在公共卫生计划中包含疫苗的指标框架的构建:Delphi-entropy方法研究研究
Qing Wang1, Peixi Dai2, Mengmeng Jia1
1School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Human vaccines & immunotherapeutics
|October 31, 2023
概括
政府需要一个结构化的方法来确定疫苗的优先级. 这项研究开发了一个指标框架,强调疾病负担和社会驱动因素,以指导中国不同行政层面的疫苗纳入决策.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 疫苗学 疫苗学 疫苗学
背景情况:
- 有效的公共卫生计划需要战略性疫苗优先级.
- 接种疫苗的决定会影响国家和地区的健康状况.
- 现有的框架可能无法充分解决多层次的行政考虑.
研究的目的:
- 制定一个全面的指标框架,以优先考虑疫苗纳入.
- 分析不同指标在国家,省级,市级和地区/县级的权重.
- 为基于证据的疫苗政策决策提供一个工具.
主要方法:
- 使用修改后的Delphi和方法来开发指标.
- 构建了一个具有初级,二级和三级指标的等级框架.
- 从主观和客观的角度分析指标权重.
主要成果:
- 选择了4个初级,17个二级和45个三级指标,涵盖疾病,疫苗和社会驱动因素.
- 从主观来看",疫苗可以预防的疾病"和"健康负担"获得了最高的权重.
- 从客观上看,社会驱动因素 (供需) 主导 (≥65%),在较低的行政层面上",人口特征"至关重要.
结论:
- 中国需要针对不同行政层次的量身定制的疫苗纳入策略.
- 行为和社会驱动因素是疫苗政策决策的关键因素.
- 开发的框架为疫苗优先设定提供了一个系统的方法.
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