在全国范围内确定公共卫生重点:苏格兰的经验
C Sumpter1, M Bain2, G McCartney3
1Public Health Consultant, NHS Lothian, UK.
Public health in practice (Oxford, England)
|June 22, 2023
概括
苏格兰面临着低预期寿命和健康不平等. 一个快速的,基于证据的优先考虑过程,让利益相关者参与确定重点公共卫生优先事项,展示了成功的协作方法.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 医疗保健服务研究 医疗服务研究
背景情况:
- 苏格兰的预期寿命在西欧最低,健康不平等也很大.
- 2015年的一项全国性审查强调,各组织缺乏协调行动,阻碍了公共卫生的进步.
研究的目的:
- 描述一种快速,系统和基于证据的方法,以优先考虑苏格兰的公共卫生挑战.
- 详细说明一个涉及重大利益相关者参与的过程,以实现透明的优先设定.
主要方法:
- 一个采用与利益相关者进行审议会议的跨部门调查.
- 一个独立的专家咨询小组 (EAG) 制定了一个公共卫生优先级类型和排名标准.
- 利益相关者活动精细化了标准,并对潜在的优先事项进行了评分.
主要成果:
- 建立了公共卫生优先事项的类型:风险因素,社会因素和系统因素.
- 确定了优先级评估的15个标准,重点关注负担,适应变化和利益相关者的偏好.
- 根据利益相关者的意见,EAG选择了六个重点公共卫生重点.
结论:
- 确定公共卫生优先级至关重要,但由于数据限制和利益相关者的观点分歧,这是一项具有挑战性的工作.
- 苏格兰的经验表明,在公共卫生优先事项上可以通过透明,参与和逻辑的过程达成共识.
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