通过共识开发的巴西卫生系统的基于证据的决策 (EIPM) 能力概况:过程和结果
Jorge Otávio Maia Barreto1,2, Davi Mamblona Marques Romão3,4, Cecilia Setti3,4
1Hospital Sírio-Libanês, São Paulo, Brazil. jorgeomaia@hotmail.com.
这项研究为巴西制定了基于证据的政策制定 (EIPM) 能力概况. 该概况解决了卫生政策中的关键挑战,并支持了EIPM的制度化.
科学领域:
- 公共卫生 公共卫生
- 卫生政策分析 卫生政策分析
- 组织发展组织发展.
背景情况:
- 基于证据的政策制定 (EIPM) 需要特定的个人和组织能力.
- 制定EIPM能力概况对于诊断,规划和实施有效的卫生政策至关重要.
- 现有的EIPM框架需要适应不同的医疗保健系统环境.
研究的目的:
- 概述国家EIPM能力概况的开发过程和成果.
- 为EIPM创建一个标准化的框架,适用于整个巴西卫生系统.
- 促进科学证据融入卫生政策和管理.
主要方法:
- 召集了一个由研究人员,从业人员,经理和教育工作者组成的专家委员会.
- 对现有的EIPM能力资料进行了快速审查.
- 利用六个共识研讨会来定义宏观问题,关键行动和绩效.
- 定义了能力配置文件的一般和特定能力,按活动领域分类.
主要成果:
- 根据EIPM的能力概况,宏观问题包括缺乏系统决策,知识管理欠发达,以及初步使用证据.
- 制定了一个由42个关键行动和绩效组成的综合框架.
- 个人资料的结构跨越健康管理,科学研究,民间社会,知识翻译和跨部门领域.
结论:
- 开发的EIPM能力概况是制度化以证据为基础的决策的重要工具.
- 该配置文件可适应在巴西卫生系统内的各种环境中应用.
- 它提供了一种结构化的方法,以加强在政策制定和实施中使用科学证据.
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