利益相关者参与健康指南制定的原则和策略
Olivia Magwood1, Caitlin Shyng2, Lyubov Lytvtyn3
1Interdisciplinary School of Health Sciences, Faculty of Health Science, University of Ottawa & Bruyère Health Research Institute, Ottawa, Ontario, Canada.
为了改善指导方针的制定,通过协作和共享决策来吸引各种利益相关者. 策略包括公平的报酬,明确的期望和更广泛的传播,而不仅仅是出版物,为了公平的知识生产.
科学领域:
- 卫生政策 卫生政策
- 临床指南 临床指南
- 利益相关者参与 利益相关者参与
背景情况:
- 指导方针为临床护理和健康政策决策提供了信息.
- 参与各种利益相关者 (患者,提供者,公众) 确保准则适合目的.
- MuSE联盟正在为利益相关者参与指南制定制定制定指南.
研究的目的:
- 确定有效的利益相关者参与指南制定的原则和策略.
- 在指导方针制定过程中促进包容和公平的参与.
主要方法:
- 采访了来自15个国家的10个利益相关者团体的43名个人.
- 使用框架分析来对发现进行主题分析.
- 确定了积极制定指南的关键原则和策略.
主要成果:
- 从垂直到水平的权力结构的转变促进了合作和共享决策.
- 认识正义对于知识生产的公平性至关重要,特别是对于患者和公众来说.
- 多元化代表,早期参与,明确的期望,公平的报酬和广泛传播是关键策略.
- 在紧急情况下或资源有限的情况下,参与可能是有限的.
结论:
- 关于利益相关者参与的务实决策是必要的.
- 在低收入和中等收入国家加强能力可以解决参与差异.
- 需要进一步研究利益相关者的代表性.
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