对话式卫生系统研究框架 (DHSRF):在卫生系统研究和政策研究中促进自我批评,研究人员互动和知识管理的工具
Ritu Priya1, Sayan Das1,2, Liz M Kuriakose1
1Centre of Social Medicine and Community Health, Jawaharlal Nehru University, New Delhi, India.
PLOS global public health
|September 19, 2025
概括
卫生系统研究 (HSR) 需要一个共同的框架来整合不同的观点. 对话式卫生系统研究框架 (DHSRF) 促进了对话,并改善了对复杂卫生系统的基于证据的政策.
科学领域:
- 公共卫生 公共卫生
- 卫生系统研究 (HSR)
- 复杂性科学 复杂性科学
背景情况:
- 卫生系统研究 (HSR) 已取得重大进展,但由于不同研究领域之间缺乏对话,因此面临挑战.
- 这种多样性虽然是一种优势,但如果没有一种共同的语言来进行互动和批判性审查,可能会导致混乱.
- 有效的基于证据的政策制定需要工具来评估各种证据,以设计连贯的卫生系统.
研究的目的:
- 为卫生系统研究 (HSR) 提出一个共同的研究框架,以了解,描述和解释卫生系统的结构和功能.
- 为了使HSR内部的多样化研究范式能够以建设性而不是对抗性的方式互动.
- 促进制定和利用HSR成果用于政策,规划和实施.
主要方法:
- 开发了对话式卫生系统研究框架 (DHSRF),使用多方法,基于理论,代和反射的方法.
- 包括一个系统的叙事审查和国家专家咨询反和验证.
- 从公共卫生,初级卫生保健,复杂性和社会文化方法的综合原则,包括流行病学,历史分析和知识多元主义.
主要成果:
- DHSRF是情境敏感,适应性强,价值关键和对话性的,结合了正式/非正式,技术管理和社会经济政治文化方面.
- 该框架通过在提案/设计阶段进行全面的HSR审查 ("适合目的") 来帮助知识管理.
- 它有助于评估与研究目标相对的HSR结果的强度,丰富对话和辩论.
结论:
- 该DHSRF提供了一个结构化的方法来导航卫生系统研究 (HSR) 中的复杂性和多样性.
- 它促进了共同的语言和理解,使不同研究领域之间的建设性对话成为可能.
- 该框架增强了HSR结果的利用以证据为基础的政策和实践,改善卫生系统的设计和功能.
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