在公共卫生和传染病预防和控制方面支持基于证据的决策的框架:范围审查
Yang Song1,2, Javier Bracchiglione3,4,5,1, Jose F Meneses-Echávez6,7
1Centro Cochrane Iberoamericano, Barcelona, Spain.
概括
现有的基于证据的公共卫生决策 (EIDM) 框架尚未广泛应用于传染病. 这些框架不一致地解决了决策因素,需要进一步评估和适应公共卫生和传染病优化.
科学领域:
- 公共卫生 公共卫生
- 健康决策的制定方法
- 传染病流行病学 传染病流行病学
背景情况:
- 基于证据的决策 (EIDM) 在公共卫生方面是复杂的,涉及多种考虑.
- 现有的EIDM框架支持公共卫生决策,但它们对传染病的应用较少被探索.
研究的目的:
- 确定和描述现有框架,以基于证据的公共卫生决策.
- 评估这些框架在传染病环境中的应用.
主要方法:
- 进行了范围审查,搜索了MEDLINE和健康系统证据数据库.
- 包含的框架被分析了它们的范围,评估的标准,以及对传染病的应用.
- 手动搜索和引用跟踪补充了数据库搜索.
主要成果:
- 包括15个EIDM框架:七个是通用的,八个是专题的.
- 框架评估了八个标准的中位数,最常见的是"理想效果"",资源考虑"和"可行性".
- 只有四个框架 (GRADE,WHO-INTEGRATE,EEFA,CPSTF) 已经确定了在传染病中的应用.
结论:
- 大多数EIDM框架并不广泛应用于传染病.
- 目前的框架不一致地解决了公共卫生决策的关键因素.
- 对于公共卫生和传染病方面,需要进一步应用,评估和调整EIDM框架.
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