在全球卫生议程中,传染病优先级的转变模式和相互竞争的解释设置了舞台
Stephanie L Smith1, Rakesh Parashar2,3, Sharmishtha Nanda4
1School of Public and International Affairs, Virginia Tech, 900 N. Glebe Rd, Arlington, VA 22203, USA.
Health policy and planning
|May 16, 2024
概括
对于疾病的全球卫生优先事项往往与疾病负担或发展目标不一致. 资源分配显示,尽管全球卫生议程总体稳定,但疾病水平的波动仍然存在.
科学领域:
- 全球卫生治理全球卫生治理
- 卫生政策和议程制定
- 疾病负担分析疾病负担分析
背景情况:
- 全球卫生治理高度分散,复杂化了衡量疾病优先级的努力.
- 为应对这些挑战,已经提出了一个全球卫生议程设置的竞技场模型.
- 了解各利益相关方领域优先设置的差异至关重要.
研究的目的:
- 进一步发展全球卫生议程的舞台模式.
- 调查疾病的优先级如何以及为什么在不同的利益相关者领域有所不同.
- 分析疾病特征与其优先地位之间的关系.
主要方法:
- 分析了20多年来8种传染病的优先级变化.
- 检查四个关键领域的优先设定:国际援助,科学研究,制药行业和新闻媒体.
- 使用新的方法来衡量资源分配的年度变化,作为优先级指标.
主要成果:
- 疾病优先顺序在任何领域都与疾病负担或国际发展目标没有一致的相关性.
- 在所有领域都观察到疾病水平上的年度资源分配变化存在显著波动.
- 在疾病特异性波动中,在资源分配中发现了更广泛的稳定性模式.
结论:
- 在全球卫生中确定优先事项是复杂的,不仅仅取决于疾病负担或既定目标.
- 利益相关者领域表现出不同的优先级设定和资源分配模式.
- 需要进一步的研究,以了解推动全球卫生议程制定的因果机制和相互作用.
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