卫生政策系统评价方法探讨_贾莉英.pdfVIP

卫生政策研究与循证决策 2009, 9(10): 1037 1043 中国循证医学杂志 ～ 卫生政策系统评价方法探讨 1 1 1 1 2 1,* 贾莉英 袁蓓蓓 王 健 于保荣 高 军 孟庆跃 1. 山东大学卫生管理与政策研究中心；国家卫生部卫生经济与政策研究重点实验室（济南 250012 ）； 2. 世界卫生组织西太区（马尼拉 菲律宾） 摘要 获得高质量的证据是循证决策的关键，系统评价作为生产证据的方法已经在医学科学领域得到认可与 应用，循证医学系统评价方法日渐完善，但由于卫生政策研究的范畴、方法、研究对象等的特殊性，导致循证医学系 统评价方法无法直接在卫生政策领域应用。本研究在世界卫生组织卫生政策联盟的资金与技术支持下，从 2006 年 开始进行卫生政策领域系统评价方法的学习与研究，探索出“两段式卫生政策系统评价方法”，并进行了实证研究。 本文主要介绍该方法的关键技术，包括纳入研究的质量评价、数据整合和分析方法，并提出该方法需要进一步完善 的方向。 关键词 卫生政策；系统评价；关键技术；质量评价；数据整合 Methods of Systematic Review of Health Policy Researches 1 1 1 1 2 1,* JIA Li-ying , YUAN Bei-bei , WANG Jian , YU Bao-rong , GAO Jun , MENG Qing-yue 1. Centre for Health Management and Policy, Shandong University; Key Lab for Health Economics and Policy Research, Ministry of Health, Jinan 250012, China; 2. Regional Oice for the Western Pacii c (WHO), Manila, Philippines Abstract It is the key for evidence-base decision to gain the high quality evidences. As a valuable method, systematic review has been widely used in medical areas with the improvement of the method, but it cannot be used directly in health policy i eld, because the characters of the health policy such as research topics, methods and objectives. The Center for Health Management and Policy of Shandong University has made some researches which focus on the method under the support from the Alliance for Health Policy and Systems Research (WHO) from 2006. We have explored the two-stage systematic review method of health policy researches and applied it into reality. The purpose of this article is to introduce the key technical of this method, which include quality assessment of the literatures, analysis and integrated approaches. We also put forward the work whic