现在的健康统计:我们正在做出正确的投资吗?
J Ties Boerma1, Sally K Stansfield2
1Evidence and Information for Policy, WHO, 1211 CH Geneva 27, Switzerland.
Lancet (London, England)
|March 6, 2007
概括
国际卫生资金需要更好的统计数据来实现问责制. 投资国家健康信息系统对于准确,及时的数据至关重要,以满足不断变化的健康需求并改善决策.
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 全球卫生统计数据 统计数据
背景情况:
- 增加国际卫生资金需要提高绩效跟踪和问责制的统计能力.
- 全球发展目标,如千年发展目标 (MDGs),增加了对发展中国家高质量及时健康数据的需求.
- 不断增加的数据需求揭示了发展中国家的健康统计数据的可用性存在重大差距,这为增强提供了机会.
研究的目的:
- 解决改善发展中国家卫生统计数据供应和利用的挑战和机遇.
- 倡导从过度的指标扩散到对数据生成和分析进行系统投资的战略转变.
- 强调卫生统计需要涵盖更广泛的健康问题,而不仅仅是传染病,包括根据社会经济地位分类的慢性病和伤害.
主要方法:
- 分析健康统计数据供不应求的原因,包括测量工具,数据收集方法和分析方法.
- 审查发展目标对数据要求和报告负担的影响.
- 审查国家家庭调查的作用和综合健康调查计划的必要性.
主要成果:
- 当前的监测和评估框架往往导致过度报告,将注意力从基本数据生成和分析转移.
- 统计基础设施不足,数据收集不足,分析方法不足,阻碍了生产可靠的健康统计数据.
- 对千年发展目标等具体目标的关注忽视了更广泛的健康转型,需要对健康数据收集采取更全面的方法.
- 国家调查需要简化为统一的健康调查计划,以提高数据质量和效用.
结论:
- 为了有效的决策,迫切需要加快准确,完整和及时的健康统计数据的生产和使用.
- 投资国家健康信息系统,利用标准化数据收集和分析方法的组合是必不可少的.
- 这些系统必须有效地满足国家和国际卫生数据需求,适应不断变化的卫生环境.
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