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循证口腔健康政策制定:机遇与挑战。

Evidence-Informed Oral Health Policy Making: Opportunities and Challenges.

机构信息

Radboud University Medical Center, Radboud Institute of Health Sciences (RIHS), Department of Dentistry - Quality and Safety of Oral Healthcare, Nijmegen, the Netherlands.

Department for Health Evidence, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.

出版信息

J Dent Res. 2023 Nov;102(12):1293-1302. doi: 10.1177/00220345231187828. Epub 2023 Aug 10.

Abstract

Despite a clear need for improvement in oral health systems, progress in oral health systems transformation has been slow. Substantial gaps persist in leveraging evidence and stakeholder values for collective problem solving. To truly enable evidence-informed oral health policy making, substantial "know-how" and "know-do" gaps still need to be overcome. However, there is a unique opportunity for the oral health community to learn and evolve from previous successes and failures in evidence-informed health policy making. As stated by the Global Commission on Evidence to Address Societal Challenges, COVID-19 has created a once-in-a-generation focus on evidence, which has fast-tracked collaboration among decision makers, researchers, and evidence intermediaries. In addition, this has led to a growing recognition of the need to formalize and strengthen evidence-support systems. This article provides an overview of recent advancements in evidence-informed health policy making, including normative goals and a health systems taxonomy, the role of evidence-support and evidence-implementation systems to improve context-specific decision-making processes, the evolution of learning health systems, and the important role of citizen deliberations. The article also highlights opportunities for evidence-informed policy making to drive change in oral health systems. All in all, strengthening capacities for evidence-informed health policy making is critical to enable and enact improvements in oral health systems.

摘要

尽管口腔卫生系统明显需要改善,但口腔卫生系统的转型进展缓慢。在利用证据和利益相关者的价值观来共同解决问题方面,仍然存在很大差距。为了真正实现基于证据的口腔卫生政策制定,仍然需要克服大量的“知其然”和“知其所以然”的差距。然而,口腔卫生界有一个独特的机会,可以从以往基于证据的卫生政策制定的成功和失败中吸取经验教训,不断发展和进步。正如全球证据解决社会挑战委员会所述,COVID-19 引发了一代人一次的对证据的关注,这加速了决策者、研究人员和证据中介之间的合作。此外,这也促使人们越来越认识到需要正式化和加强证据支持系统。本文概述了基于证据的卫生政策制定方面的最新进展,包括规范性目标和卫生系统分类法、证据支持和证据实施系统在改善具体情况决策过程中的作用、学习卫生系统的演变,以及公民审议的重要作用。本文还强调了基于证据的政策制定在推动口腔卫生系统变革方面的机会。总之,加强基于证据的卫生政策制定能力对于改善口腔卫生系统至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7568/10604434/c1abcfd16483/10.1177_00220345231187828-fig1.jpg

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