基于共识制定的巴西卫生系统循证决策能力概况：过程和结果。

An evidence-informed policymaking (EIPM) competency profile for the Brazilian Health System developed through consensus: process and outcomes.

机构信息

Hospital Sírio-Libanês, São Paulo, Brazil.

Fiocruz (Oswaldo Cruz Foundation), Brasília, Brazil.

出版信息

Health Res Policy Syst. 2023 Oct 12;21(1):105. doi: 10.1186/s12961-023-01052-z.

DOI:10.1186/s12961-023-01052-z

PMID:37828575

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10571264/

Abstract

BACKGROUND

Evidence-informed policymaking (EIPM) requires a set of individual and organizational knowledge, skills and attitudes that should be articulated with background factors and needs. In this regard, the development of an EIPM competency profile is important to support the diagnosis, planning and implementation of EIPM.

PURPOSE

To present the process and outcomes of the development of an EIPM competency profile by an expert committee, to be applied in different contexts of the Brazilian Health System.

METHODS

A committee of experts in EIPM shared different views, experiences and opinions to develop an EIPM competency profile for Brazil. In six consensus workshops mediated by facilitators, the committee defined from macro problems to key actions and performances essential for the competency profile. The development steps consisted of: (1) Constitution of the committee, including researchers, professionals with practical experience, managers, and educators; (2) Development of a rapid review on EIPM competency profiles; (3) Agreement on commitments and responsibilities in the processes; (4) Identification and definition of macro problems relating to the scope of the competency profile; and (5) Outlining of general and specific capacities, to be incorporated into the competency profile, categorized by key actions.

RESULTS

The development of the EIPM competency profile was guided by the following macro problems: (1) lack of systematic and transparent decision-making processes in health policy management; (2) underdeveloped institutional capacity for knowledge management and translation; and (3) incipient use of scientific evidence in the formulation and implementation of health policies. A general framework of key actions and performances of the EIPM Competency Profile for Brazil was developed, including 42 specific and general key actions distributed by area of activity (Health Management, Scientific Research, Civil Society, Knowledge Translation, and Cross-sectional areas).

CONCLUSIONS

The competency profile presented in this article can be used in different contexts as a key tool for the institutionalization of EIPM.

摘要

背景

循证决策（EIPM）需要一套个人和组织知识、技能和态度，这些知识、技能和态度应该与背景因素和需求联系起来。在这方面，制定 EIPM 能力概况对于支持 EIPM 的诊断、规划和实施非常重要。

目的

介绍一个专家委员会制定 EIPM 能力概况的过程和结果，该能力概况将适用于巴西卫生系统的不同背景。

方法

一个由 EIPM 专家组成的委员会分享了不同的观点、经验和意见，为巴西制定了 EIPM 能力概况。在六次由主持人主持的共识研讨会中，委员会从宏观问题到关键行动和绩效定义了能力概况的关键要素。开发步骤包括：（1）委员会的组成，包括研究人员、具有实践经验的专业人员、管理人员和教育工作者；（2）快速审查 EIPM 能力概况；（3）对流程中的承诺和责任达成一致；（4）确定与能力概况范围相关的宏观问题；（5）概述一般和具体能力，将其分类为关键行动，纳入能力概况。

结果

EIPM 能力概况的制定遵循以下宏观问题：（1）卫生政策管理中缺乏系统和透明的决策过程；（2）知识管理和转化的机构能力不足；（3）在制定和实施卫生政策方面，科学证据的使用刚刚起步。制定了巴西 EIPM 能力概况的一般关键行动和绩效框架，包括 42 项具体和一般关键行动，按活动领域（卫生管理、科学研究、民间社会、知识转化和跨领域）分布。