从数据到政策:最佳实践和警示性故事
Carla AbouZahr1, Sam Adjei, Churnrurtai Kanchanachitra
1Health Metrics Network, World Health Organization, 27 Avenue Appia, 1211 Geneva 27, Switzerland. abouzahrc@who.int
Lancet (London, England)
|March 27, 2007
概括
有效的健康统计对于基于证据的政策至关重要. 本研究概述了一个克服障碍的框架,促进全球数据使用以获得更好的健康结果.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 生物统计学 生物统计学
背景情况:
- 健全的统计数据对于基于证据的政策制定至关重要.
- 许多制度,政治和实际障碍阻碍了健康数据的有效利用.
- 卫生统计与国家和国际层面的政策制定之间的关系需要研究.
研究的目的:
- 分析卫生统计和政策制定之间的相互作用.
- 提出一个框架,促进从数据向政策的过渡.
- 确定改善卫生统计在政策中的使用的良好实践.
主要方法:
- 审查有关卫生统计和决策的现有文献和实践.
- 为数据转化为政策制定一个四重框架.
- 确定利用健康数据为政策制定所面临的关键挑战和促进因素.
主要成果:
- 提出了一个四重框架,以弥合数据和政策之间的差距.
- 关键的良好实践包括数据协调,增强沟通,国家所有权和管理利益冲突.
- 需要在数据收集和数据分析和解释能力建设方面进行大量投资.
结论:
- 克服卫生统计使用障碍需要采取多方面的方法.
- 实施拟议的框架和良好实践可以改善基于证据的政策制定.
- 加强国家在数据分析和呈现方面的能力对于有效的卫生政策制定至关重要.
相关概念视频
Hindsight Biases
Hindsight bias leads you to believe that the event you just experienced was predictable, even though it really wasn’t. In other words, you knew all along that things would turn out the way they did. Can you relate this to the phrase "Hindsight is 20/20" now?
Persuasion Strategies
Researchers have tested many persuasion strategies, including the foot-in-the door and the door-in-the-face techniques, in a variety of contexts. Ultimately, the principles are effective in selling products and changing people’s attitude, ideas, and behaviors (Cialdini & Goldstein, 2004).
What Are Outliers?
Outliers are observed data points that are far from the least squares line. They have unusual values and need to be examined carefully. Though an outlier may result from erroneous data, at other times, it may hold valuable information about the population under study and should be included in the data. Hence, it is crucial to examine what causes a data point to be an outlier.
The z score is used to find outliers or unusual values. It should be noted that any values beyond -2 and +2 are...
The z score is used to find outliers or unusual values. It should be noted that any values beyond -2 and +2 are...
Unusual Results
Unusual results are those that have a very low chance of occurring. Unusual results can be identified using probabilities and the range rule of thumb. In problems involving probability, unusual results can be observed in 2 instances – an unusually high number of successes or an unusually low number of successes.
According to the range rule of thumb, any value above or below two standard deviations, 2σ from the mean, μ is considered unusual.
Maximum unusual value = μ + 2σ
Minimum unusual value...
According to the range rule of thumb, any value above or below two standard deviations, 2σ from the mean, μ is considered unusual.
Maximum unusual value = μ + 2σ
Minimum unusual value...
Actuarial Approach
The actuarial approach, a statistical method originally developed for life insurance risk assessment, is widely used to calculate survival rates in clinical and population studies. This method accounts for participants lost to follow-up or those who die from causes unrelated to the study, ensuring a more accurate representation of survival probabilities.
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
Censoring Survival Data
Survival analysis is a statistical method used to analyze time-to-event data, often employed in fields such as medicine, engineering, and social sciences. One of the key challenges in survival analysis is dealing with incomplete data, a phenomenon known as "censoring." Censoring occurs when the event of interest (such as death, relapse, or system failure) has not occurred for some individuals by the end of the study period or is otherwise unobservable, and it might have many different reasons...

