Lavis John N, Posada Francisco Becerra, Haines Andy, Osei Eric
Centre for Health Economics and Policy Analysis, Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON, Canada.
Lancet. 2004;364(9445):1615-21. doi: 10.1016/S0140-6736(04)17317-0.
To improve health and reduce health inequalities, public policymakers need to find the best solutions to the most burdensome health problems, the best ways to fit these solutions into complex and often overstretched and underresourced health systems, and the best ways to bring about the desired changes in health systems. Systematic reviews can inform public policymaking by providing research-based answers to these questions. Public policymakers can encourage more informed policymaking by asking to see systematic reviews on priority issues, commissioning reviews when none exists, and placing more value on such work in their deliberations and in their interactions with stakeholders. Donors and international agencies can encourage more informed public policymaking by supporting national and regional efforts to undertake reviews and assess their local applicability, and by supporting regional or worldwide efforts to coordinate review and assessment processes.
为改善健康状况并减少健康不平等现象，公共政策制定者需要找到解决最沉重健康问题的最佳方案，找到将这些方案融入复杂且往往过度紧张和资源不足的卫生系统的最佳方式，以及实现卫生系统预期变革的最佳途径。系统评价可以通过为这些问题提供基于研究的答案来为公共政策制定提供信息。公共政策制定者可以通过要求查看关于优先问题的系统评价、在没有相关评价时委托开展评价，以及在其审议过程和与利益相关方的互动中更加重视此类工作，来鼓励更明智的政策制定。捐助方和国际机构可以通过支持国家和地区开展评价并评估其在当地的适用性的努力，以及支持区域或全球协调评价和评估过程的努力，来鼓励更明智的公共政策制定。
