Duke Global Health Institute, Center for Policy Impact in Global Health, 310 Trent Drive, Durham, NC 27708.
Duke Sanford School of Public Policy, 201 Science Dr, Durham, NC 27708.
Health Policy Plan. 2018 Apr 1;33(3):429-435. doi: 10.1093/heapol/czx179.
The Commission on Investing in Health (CIH), an international group of 25 economists and global health experts, published its Global Health 2035 report in The Lancet in December 2013. The report laid out an ambitious investment framework for achieving a "grand convergence" in health-a universal reduction in deaths from infectious diseases and maternal and child health conditions-within a generation. This article captures ten key elements that the CIH found important to its process and successful outcomes. The elements are presented in chronological order, from inception to post-publication activities. The starting point is to identify the gap that a new commission could help to narrow. A critical early step is to choose a chair who can help to set the agenda, motivate the commissioners, frame the commission's analytic work, and run the commission meetings in an effective way. In selecting commissioners, important considerations are their technical expertise, ensuring diversity of people and viewpoints, and the connections that commissioners have with the intended policy audience. Financial and human resources need to be secured, typically from universities, foundations, and development agencies. It is important to set a clear end date, so that the commission's work program, the timing of its meetings and its interim deadlines can be established. In-person meetings are usually a more effective mechanism than conference calls for gaining commissioners' inputs, surfacing important debates, and 'reality testing' the commission's key findings and messages. To have policy impact, the commission report should ideally say something new and unexpected and should have simple messages. Generating new empirical data and including forward-looking recommendations can also help galvanize policy action. Finally, the lifespan of a commission can be extended if it lays the foundation for a research agenda that is then taken up after the commission report is published.
投资于卫生保健委员会（CIH）是一个由 25 名经济学家和全球卫生专家组成的国际团体，于 2013 年 12 月在《柳叶刀》上发表了《全球卫生 2035 报告》。该报告为实现一代人内“大融合”（即普遍减少传染病和母婴健康状况造成的死亡）制定了雄心勃勃的投资框架。本文介绍了 CIH 在其进程中发现的十个关键要素，这些要素对其成功非常重要。这些要素按照时间顺序排列，从成立到发布后的活动。起点是确定一个新委员会可以帮助缩小的差距。一个关键的早期步骤是选择一位主席，他可以帮助设定议程、激励委员、构建委员会的分析工作，并有效地主持委员会会议。在选择委员时，重要的考虑因素是他们的技术专长、确保人员和观点的多样性，以及委员与预期政策受众的联系。财务和人力资源通常需要从大学、基金会和发展机构获得。设定明确的截止日期非常重要，这样委员会的工作计划、会议时间和中期截止日期才能确定。与电话会议相比，面对面会议通常是获取委员意见、发现重要辩论以及“检验”委员会关键发现和信息的更有效机制。为了产生政策影响，委员会报告最好提出新的、意想不到的观点，并具有简单的信息。生成新的经验数据并包括前瞻性建议也有助于推动政策行动。最后，如果委员会为研究议程奠定了基础，然后在委员会报告发布后继续进行该议程，那么委员会的寿命可以延长。
