公衆衛生と政策における麻痺:証拠がアリバイになる時
Habib Benzian1, Matthew P Fox2, Sudeshni Naidoo3
1WHO Collaborating Centre for Oral Health, Faculty of Dentistry, University of the Western Cape, Cape Town, South Africa; School of Dentistry, University of Sydney, Sydney, NSW, Australia.
The Lancet. Public health
|February 12, 2026
まとめ
公衆衛生の証拠は,しばしば,既知の課題に対する行動を遅らせ,無行動のアリバイとして機能します. システムは,公衆衛生上の決定のための達成不能な確実性を待つのではなく,不完全な知識に基づいて行動し,適応するように設計されなければならない.
科学分野:
- 公衆衛生は公衆衛生である.
- 保健政策 保健政策 保健政策
- 意思決定科学 意思決定科学
背景:
- 現代の公衆衛生は,豊富なデータと高度な分析に直面しています.
- それにもかかわらず,既成の健康問題に対する適切な対応は,しばしば延期されます.
- 証拠は,意思決定を導くのではなく,遅延を正当化するためにますます使用されています.
研究 の 目的:
- 公衆衛生における"分析麻痺"にどのようにエビデンス要件がつながるかを分析する.
- 公衆衛生システムが不確実性下で行動し,適応するための枠組みを提案する.
- 公衆衛生の意思決定において,達成できない確実性への依存に挑戦すること.
主な方法:
- 最近の公衆衛生政策の経験の質的分析.
- 意思決定プロセスにおける証拠の役割の検討.
- 適応的公衆衛生システムのための概念的枠組みの開発.
主要な成果:
- 証拠要求の拡大は,精錬を優先することによって,実施を妨げることができます.
- 不確実性は,しばしば責任を引きずり,必要な行動を遅らせるために使用されます.
- 現在のエビデンスパラダイムは,公衆衛生における"分析麻痺"につながる可能性があります.
結論:
- 公衆衛生上の課題は,知識が不完全であっても,適時に行動することが必要である.
- 公共衛生システムは,繰り返しの行動,学習,適応のために設計されるべきである.
- 達成できない確実性の追求を超越することは,効果的な公衆衛生に不可欠です.
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