在实证研究中对卫生系统弹性概念化,框架和操作化的分析
Liangying Hou1,2,3, Yongzhong Sha1,2,3, Lufang Feng2,3
1Centre for Evidence-Based Medicine, School of Basic Medical Science, Lanzhou University, Lanzhou, China.
Journal of evidence-based medicine
|February 25, 2026
概括
卫生系统弹性 (HSR) 研究正在增长,但使用了分散的框架和有限的运营. 未来的研究需要更清晰的概念和更好的方法来理解系统在危机期间如何运作.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 全球健康 全球健康
背景情况:
- 卫生系统弹性 (HSR) 对于应对急性冲击和慢性压力因素越来越重要,特别是在COVID-19后.
- 对HSR的实证研究激增,需要对其概念化和应用进行审查.
- 了解HSR对于在全球卫生挑战期间维持基本卫生服务至关重要.
研究的目的:
- 在实证研究中分析卫生系统弹性概念化,框架和操作化.
- 识别现有的HSR文献中的趋势和差距.
- 为未来的研究方向提供信息,以加强卫生系统的弹性.
主要方法:
- 系统地搜索PubMed,科学网络和全球卫生数据库的文献,直到2024年1月.
- 独立查和从125个实证HSR研究中提取数据.
- 分析研究特征,冲击类型,概念化,框架传统和方法.
主要成果:
- 自2020年以来,HSR研究显著增加,主要集中在欧洲和非洲的急性冲击 (84%).
- HSR主要被概念化为吸收/适应能力,学习和转变的操作性较少.
- 卫生系统特定的框架是常见的,但通常用于分析,而不是测量;定性方法占主导地位,新兴的混合方法方法.
结论:
- 经验性HSR研究面临的局限性是由于使用框架的碎片化和不充分的操作化.
- 推进HSR需要更清晰的概念定义和改进的方法集成.
- 未来的研究应该集中在如何在日常卫生系统运作和日常操作中实施弹性.
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