Lancet. 2004;364(9438):997-1003. doi: 10.1016/S0140-6736(04)17026-8.
Health systems constraints are impeding the implementation of major global initiatives for health and the attainment of the Millennium Development Goals (MDGs). Research could contribute to overcoming these barriers. An independent task force has been convened by WHO to suggest areas where international collaborative research could help to generate the knowledge necessary to improve health systems. Suggested topics encompass financial and human resources, organisation and delivery of health services, governance, stewardship, knowledge management, and global influences. These topics should be viewed as tentative suggestions that form a basis for further discussion. This article is part of a wide-ranging consultation and comment is invited. The potential agenda will be presented at the Ministerial Summit on Health Research in November, 2004, and revised in the light of responses. Subsequently, we hope that resources will be committed to generate the evidence needed to build the equitable, effective, and efficient health systems needed to achieve the MDGs
卫生系统的制约因素正在阻碍全球主要卫生倡议的实施以及千年发展目标（MDGs）的实现。研究有助于克服这些障碍。世界卫生组织召集了一个独立的特别工作组，以提出国际合作研究可在哪些领域助力生成改善卫生系统所需的知识。建议的主题包括财政和人力资源、卫生服务的组织与提供、治理、管理、知识管理以及全球影响。这些主题应被视为初步建议，作为进一步讨论的基础。本文是广泛磋商的一部分，欢迎发表评论。潜在议程将在2004年11月的卫生研究部长级峰会上提出，并根据反馈意见进行修订。随后，我们希望能投入资源，以生成建设实现千年发展目标所需的公平、有效且高效的卫生系统所需的证据。
