Corbett Jennie, d'Angelo Camilla, Gangitano Lorenzo, Freeman Jon
Rand Health Q. 2018 Apr 1;7(3):1. eCollection 2018 Apr.
This article presents findings from a survey conducted by RAND Europe at the request of the National Institute for Health Research (NIHR) to gather and synthesise stakeholder views on the future of health and healthcare in England in 20 to 30 years' time. The aim of the research was to generate an evidenced-based picture of the future health and healthcare needs, and how it might differ from today, in order to inform strategic discussions about the future priorities of the NIHR and the health and social care research communities more broadly. The survey provided a rich and varied dataset based on responses from 300 stakeholders in total. A wide range of fields were represented, including public health, social care, primary care, cancer, genomics, mental health, geriatrics, child health, patient advocacy and health policy. The respondent group also included a number of professional and private stakeholder categories, such as clinicians, policy experts, academics and patient and public representatives. The study findings validate a number of prominent health research priorities currently visible in England, such as antimicrobial resistance, the burden of dementia and age-related multi-morbidity, digital health and genomics. Interest in these areas and other themes, such as mental health, health inequalities and transforming health service models, cut across multiple disciplinary boundaries. However, it is clear that there are a variety of views among stakeholders on the relative importance of these areas of focus, and the best approach to manage their emergence in the coming decades. The full dataset of survey responses, for which permission to share was given, is a useful resource for those seeking to engage with a particular issue in more depth. The dataset can be found on NIHR's website at: http://nihr.ac.uk/news-and-events/documents/quotes.xls.
本文介绍了兰德欧洲公司应英国国家卫生研究院（NIHR）要求开展的一项调查结果，旨在收集和综合利益相关者对未来20至30年英格兰健康与医疗保健状况的看法。该研究的目的是基于证据描绘未来的健康与医疗保健需求，以及其与当前情况可能存在的差异，以便为关于NIHR及更广泛的健康与社会护理研究界未来优先事项的战略讨论提供信息。该调查基于总共300名利益相关者的回复，提供了丰富多样的数据集。涵盖了广泛的领域，包括公共卫生、社会护理、初级护理、癌症、基因组学、心理健康、老年医学、儿童健康、患者权益倡导和健康政策。受访者群体还包括一些专业和私人利益相关者类别，如临床医生、政策专家、学者以及患者和公众代表。研究结果证实了目前在英格兰可见的一些突出的健康研究优先事项，如抗菌药物耐药性、痴呆症负担和与年龄相关的多种疾病、数字健康和基因组学。对这些领域以及其他主题（如心理健康、健康不平等和转变医疗服务模式）的兴趣跨越了多个学科界限。然而，很明显，利益相关者对这些重点领域的相对重要性以及在未来几十年应对它们出现的最佳方法存在各种不同观点。经许可分享的完整调查回复数据集，对于那些希望更深入探讨特定问题的人来说是一个有用的资源。该数据集可在NIHR的网站上找到：http://nihr.ac.uk/news-and-events/documents/quotes.xls 。
