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英国新冠疫情期间免费学校餐政策中的证据运用:一项主题内容分析

Evidence use in the UK's COVID-19 Free School Meals Policy: a thematic content analysis.

作者信息

Parnham Jennie C, McKevitt Sarah, Vamos Eszter P, Laverty Anthony A

机构信息

Public Health Policy Evaluation Unit, School of Public Health, Imperial College London, United Kingdom.

出版信息

Policy Des Pract. 2023 Jul 3;6(3):328-343. doi: 10.1080/25741292.2022.2112640. Epub 2022 Aug 22.

Abstract

Free School Meals (FSM) are a well-recognised intervention for tackling food insecurity among school children. National school closures during the COVID-19 pandemic meant that there was a need to rapidly adapt the delivery of FSM. A range of food-assistance policies were implemented, but it is not clear if they were evidence-based. This study aimed to determine the transparency of evidence use and identify other competing influences in the UK's FSM policy decisions. Thematic content analysis was used to review 50 publicly available policy documents and debate transcripts on FSM policy published between March 2020-2021. This period covered the first national school closures (March 2020-July 2020), school holidays and the second national school closures (January 2021- March 2021). The Evidence Transparency Framework was used to assess the transparency of evidence use in policy documents. We found that overall transparency of evidence use was poor but was better for the Holiday Activities and Food (HAF) programme. The Government showed preference for replacing FSM with food parcels, rather than more agentic modes of food assistance such as cash-vouchers. This preference appeared to be closely aligned with ideological views on the welfare state. With an absence of evidence, value-based reasoning took precedent and was polarised by social media. This paper highlights the need for a formal review into FSM, one which includes a comparison of low and high agentic food assistance policies. Such a review would address the evidence gap, improve food assistance policy, and aid policymakers in future periods of uncertainty.

摘要

免费学校餐(FSM)是一项公认的解决学童粮食不安全问题的干预措施。在新冠疫情期间全国学校关闭,这意味着需要迅速调整免费学校餐的供应方式。一系列粮食援助政策得以实施,但尚不清楚这些政策是否基于证据。本研究旨在确定英国免费学校餐政策决策中证据使用的透明度,并识别其他相互竞争的影响因素。采用主题内容分析法,对2020年3月至2021年期间发布的50份关于免费学校餐政策的公开政策文件和辩论记录进行审查。这一时期涵盖了首次全国学校关闭(2020年3月至2020年7月)、学校假期以及第二次全国学校关闭(2021年1月至2021年3月)。证据透明度框架被用于评估政策文件中证据使用的透明度。我们发现,总体而言证据使用的透明度较差,但“假日活动与食品”(HAF)计划的透明度相对较高。政府倾向于用食品包裹取代免费学校餐,而不是采用更具主动性的粮食援助方式,如现金券。这种偏好似乎与对福利国家的意识形态观点密切相关。在缺乏证据的情况下,基于价值观的推理占据了主导地位,并因社交媒体而两极分化。本文强调有必要对免费学校餐进行正式审查,其中应包括对低主动性和高主动性粮食援助政策的比较。这样的审查将填补证据空白,改善粮食援助政策,并在未来不确定时期帮助政策制定者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc36/7614982/ff7dedd3cf02/EMS152405-f001.jpg

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