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支持循证卫生决策的工具(STP)3:为支持循证决策制定优先级。

SUPPORT Tools for evidence-informed health Policymaking (STP) 3: Setting priorities for supporting evidence-informed policymaking.

机构信息

Centre for Health Economics and Policy Analysis, Department of Clinical Epidemiology and Biostatistics, McMaster University, 1200 Main St. West, HSC-2D3, Hamilton, ON, Canada, L8N 3Z5.

出版信息

Health Res Policy Syst. 2009 Dec 16;7 Suppl 1(Suppl 1):S3. doi: 10.1186/1478-4505-7-S1-S3.

Abstract

This article is part of a series written for people responsible for making decisions about health policies and programmes and for those who support these decision makers. Policymakers have limited resources for developing--or supporting the development of--evidence-informed policies and programmes. These required resources include staff time, staff infrastructural needs (such as access to a librarian or journal article purchasing), and ongoing professional development. They may therefore prefer instead to contract out such work to independent units with more suitably skilled staff and appropriate infrastructure. However, policymakers may only have limited financial resources to do so. Regardless of whether the support for evidence-informed policymaking is provided in-house or contracted out, or whether it is centralised or decentralised, resources always need to be used wisely in order to maximise their impact. Examples of undesirable practices in a priority-setting approach include timelines to support evidence-informed policymaking being negotiated on a case-by-case basis (instead of having clear norms about the level of support that can be provided for each timeline), implicit (rather than explicit) criteria for setting priorities, ad hoc (rather than systematic and explicit) priority-setting process, and the absence of both a communications plan and a monitoring and evaluation plan. In this article, we suggest questions that can guide those setting priorities for finding and using research evidence to support evidence-informed policymaking. These are: 1. Does the approach to prioritisation make clear the timelines that have been set for addressing high-priority issues in different ways? 2. Does the approach incorporate explicit criteria for determining priorities? 3. Does the approach incorporate an explicit process for determining priorities? 4. Does the approach incorporate a communications strategy and a monitoring and evaluation plan?

摘要

这篇文章是为负责制定卫生政策和规划的人员以及为这些决策者提供支持的人员编写的一系列文章之一。决策者在制定或支持循证政策和规划方面的资源有限。这些所需资源包括工作人员时间、工作人员基础设施需求(例如,获得图书馆员或期刊文章购买的机会)以及持续的专业发展。因此,他们可能更愿意将此类工作外包给具有更合适技能的工作人员和适当基础设施的独立单位。但是,决策者可能只有有限的财务资源来这样做。无论循证决策支持是内部提供还是外包提供,无论是集中还是分散,为了最大限度地发挥其影响力,资源始终需要明智地使用。在优先排序方法中,不理想的做法包括逐个案例协商支持循证决策制定的时间表(而不是对每个时间表可以提供的支持水平有明确的规范)、隐含(而不是明确)的优先排序标准、临时(而不是系统和明确)的优先排序过程,以及缺乏沟通计划和监测和评估计划。在本文中,我们建议了一些可以指导那些为寻找和使用研究证据以支持循证决策制定而确定优先事项的问题。这些问题是:1. 优先排序方法是否明确规定了以不同方式解决高优先级问题的时间表?2. 该方法是否纳入了确定优先级的明确标准?3. 该方法是否纳入了确定优先级的明确流程?4. 该方法是否纳入了沟通策略和监测和评估计划?

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8b8/3271830/d05db6e0c088/1478-4505-7-S1-S3-1.jpg

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