为决策解释健康统计:头条新闻背后的故事
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
概括
了解健康估计对于做出明智的公共卫生决策至关重要. 本指南解释了疾病负担统计如何开发,并提供了关键评估其证据基础的技巧,将倡导与数据分开.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 卫生政策 卫生政策
背景情况:
- 复杂的公共卫生决策依赖于来自不同来源的疾病负担估计.
- 估计通常由倡导者"推销",可能在没有强有力的证据的情况下影响政策.
- 有信息的决策需要了解健康统计的发展和解释.
研究的目的:
- 解释公共卫生中使用的健康估计的发展.
- 为评估和解释疾病负担统计数据提供指导.
- 帮助用户区分倡导和基于证据的健康数据.
主要方法:
- 用于量化疾病负担和相关数据的不同级别估计的描述.
- 关于对健康统计的批判性评估和解释的指导.
- 为疾病负担数据的用户确定关键问题.
主要成果:
- 了解统计数据与实际疾病/死亡率之间的联系对于政策制定至关重要.
- 将宣传与证据区分开来,对于可靠的卫生政策制定至关重要.
- 全球和国家卫生机构在传达准确的疾病估计中发挥着至关重要的作用.
结论:
- 迫切需要一个共同的框架和标准化的方法来开发和传达健康估计.
- 在现有工作的基础上,例如儿童健康流行病学参考小组 (CHERG),可以推进这一目标.
- 改善对健康统计的理解和批判性评估将导致更有效的公共卫生政策.
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