知證衛生決策工具之三——設定優先順序支持知證決策*_《中國循證醫學雜志》

作者：

John N Lavis ¹ , Andrew D Oxman ² , Simon Lewin ³ , Atle Fretheim ⁴

關鍵詞：

DOI：

10.7507/1672-2531.20100395

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決策者開展或支持知證決策與項目的資源有限。所需資源包括員工的工作時間、員工開展工作的基礎設施（如電子圖書館的使用權限或購買期刊文章）和不斷更新專業知識。決策者們也許更愿意將這樣的工作承包給具備恰當技能和設施的獨立機構，但決策者的資金有限。不管為知證決策提供的支持來自外部還是內部，是集中還是分散，資源都需要合理最大化利用。不恰當設定優先次序的例子包括：① 采取逐個評價個案的方式支持知證決策制定時間進度表, 而不是為每一個時間進度表提供明確規范的支持力度；② 優先次序設定的標準含糊不清；尤其設定優先次序的過程不清楚或不系統不準確；③ 無交流和監測評價計劃。本文提出用于指導在查找和使用研究證據支持知證決策的過程中如何設定優先次序的問題，包括：① 設定優先次序的方法可否明確地為以不同方式解決最優先問題制定時間表？② 該方法是否采用了設定優先次序的清晰標準？③ 該方法是否采用了設定優先次序的清晰流程？④ 該方法是否采用了交流策略和監測與評估計劃？

引用本文： John N Lavis,Andrew D Oxman,Simon Lewin,Atle Fretheim. 知證衛生決策工具之三——設定優先順序支持知證決策*. 中國循證醫學雜志, 2010, 10(3): 255-261. doi: 10.7507/1672-2531.20100395 復制

