谁应该重视儿童的健康,以及如何? 一个国际的德尔菲研究研究
Philip A Powell1, Donna Rowen1, Anju Keetharuth1
1Sheffield Centre for Health and Related Research, University of Sheffield, UK.
Social science & medicine (1982)
|July 17, 2024
概括
专家们一致认为,成年人和年长的青少年 (16-17岁) 应该对儿童健康评估做出贡献. 成年人应该想象一个孩子,而年长的青少年在评估健康状况时应该考虑自己.
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健服务研究 医疗服务研究
- 方法论 方法论 方法论
背景情况:
- 珍视儿童健康需要做出决定,决定谁的偏好应该引起,谁应该代表健康受损.
- 关于这些规范性问题的正式指导和专家共识目前有限.
- 这对于为英国健康技术评估提供信息至关重要.
研究的目的:
- 在儿童健康评估 (7-17岁) 的规范性方法问题上建立专家共识.
- 具体来说,要确定谁应该被问及偏好,谁应该被想象为体验健康损害.
- 为未来儿童健康评估研究和卫生技术评估提供指导.
主要方法:
- 在2023年5月至10月期间进行的经过修改的两轮Delphi在线调查.
- 参与者包括来自18个国家的62名专家利益相关者 (学术界,行业,政策代表).
- 数据分析包括对利克特,分类,多选项和自由文本答案的描述性和主题分析.
主要成果:
- 达成共识:应咨询年龄较大的青少年 (16-17岁) 和成年人 (18岁以上) 来评估儿童健康状况.
- 共识:年长的青少年应该通过考虑自己来评价国家;成年人应该想象一个孩子.
- 对于成年人应该在想象中使用的具体形式,没有达成共识.
结论:
- 专家的共识支持将年长的青少年和成年人参与儿童健康评估,这与以前的做法不同.
- 建立的共识为未来的儿童健康评估研究提供了方法指导.
- 需要进一步的研究,以确定成年人在评估儿童健康方面采取的具体想象方法.
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