Bennett Sara, Adam Taghreed, Zarowsky Christina, Tangcharoensathien Viroj, Ranson Kent, Evans Tim, Mills Anne
Alliance for Health Policy and Systems Research, WHO, Geneva, Switzerland.
Lancet. 2008 Nov 1;372(9649):1571-8. doi: 10.1016/S0140-6736(08)61658-X.
In 2004, the ministerial summit in Mexico drew attention to the historic neglect of health policy and systems research (HPSR) and called for increased funding, investment in national institutional capacity for HPSR, and resources for selected priority research topics. On the basis of meeting discussions, published reports, and available data from research funders and organisations in low-income and middle-income countries, we discuss how HPSR has evolved since the summit in Mexico. Funding for HPSR, particularly in low-income countries, is mainly supported by international and bilateral organisations. Increased interest in health systems has translated into increased support for HPSR. However, small grants and lack of coordination between funders inhibit capacity development, and substantial gaps remain between institutional capacities of high-income and low-income countries. Lack of national capacity is judged to be the key constraint to the development of HPSR. Recommendations from the summit in Mexico remain pertinent, and momentum towards their achievement must be accelerated through the ministerial forum in Mali and beyond.
2004年，在墨西哥举行的部长级峰会引起了人们对卫生政策与系统研究（HPSR）长期被忽视的关注，并呼吁增加资金投入，投资于国家HPSR机构能力建设，以及为选定的优先研究课题提供资源。基于会议讨论、已发表的报告以及来自低收入和中等收入国家研究资助者与组织的现有数据，我们探讨了自墨西哥峰会以来HPSR是如何发展的。HPSR的资金，尤其是在低收入国家，主要由国际和双边组织提供支持。对卫生系统兴趣的增加已转化为对HPSR的更多支持。然而，小额赠款以及资助者之间缺乏协调阻碍了能力发展，高收入国家和低收入国家的机构能力之间仍存在巨大差距。国家能力的缺乏被认为是HPSR发展的关键制约因素。墨西哥峰会的建议仍然具有相关性，必须通过在马里及其他地区举行的部长级论坛加速实现这些建议的势头。
