chapter raises theoretical questions about mainstreaming and social change in favor of equality. It is a starting point for further research on public management as a tool for shifting organizational and societal values.

Originality/Value – The chapter provides an overview of previous literature and policy development in this area and then moves on to explore the implications of extending mainstreaming as a concept to other policy areas and examines both challenges and opportunities raised by this approach for the management of values in public services.

The purpose of this paper is to review the Braidwood Commission's two reports on the use of TASER conducted energy weapons in Canada and the death of Robert Dziekanski to determine whether the Commission's conclusions and subsequent recommendations constitute sound evidence‐based public policy.

This study analyzes Commissioner Braidwood's eight findings from the first report regarding the medical implications of the use of TASER devices by comparing those findings to the body of scientific, medical, and technical literature on the physiological effects of TASER technology. Additionally, this study reviews the potential ramifications of the Commissioner's recommendations regarding the use of TASER devices in both reports.

Evidence from the existing literature does not support the Commission's findings regarding the medical risks of the use of TASER technology. Recommendations to restrict the use of TASER devices are unlikely to reduce arrest‐related deaths, but they are likely to result in increased injuries to officers and suspects. Other recommendations, including training standards, testing requirements, reporting requirements, medical assistance, and research and review, are consistent with other reviews on the use of TASER technology and are necessary and appropriate to restore public confidence in police use‐of‐force.

The Braidwood Commission recommendations have had an immediate impact on the policies of several police agencies in Canada, including the Royal Canadian Mounted Police, but this study is the first critically to review whether those recommendations constitute formulation of sound evidence‐based public policy.

The “two communities” metaphor for the relationship between policy and academia is inconsistent with empirical evidence that shows that a sizeable minority of public servants use academic research in their policy-related work. The purpose of this paper is to investigate the two communities metaphor by comparing the personal and professional characteristics of Australian public servants who claim to use research in their policy work with the characteristics of those who claim not to use research.

Using data from a survey of 2,084 public servants from the state and federal levels in Australia carried out from 2011 to 2013, tests of statistical significance were conducted for the relationship between some personal and professional characteristics (e.g. gender, age, work experience) and the claim that research is used in policy-related work.

The “two communities” metaphor is not an accurate description of the relationship between policy and academia. In reality, public servants who claim to use academic research in their policy work are more likely to have much in common with academics, including having postgraduate degrees and work experience in the university sector.

Rather than existing as isolated solitudes, the findings in this paper suggest that the policy and academic communities possess links that can encourage the use of research in policy making.

The findings presented in this paper are especially important for the evidence-based policy movement, which emphasises the value of the use of research evidence in the creation of public policy.

This chapter, together with those that follow, builds upon the ideas presented in the previous volume in this series (Maginn, Thompson, & Tonts, 2008). There we outlined our vision for a ‘pragmatic renaissance’ in contemporary qualitative research in urban studies. We argued that to survive as an effective and frequently used tool for policy development, a more systematic approach is needed in the way that qualitative-informed applied urban research is conceptualised and undertaken. In opening this volume we build on these initial ideas using housing as a meta-case study to progress the case for a systematic approach to qualitative research methods. We do this to both stimulate broad debate about the ways, in which qualitative research in urban/housing scholarship might be of greater use to policymakers and practitioners, as well as to suggest a way forward in realising the ‘pragmatic renaissance’.

Achieving specific changes within autonomous organizations is often a necessary condition for the success of strategic public policy. Wherever it is impossible to induce such changes by regulations, a frequently used tool is inducing their occurrence with financial stimuli. This practice appears to have been fully substantiated by the early systems-evolutionary understanding of the relationship between organizations and their environment, whose peak popularity in the 1950s and 1960s coincided with the appearance of new international organizations formulating strategic policies on a previously unprecedented scale. The conceptual framework available at that time failed, however, to provide a solid ground for operationalization and systemic evaluation of such interventions. As a result, even though it was implicitly presumed that policy implementation depended on organizational changes taking place in a large number of organizations, a conceptualization of the exact ways of how to ensure and assess such changes was hardly pronounced. This paper aims to uncover the problematique of that missing conceptualization.

In this paper, the author draws on the second-order stream of systems thinking, arguing that without such a deliberate operationalization, it seems much more likely that the external financing of organizational changes functions merely as organizational “perturbations” which do not crystallize into lasting changes, as they are mitigated by equally potent “compensation” to cancel out the perturbations. Using the theory of social system’s autopoiesis, the author posits that adaptive fluctuations evoked in organizations by the interferences of the policymakers may thus be considered “change” just as well as non-change.

Once the behavior of an autopoietic organizational system is seen as a continuous perpetuation of its own identity pattern, fashioned discursively as the organization’s self-description, then the only change which seems worthy of the publicly assigned resources and efforts is a shift in that pattern.

It is argued that the assessment of whether target organizations are indeed implementing or only superficially performing (and instantly compensating for) the desired changes should be inferred from a qualitative analysis of the daily discursive practices that forge the target domains rather than by a comparison of the measurable parameters, which are currently dominating in the evidence-based paradigm.

The aim of this paper is to integrate an augmented version of the Thompson et al. model of enterprise policy, delivery, practice and research with services marketing models including SERVQUAL and strategic conversations; and demonstrate a practical application of the analysed through the application of N-Vivo qualitative data classification software to create more satisfying enterprise policy recommendations that better reflect the voices of SMEs and other stakeholders.

A five-stage iterative process model to integrate stakeholder input into enterprise policy recommendations is developed through integrating services marketing theory and the Thompson et al. model into a field study of community conversations hosted by the Tasmanian Department of Economic Development, Tourism and the Arts, Regional Development Australia's Tasmanian committee, and local governments.

The five-stage iterative model leverages strategic conversations, analysis (through N-Vivo), comments and revisions, recommendation co-creation, and policy assessment using SERQUAL to craft more satisfying policy recommendations.

The first limitation was the time and costs associated with conducting the community consultation workshops and analysing the data. The second limitation was the inability to craft policy quickly in response to a changing environment due to the time taken to collect and transcribe the data, undertake the analysis, and develop and report policy recommendations. The third limitation was the complexity of coordinating three levels of government, which took time and effort because each level had different interests and time frames and were at times distracted by other priorities.

This paper contributes to better enterprise policy by providing a process model developed using both theory and a field study to illustrate how policy makers can co-develop policy that is more satisfying to policy stakeholders.

As the provision of public services in many advanced welfare states has increasingly come to be marked by competition, social enterprises have actively been encouraged by governments to become involved in the delivery of public services. While the evaluation of complex public health interventions has arguably become increasingly more sophisticated, this has not been the case where social enterprise is concerned: evaluation of the actual impacts of social enterprises remains significantly underdeveloped by comparison. This study aims to support the establishment of a robust evidence base for the use of social enterprise as a policy instrument.

This paper assesses the potential of three methodological approaches common in the evaluation of complex public health interventions and applies them to the complex realm of community-led social enterprise.

Only through the involvement of different comparator groups, based on the research questions addressed, would it be possible to disentangle the embedded characteristics of organisations such as social enterprises. Each of the methods adopted in this research is time-consuming and resource-intensive and requires the researcher to possess advanced skills. Public officials should recognise the complexity and resource-intensive nature of such evaluation and resource it accordingly. If the aim of policymakers is to understand the added value of social enterprise organisations, an integrative research approach combining different research methods and design should be implemented to improve generalisability.

This study applies a range of favoured approaches to evaluate “complex” public health interventions include systematic reviews, realist evaluation and quasi-experimental investigation. However, such evaluation approaches have rarely been applied before in the context of social enterprise.