RESUMO
This perspective presents empirical data to demonstrate the existence of different expert views on scientific policy advice on complex environmental health issues. These views are partly research-field specific. According to scientific literature, experts differ in the way they provide policy advice on complex issues such as electromagnetic fields (EMF), particulate matter (PM), and antimicrobial resistance (AMR). Where some experts feel their primary task is to carry out fundamental research, others actively engage in the policy dialogue. Although the literature provides ideas about expert roles, there exists little empirical underpinning. Our aim is to gather empirical evidence about expert roles. The results of an international study indicated that experts on EMF, PM, and AMR differ in the way they view their role in the policy dialogue. For example, experts differed in their views on the need for precaution and their motivation to initiate stakeholder cooperation. Besides, most experts thought that their views on the risks of EMF/PM/AMR did not differ from those of colleagues. Great dissensus was found in views on the best ways of managing risks and uncertainties. In conclusion, the theoretical ideal-typical roles from the literature can be identified to a certain extent.
Assuntos
Resistência Microbiana a Medicamentos , Campos Eletromagnéticos/efeitos adversos , Conhecimento , Material Particulado/efeitos adversos , Medição de Risco/métodos , Exposição Ambiental , Monitoramento Ambiental/métodos , Política de Saúde , Humanos , Projetos Piloto , Análise de Componente Principal , Sensibilidade e Especificidade , IncertezaRESUMO
BACKGROUND: The overall evidence for adverse health effects of electromagnetic fields (EMF) at levels of exposure normally experienced by the public is generally considered weak. However, whether long-term health effects arise remains uncertain and scientific policy advice is therefore given against a background of uncertainty. Several theories exist about different roles that experts may take when they provide advice on complex issues such as EMF. To provide empirical evidence for these theories, we conducted an expert consultation with as main research question: What are the different roles of EMF experts when they provide policy advice? METHODS: Q methodology was used to empirically test theoretical notions on the existence and determinants of different expert roles and to analyze which roles actually play out in the domain of EMF. Experts were selected based on a structured nominee process. In total 32 international EMF experts participated. Responses were analyzed using Principal Component Analysis and for the open questions we used Atlas.ti. RESULTS: Four expert roles were found. Most striking differences between the four roles are whether experts consider current EMF policies adequate or not, whether additional -precautionary- measures are needed, and how experts view their position vis-à-vis policymakers and/or other stakeholders. CONCLUSION: This empirical study provides support for the so far mainly theoretical debate about the existence of different roles of experts when they give policy advice. The experts' assessment of the degree of uncertainty of the issue turned out to be highly associated with their role. We argue that part of the controversy that exists in the debate regarding scientific policy advice on EMF is about different values and roles.
Assuntos
Campos Eletromagnéticos/efeitos adversos , Exposição Ambiental/efeitos adversos , Prova Pericial , Política de Saúde , Papel Profissional , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Medição de RiscoRESUMO
About a decade ago, the Netherlands Environmental Assessment Agency (PBL) unwittingly embarked on a transition from a technocratic model of science advising to the paradigm of "post-normal science" (PNS). In response to a scandal around uncertainty management in 1999, a Guidance for "Uncertainty Assessment and Communication" was developed with advice from the initiators of the PNS concept and was introduced in 2003. This was followed in 2007 by a "Stakeholder Participation" Guidance. In this article, the authors provide a combined insider/outsider perspective on the transition process. The authors assess the extent to which the PNS paradigm has delivered new approaches in the agency's practice and analyze two projects-on long-term options for Dutch sustainable development policy and for urban development policy-the latter in somewhat more detail. The authors identify several paradoxes PBL encounters when putting the PNS concept into practice. It is concluded that an openness to other styles of work than the technocratic model has become visible, but that the introduction of the PNS paradigm is still in its early stage.
RESUMO
Disability Adjusted Life Years (DALYs) combine the number of people affected by disease or mortality in a population and the duration and severity of their condition into one number. The environmental burden of disease is the number of DALYs that can be attributed to environmental factors. Environmental burden of disease estimates enable policy makers to evaluate, compare and prioritize dissimilar environmental health problems or interventions. These estimates often have various uncertainties and assumptions which are not always made explicit. Besides statistical uncertainty in input data and parameters - which is commonly addressed - a variety of other types of uncertainties may substantially influence the results of the assessment. We have reviewed how different types of uncertainties affect environmental burden of disease assessments, and we give suggestions as to how researchers could address these uncertainties. We propose the use of an uncertainty typology to identify and characterize uncertainties. Finally, we argue that uncertainties need to be identified, assessed, reported and interpreted in order for assessment results to adequately support decision making.