更快地做出更明智的决策：系统工程改善全球应对艾滋病毒的公共卫生反应。
Making Smarter Decisions Faster: Systems Engineering to Improve the Global Public Health Response to HIV.
机构信息
Department of Global Health, University of Washington, Seattle, WA, USA.
Department of Industrial & Systems Engineering, University of Washington, Seattle, WA, USA.
出版信息
Curr HIV/AIDS Rep. 2019 Aug;16(4):279-291. doi: 10.1007/s11904-019-00449-2.
Abstract
PURPOSE OF REVIEW
This review offers an operational definition of systems engineering (SE) as applied to public health, reviews applications of SE in the field of HIV, and identifies opportunities and challenges of broader application of SE in global health.
RECENT FINDINGS
SE involves the deliberate sequencing of three steps: diagnosing a problem, evaluating options using modeling or optimization, and providing actionable recommendations. SE includes diverse tools (from process improvement to mathematical modeling) applied to decisions at various levels (from local staffing decisions to planning national-level roll-out of new interventions). Contextual factors are crucial to effective decision-making, but there are gaps in understanding global decision-making processes. Integrating SE into pre-service training and translating SE tools to be more accessible could increase utilization of SE approaches in global health. SE is a promising, but under-recognized approach to improve public health response to HIV globally.
摘要
目的综述
本文对公共卫生领域系统工程（SE）的应用进行了操作性定义，回顾了 SE 在 HIV 领域的应用，并确定了在全球卫生领域更广泛应用 SE 的机会和挑战。
最近的发现
SE 涉及三个步骤的精心排序：诊断问题，使用建模或优化评估选项，以及提供可行的建议。SE 包括各种工具（从流程改进到数学建模），应用于不同层次的决策（从当地人员配备决策到规划新干预措施在国家层面的推出）。背景因素对有效决策至关重要，但对全球决策过程的理解存在差距。将 SE 纳入岗前培训并将 SE 工具转化为更易于使用的形式，可以增加全球卫生领域对 SE 方法的利用。SE 是一种有前途但尚未得到充分认识的方法，可以改善全球对 HIV 的公共卫生应对。
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