政策立案のための健康統計の解釈:見出しの背後にある物語
Neff Walker1, Jennifer Bryce, Robert E Black
1Division of Policy and Planning, UNICEF, New York 10017, USA. pneffwalker@yahoo.com
Lancet (London, England)
|March 21, 2007
まとめ
健康の見積もりを理解することは,公衆衛生に関する情報に基づいた意思決定に不可欠です. このガイドは,病気の負担統計がどのように開発されているかを説明し,その証拠基盤を批判的に評価するためのヒントを提供し,アドボカシーとデータを分離します.
科学分野:
- 公共衛生は公衆衛生である.
- エピデミオロジー エピデミオロジー
- 保健政策 保健政策 保健政策
背景:
- 複雑な公衆衛生上の決定は,さまざまな情報源からの疾病負担の推定値に依存しています.
- 推計は多くの場合,擁護者によって"販売"され,強力な証拠なしに政策に影響を与える可能性があります.
- 情報に基づいた意思決定には,健康統計の発展と解釈を理解することが必要です.
研究 の 目的:
- 公衆衛生で用いられる健康評価の発展を説明する.
- 疾病負担統計の評価と解釈に関するガイドラインを提供すること.
- ユーザがアドボカシーとエビデンスベースの健康データを区別するのを助けるために.
主な方法:
- 病気の負担と相関を定量化するためのさまざまなレベルの推定値の説明.
- 健康統計の批判的評価と解釈に関するガイドライン.
- 疾病負荷データの利用者のための重要な質問の特定.
主要な成果:
- 統計的な測定と実際の病気/死亡率の関連性を理解することは,政策にとって不可欠です.
- 支持と証拠を区別することは,信頼性の高い健康政策の策定に不可欠です.
- 世界的および国家的な保健機関は,正確な病気の推定を伝える上で重要な役割を果たしています.
結論:
- 健康評価の作成と伝達のために,共通の枠組みと標準化された方法が緊急に必要とされています.
- Child Health Epidemiology Reference Group (CHERG) などの既存の作業を基に,この目標を前進させることができます.
- 健康統計の理解と批判的評価の改善は,より効果的な公衆衛生政策につながります.
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