加强对危机的研究准备:挪威政府机构在使用随机试验和准实验方法评估公共政策干预方面所学到的经验教训
Unni Gopinathan1, Ingeborg Elgersma2, Therese Dalsbø3
1Centre for Epidemic Interventions Research, Norwegian Institute of Public Health, Oslo, Norway. unni.gopinathan@fhi.no.
Health research policy and systems
|January 13, 2025
概括
政府需要更好的方法来评估公共政策干预. 这项研究绘制了挪威机构如何使用随机对照试验 (RCT) 和准实验方法的地图,确定基于证据的政策的障碍和促进因素.
科学领域:
- 公共政策 公共政策
- 医疗保健服务研究 医疗服务研究
- 项目评估 项目评估
背景情况:
- 公共卫生危机需要快速实施政策.
- COVID-19大流行揭示了公共政策干预措施缺乏严格的评估.
- 现有的准实验性研究往往缺乏质量,阻碍了基于证据的决策.
研究的目的:
- 探索挪威政府机构如何利用随机对照试验 (RCT) 和准实验方法.
- 确定在决策中使用这些评估方法的障碍和促进因素.
- 为加强公共政策干预的证据生成策略提供信息.
主要方法:
- 一项涉及10个挪威政府机构在各个部门的绘制研究.
- 分析过去五年中RCT和准实验研究的使用情况.
- 确定评估的干预类型 (组织,教育,财务,监督).
主要成果:
- 许多机构已经进行或委托RCT或准实验性研究.
- 机构内部存在内部能力和外部委托评估.
- 增强的沟通促进了影响评估,提供了跨部门的学习机会.
结论:
- 法律,道德,政治和实际障碍阻碍了RCT和准实验研究的使用.
- 政策实施的紧迫性可能会破坏试验并限制学习.
- 更清晰的立法,简化隐私流程和对逐步改革的政治接受对于以证据为基础的政策至关重要.
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