公共卫生和政策中的:当证据成为一个借口时
Habib Benzian1, Matthew P Fox2, Sudeshni Naidoo3
1WHO Collaborating Centre for Oral Health, Faculty of Dentistry, University of the Western Cape, Cape Town, South Africa; School of Dentistry, University of Sydney, Sydney, NSW, Australia.
The Lancet. Public health
|February 12, 2026
概括
公共卫生证据往往会推迟对已知的挑战采取行动,作为不采取行动的借口. 系统必须设计为以不完美的知识来行动和适应,而不是等待无法实现的确定性来做出公共卫生决策.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 决策科学 决策科学 决策科学
背景情况:
- 现代公共卫生面临着大量数据和先进的分析.
- 尽管如此,对已确定的健康问题及时采取行动往往会被推迟.
- 证据越来越多地被用来证明延误,而不是指导决策.
研究的目的:
- 分析证据要求如何导致公共卫生中的"分析".
- 为公共卫生系统在不确定性下采取行动和适应提出一个框架.
- 挑战对公共卫生决策不可实现的确定性的依赖.
主要方法:
- 对最近公共卫生政策经验的定性分析.
- 检查证据在决策过程中的作用.
- 适应性公共卫生系统的概念框架开发.
主要成果:
- 扩大证据要求可以通过优先考虑改进来阻碍实施.
- 不确定性经常被用来转移责任,推迟必要的行动.
- 目前的证据范式可能导致公共卫生中的"分析".
结论:
- 公共卫生挑战需要及时采取行动,即使知识不完善.
- 公共卫生系统应该为代行动,学习和适应而设计.
- 超越追求无法实现的确定性对于有效的公共卫生至关重要.
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