社区参与健康指南和其他规范性产品:方法审查
Meghan A Bohren1, Rana Islamiah Zahroh1, Martha Vazquez Corona1
1Gender and Women's Health Unit, Nossal Institute for Global Health, School of Population and Global Health, University of Melbourne, 207 Bouverie Street, Parkville, Victoria3053, Australia.
社区参与健康指南的制定是至关重要的,但具有挑战性. 调查和小组参与等方法是常见的,但评估和全球实施仍然有限.
科学领域:
- 卫生政策和系统研究 卫生政策和系统研究
- 全球卫生指导方针发展发展
- 基于社区的参与式研究.
背景情况:
- 越来越多的人认为,社区参与对于制定健康指南至关重要.
- 了解当前的做法和挑战对于改善指南质量和公平性至关重要.
研究的目的:
- 系统地探索和绘制卫生指南,规范和标准开发或适应的社区参与方法.
- 确定共同的参与方法,参与阶段和评估实践.
主要方法:
- 从MEDLINE,Scopus和CINAHL (2007年1月至2025年5月) 的文献的方法审查.
- 纳入标准排除了社区代表性最小的研究 (1-2名成员).
- 数据提取的重点是指南特征,参与方法,参与阶段和评估.
主要成果:
- 审查了267篇出版物 (258个独特的研究),主要来自高收入国家.
- 受健康状况影响的人最容易通过调查,研讨会或作为小组成员参与.
- 参与往往决定了优先设定和价值观,但较少指导范围或实施;创新的方法很少在全球范围内被采用.
结论:
- 实施有效的社区参与全球卫生准则制定提出了重大挑战.
- 适应全球环境的方法,利用技术,促进多样性和平衡成本/收益是关键.
- 为了实现有效和公平的全球卫生建议,包容性的指导方针开发过程至关重要.
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