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健康指標と評価:科学の強化
Christopher J L Murray1, Julio Frenk
1Institute for Health Metrics and Evaluation, Seattle, Washington 98121, USA. cjlm@u.washington.edu
Lancet (London, England)
|April 9, 2008
まとめ
グローバルな健康指標と評価のための科学的基盤を開発することは極めて重要です. データの比較性,バイアス,および検証に関する課題に対処することは,グローバルな健康知識の進歩に不可欠です.
科学分野:
- グローバル・ヘルス グローバル・ヘルス
- 健康指標と評価について
- 科学的評価 科学的評価
背景:
- グローバル・アジェンダでは,健康がますます重視され,メトリックと評価のための強力な科学的基盤が必要になっています.
- この分野には,健康成果,社会成果,保健サービス,資源投入,プログラム評価,政策分析が含まれています.
研究 の 目的:
- 健康指標と評価の科学的基盤を強化するために不可欠な主要なトピックと活動を調査する.
- この分野の発展を妨げている科学的な課題や障壁を特定し,議論する.
- 信頼性の高いデータと方法を通じて,世界の健康に関する知識を向上させるための協調的な行動を提案する.
主な方法:
- 保健成果,保健システム,政策分析を含む主要なトピックの探求.
- 方法開発,データ標準化,能力構築などの重要な活動の特定.
- データの比較性,バイアス,欠落したデータ,モデルの検証などの一般的な科学的問題の分析.
主要な成果:
- 重要な科学的な課題と制度的な障壁は,健康指標と評価の進展を妨げています.
- 共通の問題には,測定の比較性が限られていること,データバイアスが修正されていないこと,欠落したデータに対する標準的なアプローチが欠如していること,および病気のモデルが検証されていないことが含まれます.
- 世界保健の進歩のために知識の生産,再現,利用を確保するために,協調的な行動が必要である.
結論:
- 健康指標と評価の科学的基盤を強化することは,世界保健にとって極めて重要です.
- データ品質,標準化,モデルの検証における課題を克服することが極めて重要です.
- グローバルな健康成果の改善のために信頼できる知識を生産し,使用するために,協力的な努力が不可欠です.
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