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准实验研究设计系列论文13:实现准实验在健康研究中的全部潜力。

Quasi-experimental study designs series-paper 13: realizing the full potential of quasi-experiments for health research.

作者信息

Rockers Peter C, Tugwell Peter, Røttingen John-Arne, Bärnighausen Till

机构信息

Department of Global Health, Boston University School of Public Health, Room 384, 801 Massachusetts Avenue, Boston, MA 02118, USA.

Department of Medicine, University of Ottawa, 43 Bruyère St, Ottawa, Ontario, Canada K1N 5C7.

出版信息

J Clin Epidemiol. 2017 Sep;89:106-110. doi: 10.1016/j.jclinepi.2017.03.016. Epub 2017 Apr 6.

Abstract

Although the number of quasi-experiments conducted by health researchers has increased in recent years, there clearly remains unrealized potential for using these methods for causal evaluation of health policies and programs globally. This article proposes five prescriptions for capturing the full value of quasi-experiments for health research. First, new funding opportunities targeting proposals that use quasi-experimental methods should be made available to a broad pool of health researchers. Second, administrative data from health programs, often amenable to quasi-experimental analysis, should be made more accessible to researchers. Third, training in quasi-experimental methods should be integrated into existing health science graduate programs to increase global capacity to use these methods. Fourth, clear guidelines for primary research and synthesis of evidence from quasi-experiments should be developed. Fifth, strategic investments should be made to continue to develop new innovations in quasi-experimental methodologies. Tremendous opportunities exist to expand the use of quasi-experimental methods to increase our understanding of which health programs and policies work and which do not. Health researchers should continue to expand their commitment to rigorous causal evaluation with quasi-experimental methods, and international institutions should increase their support for these efforts.

摘要

尽管近年来健康领域研究人员开展的准实验数量有所增加,但在全球范围内,利用这些方法对健康政策和项目进行因果评估的潜力显然仍未得到充分发挥。本文针对如何在健康研究中充分利用准实验的价值提出了五条建议。首先,应向广大健康领域研究人员提供新的资金机会,以资助那些采用准实验方法的研究提案。其次,应让研究人员更容易获取通常适用于准实验分析的健康项目行政数据。第三,应将准实验方法培训纳入现有的健康科学研究生课程,以提高全球运用这些方法的能力。第四,应制定关于准实验的初步研究和证据综合的明确指南。第五,应进行战略投资,继续推动准实验方法的新创新。扩大准实验方法的应用存在巨大机遇,有助于我们更好地理解哪些健康项目和政策有效,哪些无效。健康领域研究人员应继续加大力度,采用准实验方法进行严格的因果评估,国际机构也应增加对这些努力的支持。

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