Mkrtchyan Zaruhi, Moyo Yolanda, Bozzani Fiammetta, Ingold Heather, Medley Graham, Torres-Rueda Sergio, Terris-Prestholt Fern, Guinness Lorna, Foss Anna M, Ruiz Francis
Department of Global Health and Development, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7TH, United Kingdom.
Genesis Analytics, Health Practice, 50 6th Road, Hyde Park, Johannesburg 2196, South Africa.
Health Policy Plan. 2025 Aug 18;40(7):805-808. doi: 10.1093/heapol/czaf032.
The end of the COVID-19 global health emergency presents an opportunity to reflect on actions needed to enhance the effectiveness of responses to any future shocks. We highlight critical areas requiring attention from researchers and research commissioners to enhance the identification and adoption of 'good value' interventions, and we discuss the complexities of evidence-informed decision-making across multiple sectors, the evolving role of modeling, and the need for improved stakeholder engagement and institutional coordination to effectively address interconnected health and policy challenges. We conclude the commentary by making a set of related recommendations to support intervention identification and implementation. Researchers, policymakers, and other key stakeholders should: renew efforts to step out of silos and to develop methods and frameworks that link and synthesize evidence from multiple sources and perspectives, to support planetary health goals and the 'One Health' concept; support more research into understanding the constraints to adopting interventions regarded as good value for money, to enhance evaluation methods ex ante and to better inform systems and stakeholders of the implementation requirements; and maintain an ongoing commitment to equitable research partnerships to ensure that evidence use is relevant for the target settings.
新冠疫情全球卫生紧急状态的结束提供了一个契机,让我们反思为提高应对未来任何冲击的有效性所需采取的行动。我们强调了研究人员和研究资助者需要关注的关键领域,以加强对 “高性价比” 干预措施的识别和采用。我们还讨论了多部门循证决策的复杂性、建模的不断演变的作用,以及改善利益相关者参与和机构协调以有效应对相互关联的卫生和政策挑战的必要性。我们在评论结尾提出了一系列相关建议,以支持干预措施的识别和实施。研究人员、政策制定者和其他关键利益相关者应:重新努力打破各自为政的局面,开发能够将来自多个来源和视角的证据联系起来并进行综合的方法和框架,以支持地球健康目标和 “同一健康” 概念;支持开展更多研究,以了解采用被视为性价比高的干预措施所面临的制约因素,加强事前评估方法,并更好地向系统和利益相关者说明实施要求;持续致力于建立公平的研究伙伴关系,以确保证据的使用与目标环境相关。