在COVID-19公共卫生指南中的价值观和偏好:系统性审查
Sarah Kirsh1, Michael Ling2, Tanvir Jassal2
1Departments of Anesthesia and Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada.
Journal of clinical epidemiology
|July 21, 2024
概括
大多数COVID-19指南都忽视了患者的价值观和偏好,可能会加剧政策争议. 未来的健康紧急情况需要更好的方法来将公众的意见纳入指南制定中.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 发展指南 发展指南
背景情况:
- 值得信赖的健康指南应该纳入公共价值观和决策偏好.
- 事证据表明,COVID-19指南未能考虑这些关键因素.
- 这项研究旨在评估COVID-19指南中价值观和偏好考虑的程度和方式.
研究的目的:
- 系统地审查COVID-19公共卫生指南,以考虑他们的价值观和偏好.
- 描述价值观和偏好是如何 (或不是) 纳入这些指导方针.
主要方法:
- 从eCOVID-19 RecMap和指南国际网络图书馆系统审查COVID-19指南.
- 包括针对疫苗接种,口罩,隔离,封锁,旅行,接触者追踪,监视和学校关闭的指导方针.
- 研究人员进行独立的重复审查,以确定对价值观和偏好的考虑.
主要成果:
- 审查了130条指导方针;只有28条 (21.5%) 考虑了价值和偏好.
- 考虑的重点往往是建议的可接受性 (82.1%) 和引用已发表的研究 (89.3%).
- 非专业人士的参与很少 (28.6%),并且没有指导方针对价值观和偏好文学进行系统审查.
结论:
- 大多数COVID-19公共卫生指南不充分考虑价值观和偏好.
- 低于最佳的整合可能导致了有争议的政策.
- 建议制定有效的方法,在未来的健康危机中整合价值观和偏好.
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