卫生系统知证政策指导：评估对研究证据的信心

作     者：Simon Lewin Xavier Bosch-Capblanch Sandy Oliver Elie A.Akl Gunn E.Vist John N.Lavis Davina Ghersi John-Arne Rottingen Peter Steinmann Metin Gulmezoglu Peter Tugwell Fadi ElJardali Andy Haines 王小琴(译) 王琪(译) 陈耀龙(审校) 杨克虎(审校) 

作者机构：Norwegian Knowledge Centre for the Health ServicesOsloNorwayand Health Systems Research UnitMedical Research Council of South AfricaCape TownSouth Africa Swiss Tropical and Public Health InstituteBaseland University of BaselBaselSwitzerland EPPI-CentreSocial Science Research UnitInstitute of EducationLondonUnited Kingdom Department of MedicineState University of New York at BuffaloBuffaloNew YorkUnited States of Americaand Department of Clinical Epidemiology and BiostatisticsMcMaster UniversityHamiltonOntarioCanada Norwegian Knowledge Centre for the Health ServicesOsloNorway McMaster Health ForumCentre for Health Economics and Policy AnalysisDepartment of Clinical Epidemiology and Biostatisticsand Department of Political ScienceMcMaster UniversityHamiltonOntarioCanada Department of Research Policy and CooperationInformationl Evidence and ResearchWorld Health OrganizationGenevaSwitzerland Norwegian Knowledge Centre for the Health ServicesOsloNorway Swiss Tropical and Public Health InstituteBaselSwitzerland UNDP/UNFPA/WHO/World Bank Special Programmer of ResearchDevelopment and Research Training in Human ReproductionWorld Health OrganizationSwitzerland Department of MedicineInstitute of Population Healthand Department of Epidemiology and Community MedicineUniversity of OttawaOttawaCanada Department of Health Policy and ManagementAmerican University of BeirutBeirutLebanonand McMaster Health ForumMcMaster UniversityHamiltonOntarioCanada Departments of Social and Environmental Health Research and of Nutrition and Public Health ResearchLondon School of Hygiene and Tropical MedicineLondonUnited Kingdom 兰州大学循证医学中心/中国GRADE中心兰州大学基础医学院兰州730000 甘肃省循证医学与临床转化重点实验室兰州730000 

出 版 物：《中国循证医学杂志》 (Chinese Journal of Evidence-based Medicine)

年 卷 期：2014年第14卷第7期

页      面：789-794页

学科分类：12[管理学] 1204[管理学-公共管理] 120401[管理学-行政管理] 1004[医学-公共卫生与预防医学(可授医学、理学学位)] 10[医学] 

主　　题：卫生系统 评价证据 政策指导 信心 评估 利益相关者 PLoS 卫生干预 

摘      要：本文是《PLoS Medicine》关于卫生系统知证政策指导三篇系列文章的第三篇,阐述了应如何将证据转化为指导,以形成卫生系统政策,并促进临床和公共卫生干预的实施。其要点如下:①评估不同类型研究证据是决定解决卫生系统问题的政策方案的关键;②鉴于许多卫生系统干预的复杂性,系统透明的评价方法尤为重要;③当前有不少好的工具可用于评价对支持政策制定各阶段不同类型的研究证据的信心,其中评价关于效果的证据最多;④我们需要制定工具来帮助评价其他关键因素的系统评价证据,如政策方案对于利益相关者的可接受性、实施可行性及公平性;⑤还需要进一步研究全球卫生系统指导政策方案的制定、构建及呈现方法。