从混乱到理性:在不同背景下基于证据的卫生政策制定的一个偶然的元模型
Seyyed Hadi Jabali1, Shahram Yazdani2, Hamid Pourasghari3
1School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Medical journal of the Islamic Republic of Iran
|October 14, 2024
概括
本研究引入了一个新的应急模型,用于以证据为基础的决策,为各种健康政策环境提供指导. 该模型有助于根据确定性和协议水平为更好的健康结果量身定制决策策略.
科学领域:
- 卫生政策 卫生政策
- 决策科学 决策科学 决策科学
- 基于证据的实践.
背景情况:
- 基于证据的政策制定 (EIP) 在不同的环境中面临着挑战,其确定性和一致性各不相同.
- 现有的EIP模型往往缺乏具体的指导方针,用于上下文依赖的应用.
- 本研究探讨了卫生政策制定中适应性框架的必要性.
研究的目的:
- 开发一种新型的应急模式,以指导在卫生政策制定中对具体环境的证据使用.
- 提供灵活的框架,使决策过程与现有证据保持一致.
- 增强以证据为基础的卫生政策的能力.
主要方法:
- 进行了15个现有的EIP模型和框架的元民族学综合.
- 在政策决策中影响证据使用的综合关键因素.
- 将斯泰西矩阵改编为量化评分系统,用于评估确定性和一致性.
主要成果:
- 提出了基于确定性和协议的七种决策模式的应急模式.
- 该模型建议每个模式的团队组成,想法生成,问题分析和共识构建的配置.
- 突出了证据,利益,价值观和信仰对政策决策的影响.
结论:
- 应急模式为特定环境的EIP提供了一个灵活的框架.
- 强调要根据每个政策背景的独特特征量身定制方法的重要性.
- 表明改善健康结果和系统性能的潜力;要求经验验证.
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