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本文是《PLoS Medicine》关于卫生系统知证政策指导三篇系列文章的第三篇,阐述了应如何将证据转化为指导,以形成卫生系统政策,并促进临床和公共卫生干预的实施。其要点如下:①评估不同类型研究证据是决定解决卫生系统问题的政策方案的关键;②鉴于许多卫生系统干预的复杂性,系统透明的评价方法尤为重要;③当前有不少好的工具可用于评价对支持政策制定各阶段不同类型的研究证据的信心,其中评价关于效果的证据最多;④我们需要制定工具来帮助评价其他关键因素的系统评价证据,如政策方案对于利益相关者的可接受性、实施可行性及公平性;⑤还需要进一步研究全球卫生系统指导政策方案的制定、构建及呈现方法。
This is the third in a series of three articles in PLoS Medicine’s Guide to Health Systems Validation Policy, setting out how evidence should be translated into guidance to form a health systems policy and to facilitate the implementation of clinical and public health interventions. The main points are as follows: (i) The assessment of different types of research evidence is key to the policy options that determine the health system; (ii) Given the complexity of many health system interventions, a systematic and transparent method of evaluation is of particular importance. (Iii) There are many good tools available for Assessing the confidence in the different types of research evidence that support the various stages of policy development, with the most evidence of effectiveness being evaluated; and ④ We need to develop tools to assist in the evaluation of systematic reviews of other key factors such as the acceptability of policy options to stakeholders , Feasibility and fairness of implementation; ⑤ Further research is needed on the formulation, structuring and presentation of global health system guidance policy options.