从监测到行动:芬兰在国家政策制定与实施中对健康调查数据的利用
From monitoring to action: utilising health survey data in national policy development and implementation in Finland.
作者信息
Kilpeläinen Katri, Koponen Päivikki, Tolonen Hanna, Koskinen Seppo, Borodulin Katja, Gissler Mika
机构信息
Department of Welfare, Finnish Institute for Health and Welfare, Welfare and Health Promotion Unit, Mannerheimintie 166, FI- 00270 Helsinki, Finland.
Department of Public Health Solutions, Finnish Institute for Health and Welfare, Mannerheimintie 166, FI- 00270 Helsinki, Finland.
出版信息
Arch Public Health. 2019 Nov 13;77:48. doi: 10.1186/s13690-019-0374-9. eCollection 2019.
BACKGROUND
Health interview and examination surveys provide valuable information for policy, practice and research purposes. Appropriate use of high-quality, representative and timely population data can indirectly help the citizens to live healthier and longer lives. The aim of this study was to review how health survey data have supported health policy making, health research and everyday health care in Finland.
METHODS
Data were collected by focused interviews with ten Finnish senior experts from the Ministry of Social Affairs and Health, political parties, National Institute for Health and Welfare, universities, and health associations.
RESULTS
Most interviewees agreed that health surveys have positively affected the health of the population over the past 50 years - through health strategies, care guidelines, legislation, research, prevention programs, risk calculators, and healthier products on the market. There is also a need for further development: the latest research results should be provided in a nutshell for politicians, and effective tools should be developed more for health care professionals' use. The coverage of health information on children, adolescents, oldest old, disabled persons, migrants and ethnic minorities should be improved.
CONCLUSIONS
Sound health policy and its successful implementation require extensive national cooperation and new communication strategies between policy makers, researchers, health care professionals, health service providers - and citizens. The future health information system in Finland should better cover all population groups. To obtain more comprehensive health information, the possibilities for register linkages should be secured and register data should be further evaluated and developed to serve health monitoring purposes.
背景
健康访谈与检查调查为政策制定、实践及研究目的提供了宝贵信息。合理使用高质量、具有代表性且及时的人口数据能够间接帮助公民更健康长寿地生活。本研究旨在回顾芬兰的健康调查数据如何支持健康政策制定、健康研究及日常医疗保健。
方法
通过对来自社会事务与卫生部、政党、国家卫生与福利研究所、大学及健康协会的十位芬兰资深专家进行重点访谈来收集数据。
结果
大多数受访者一致认为,在过去50年里,健康调查通过健康战略、护理指南、立法、研究、预防项目、风险计算器以及市场上更健康的产品,对民众健康产生了积极影响。仍有进一步发展的需求:应向政治家简要提供最新研究成果,并且应更多地开发有效工具供医疗保健专业人员使用。应改善关于儿童、青少年、高龄老人、残疾人、移民及少数族裔的健康信息覆盖范围。
结论
合理的健康政策及其成功实施需要政策制定者、研究人员、医疗保健专业人员、健康服务提供者以及公民之间广泛的国家合作与新的沟通策略。芬兰未来的健康信息系统应更好地覆盖所有人群。为获取更全面的健康信息,应确保进行登记关联的可能性,并应进一步评估和开发登记数据以用于健康监测目的。