| Summary: | The overarching problem is that there is a lack of attention given to 'what to do next' to advance knowledge brokering in many European countries' health systems. This problem can be understood by considering four sets of interrelated issues within any given country's health system: untapped potential for health systems information to inform policy-making; missed opportunities to take stock of the current state of knowledge brokering and to prioritize enhancements to information-packaging mechanisms, enrichments to interactive knowledge-sharing mechanisms, and adaptations to organizational models that support knowledge brokering; lack of alignment of support for knowledge brokering, including incentives and requirements for using promising knowledge-brokering mechanisms and models; and limited reach of existing efforts to advance knowledge brokering. The following are the three options to address the problem. Option 1: Establish a portal for knowledge-brokering mechanisms. Option 2: Convene a dialogue to coordinate advancements in knowledge brokering. Option 3: Centralize knowledge-brokering mechanisms in a well-designed organization. What implementation considerations need to be kept in mind? Potential barriers to implementing these options include: researchers and research organizations resist efforts to give attention to knowledge brokering; knowledge brokers and knowledge-brokering organizations resist efforts to share insights and undertake advancements in knowledge brokering that might erode their comparative advantage or lead to an end in their role or organization; and policy-makers do not engage in efforts to design advancements in knowledge brokering to meet their needs. However, these and other potential barriers (and strategies to address them) warrant further study in their own right
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