Bhaumik Soumyadeep
Senior Research Scientist, South Asian Cochrane Network and Centre, Prof. BV Moses Centre for Research and Training in Evidence Informed Health Care and Health, Christian Medical College, Vellore, Tamil Nadu, India.
J Family Med Prim Care. 2014 Oct-Dec;3(4):313-7. doi: 10.4103/2249-4863.148098.
India plans to roll-out universal health coverage in spite of having one of the lowest governments spending on health in the world. A scenario such as this means that health policy decisions particularly with respect to priority setting and resource allocation are often difficult and riddled with difficult choices. Moreover, a variety of decisions and determinants beyond the barriers of the health system has to be taken into account in a pluralistic and diverse nation like India during the healthy policy making process. The review provides a brief overview on the current policy making scenario, where often decisions are not based on latest research evidence, but on placating powerful activist groups and is more problem oriented rather than being solution oriented. Various opportunities which exist in order to incorporate evidence in order to inform health policy are discussed. The article highlights the need to develop a transparent, inclusive and independent mechanism to prospectively appraise all available evidence and help inform policy-making based on predetermined criteria and to as evaluate the impact of policy decisions thereby helping in knowledge creation, translation as well as its implementation.
尽管印度政府在医疗卫生方面的支出处于世界最低水平之一，但印度仍计划推行全民健康覆盖。这样的情况意味着，卫生政策决策，尤其是在确定优先事项和资源分配方面，往往困难重重，充满艰难抉择。此外，在像印度这样多元化的国家，在制定卫生政策的过程中，必须考虑到卫生系统之外的各种决策和决定因素。本综述简要概述了当前的政策制定情况，在这种情况下，决策往往不是基于最新的研究证据，而是为了安抚强大的激进组织，而且更多是问题导向而非解决方案导向。文中讨论了为将证据纳入以指导卫生政策而存在的各种机会。本文强调需要建立一个透明、包容和独立的机制，以预先评估所有可用证据，并根据预先确定的标准帮助为政策制定提供信息，同时评估政策决策的影响，从而有助于知识的创造、转化及其实施。
