What Can COVID-19 Tell Us About Evidence-Based Management?

AuthorKaifeng Yang
Published date01 August 2020
Date01 August 2020
DOIhttp://doi.org/10.1177/0275074020942406
Subject MatterUsing COVID-19 to Advance Learning, Management, & Policy OutcomesEvidence-Based Decision Making for Public Health Management
https://doi.org/10.1177/0275074020942406
American Review of Public Administration
2020, Vol. 50(6-7) 706 –712
© The Author(s) 2020
Article reuse guidelines:
sagepub.com/journals-permissions
DOI: 10.1177/0275074020942406
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Evidence-Based Decision Making for Public Health Management
“In a time of uncertainty, facts provide clarity. In a time of
anxiety, facts comfort. In a time of misinformation, facts cor-
rect. In a time of division, facts unite. In a time of crisis, facts
matter most.” The CNN coronavirus ad says it beautifully
about the importance of facts in fighting the COVID-19 pan-
demic. To some degree, this relates to the clash between
President Trump and the media over information and misin-
formation regarding COVID-19, as well as the network’s
worry that many of the COVID-19 decisions are not based
on facts, or not evidence based.1
The worry, that many COVID-19 decisions are not evi-
dence based, is particularly agonizing for many public
administration scholars, who have seen evidence-based man-
agement (EBM) becoming an important area of research and
practice (Haskins & Margolis, 2015; Heinrich, 2007;
Jennings & Hall, 2012; Maynard, 2006; Parkhurst, 2017;
Shillabeer et al., 2011; Vanlandingham & Drake, 2012).
Countries such as Australia, New Zealand, United Kingdom,
and the United States have made steady progress on EBM. In
the United States, the Evidence-Based Policymaking
Commission Act of 2006 established a bipartisan commis-
sion to facilitate EBM in federal government, and more con-
crete steps were formulated in the Foundations for
Evidence-Based Policymaking Act of 2018. The Obama
administration pushed this agenda in its executive orders,
Office of Management and Budget (OMB) guidelines, bud-
get decisions, and exemplary initiatives (Haskins & Margolis,
2015). Many nonprofits such as the MacArthur Foundation
and the Pew Center for the States joined the chorus.
However, the worry is not surprising, given many have
questioned the utility and feasibility of EBM in a political
world (Hammersley, 2013; Pfeffer & Sutton, 2006; Smith,
2013). Nevertheless, with some exceptions (e.g., European
Center for Disease Prevention and Control, 2019; Lipsitch
et al., 2011; Smith, 2013), much less attention has been
paid to EBM in emergency management and particularly
public health emergencies. Government responses to
COVID-19 provide a great opportunity to rethink EBM in
situations such as a pandemic, which are characterized by
uncertainty, high potential loss, time pressure, and compet-
ing values.
Given the time constraint and the space limit, this essay is
not a research-based article and does not follow a typical
structure of literature review, research design, and findings.2
Instead, it offers educated reflections on three issues that are
of particular interest: They are salient during this pandemic
and they embody dimensions of EBM that have often been
neglected. The three issues are as follows: What should be
considered evidence in pandemic-like situations? How can
we make evidence more accessible to decision makers in
942406ARPXXX10.1177/0275074020942406The American Review of Public AdministrationYang
research-article2020
1Renmin University of China, Beijing, China
2Florida State University, Tallahassee, USA
Corresponding Author:
Kaifeng Yang, School of Public Administration and Policy, Renmin
University of China, Beijing 100872, China.
Email: yangkaifeng@ruc.edu.cn
What Can COVID-19 Tell Us About
Evidence-Based Management?
Kaifeng Yang1,2
Abstract
People worry that many COVID-19 decisions are not evidence based, but applying typical evidence-based management (EBM)
in a pandemic seems difficult. A pandemic is characterized by uncertainty, high potential loss, time pressure, and competing
values, all posing challenges to EBM. Drawing on events in government responses to COVID-19, this essay focuses on three
issues: What should be considered as evidence in pandemic-like situations? How can we make evidence more accessible
to decision makers in such situations? And, does evidence have a role in ethical judgments in a pandemic? The essay argues
that EBM must be extended to address pandemic-like situations. The evidentiary standard should take into consideration
“appropriateness,” “reasonableness,” and “intuition,” paying attention to the stages of a pandemic and the type of errors we
want to avoid. In addition, the essay calls for building policy capacity in terms of coproducing and applying evidence in and
outside government, as well as strengthening public managers’ capacity in evidence-based ethical analysis.
Keywords
COVID-19, evidence-based management, pandemic, evidence

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