Choi Bernard C K, Frank John, Mindell Jennifer S, Orlova Anna, Lin Vivian, Vaillancourt Alain D M G, Puska Pekka, Pang Tikki, Skinner Harvey A, Marsh Marsha, Mokdad Ali H, Yu Shun-Zhang, Lindner M Cristina, Sherman Gregory, Barreto Sandhi M, Green Lawrence W, Svenson Lawrence W, Sainsbury Peter, Yan Yongping, Zhang Zuo-Feng, Zevallos Juan C, Ho Suzanne C, de Salazar Ligia M
Centre for Chronic Disease Prevention and Control, Public Health Agency of Canada, Government of Canada, Ottawa, Ontario, Canada. Bernard_
Am J Public Health. 2007 Apr;97 Suppl 1(Suppl 1):S82-7. doi: 10.2105/AJPH.2005.081711. Epub 2007 Apr 5.
In public health, the generation, management, and transfer of knowledge all need major improvement. Problems in generating knowledge include an imbalance in research funding, publication bias, unnecessary studies, adherence to fashion, and undue interest in novel and immediate issues. Impaired generation of knowledge, combined with a dated and inadequate process for managing knowledge and an inefficient system for transferring knowledge, mean a distorted body of evidence available for decisionmaking in public health. This article hopes to stimulate discussion by proposing a Global Registry of Anticipated Public Health Studies. This prospective, comprehensive system for tracking research in public health could help enhance collaboration and improve efficiency. Practical problems must be discussed before such a vision can be further developed.
在公共卫生领域,知识的产生、管理和传播都亟待大幅改进。知识产生方面存在的问题包括研究资金分配不均、发表偏倚、不必要的研究、跟风以及对新奇和紧迫问题的过度关注。知识产生受损,加上过时且不完善的知识管理流程以及低效的知识传播体系,意味着用于公共卫生决策的证据体系存在扭曲。本文希望通过提议建立一个全球公共卫生预研登记库来激发讨论。这个前瞻性的、全面的公共卫生研究跟踪系统有助于加强合作并提高效率。在进一步推进这一设想之前,必须先讨论实际问题。