1.	Lavis JN, Oxman AD, Lewin S, et al. SUPPORT Tools forevidenceinformed health Policymaking (STP). Introduc-tion. Health Res Policy Syst, 2009, 7(Suppl 1): I1.
2.	Lavis JN, Permanand G, Oxman AD, et al. SUP-PORT Tools for evidence-informed health Policymaking(STP). 13. Preparing and using policy briefs to support evidence-informed policymaking. Health Res Policy Syst, 2009, 7(Suppl 1): S13.
3.	Lavis JN, Boyko J, Oxman AD, et al. SUPPORT Tools for evidenceinformed health Policymaking (STP). 14.Organising and using policy dialogues to support evidence-informed policymaking. Health Res Policy Syst, 2009, 7(Suppl1): S14.
4.	Lavis JN, Wilson MG, Oxman AD, et al. SUPPORT Tools for evidence-informed health Policymaking (STP). 4.Using research evidence to clarify a problem. Health Res Policy Syst, 2009, 7(Suppl 1): S4.
5.	Lavis JN, Wilson MG, Oxman AD, et al. SUPPORT Tools for evidence-informed health Policymak-ing (STP). 5. Using research evidence to frame options to address a problem. Health Res Policy Syst, 2009, 7(Suppl 1): S5.
6.	Fretheim A, Munabi-Babigumira S, Oxman AD, et al. SUPPORT Tools for evidence-informed health Policymak-ing (STP). 6. Using research evidence to address how an option will be implemented. Health Res Policy Syst, 2009, 7(Suppl1): S6.
7.	Abegunde DO, Mathers CD, Adam T, et al. The burden and costs of chronic diseases in low-income and middle-income countries. Lancet, 2007, 370: 1929-1938.
8.	DeSavigny D, Kasale H, Mbuya C, et al. In Focus: Fixing Health Systems. 2004 [http://www.idrc.ca/openebooks/411-6/]. Interna-tional Development Research Centre.
9.	Rudan I, Lawn J, Cousens S, et al. Gaps inpolicy-relevant information on burden of disease in children:a systematic review. Lancet, 2005, 365: 2031-2040.
10.	Stuckler D, King L, Robinson H, et al.WHO’s budgetary allo-cations and burden of disease: a comparative analysis. Lancet, 2008, 372: 1563-1569.
11.	Hutubessy R, Chisholm D, Edejer TT. Generalized cost-effectiveness analysis for national-level priority-setting in the health sector. Cost Eff Resour Alloc, 2003, 1: 8.
12.	Laxminarayan R, Mills AJ, Breman JG, et al. Advance-ment of global health: key messages from the Disease Control Priorities Project. Lancet, 2006, 367: 1193-1208.
13.	Mitton C, Donaldson C. Health care priority setting: principles, practice and challenges. Cost Eff Resour Alloc, 2004, 2: 3.
14.	Daniels N, Sabin J. Setting limits fairly. Can we learn to share scarce medical resources? Oxford University Press; 2002.
15.	Gibson JL, Martin DK, Singer PA. Evidence, economics and ethics: resource allocation in health services organizations. Healthc Q, 2005, 8: 50-9, 4.
16.	Kapiriri L, Norheim OF, Heggenhougen K. Using burden of disease information for health planning in developing countries:the experience from Uganda. Soc Sci Med, 2003, 56: 2433-2441.
17.	Kapiriri L, Norheim OF, Martin DK. Priority setting at the micro, meso- and macro-levels in Canada, Norway and Uganda. Health Policy, 2007, 82: 78-94.
18.	Ali N, Bhutta ZA, Bruce N, et al. The Combined Approach Matrix: A Priority-Setting Tool for Health Research. Global Forum for Health Research; 2004. http://www.google.ca/search?sourceid =navclient&ie=UTF- 8&rlz=1T4GGLL_enCA333CA338&q=o+ Ali+N%2c+Bhutta+ZA%2c+Bruce+N%2c+de+Francisco+A% 2c+Ghaffar+A%2c+Gul-binat+W%2c+et+al.%3a+The+Comb ined+Approach+Matrix%3a+A+Priority–Setting+Tool +for+Health+Research+Glo-bal+ Forum+for+Health+Research%3b +2004.
19.	Gross CP, Anderson GF, Powe NR. The relation between funding by the National Institutes of Health and the burden of disease. N Engl J Med, 1999, 340: 1881-1887.
20.	Lomas J, Fulop N, Gagnon D, et al. On being a good listener:setting priorities for applied health services research. Milbank Q, 2003, 81: 363-388.
21.	Nuyens Y. Setting priorities for health research: lessons from lowand middle-income countries. Bull World Health Organ, 2007, 85: 319-321.
22.	The Working Group on Priority Setting. Priority setting for health research: lessons from developing countries. The Working Group on Priority Setting. Health Policy Plan, 2000, 15: 130-136.
23.	Oxman AD, Schunemann HJ, Fretheim A. Improving the use of research evidence in guideline development: 2. Priority setting. Health Res Policy Syst, 2006, 4: 14.
24.	Fretheim A, Oxman AD, Lavis JN, et al. SUPPORT Tools for evidence- informed health Policymaking (STP). 18. Planning monitoring and evaluation of policies. Health Res Policy Syst, 2009, 7(Suppl 1): S18.
25.	Cheng TM. Taiwan’s new national health insurance program:genesis and experience so far. Health Aff (Millwood), 2003, 22: 61-76.
26.	Lavis JN, Oxman AD, Grimshaw J, et al. SUPPORT Tools for evidence- informed health Policymaking (STP). 7. Finding systematic reviews. Health Res Policy Syst, 2009, 7(Suppl 1): S7.
27.	Kingdon JW. Agendas, Alternatives, and Public Policies. 2nd edition. Longman; 2003.
28.	Healy J, Maxwell J, Hong PK, et al. Responding to Requests for Information on Health Systems from Policy Makers in Asian Countries. 2007 [http://www.who.int/alliance-hpsr/RespondingReques ts_HS_AsianCountries_Healy.pdf ]. Alliance for Health Policy and Systems Research, World Health Organization.
29.	Nolte E, Ettelt S, Thomson S, et al. Learning from other countries: an on-call facility for health care policy. J Health Serv Res Policy, 2008, 13(Suppl 258-64 http://jhsrp.rsmjournals.com/cgprint/13/ suppl_2/ 58?maxtoshow=&HITS=10&hits=10&RESULTFORMAT =&fulltext=nolte&searchid=1&FIRSTINDEX=0&sortspec=relevanc e&resourcetype=HWCIT].

1. Lavis JN, Oxman AD, Lewin S, et al. SUPPORT Tools forevidenceinformed health Policymaking (STP). Introduc-tion. Health Res Policy Syst, 2009, 7(Suppl 1): I1.
2. Lavis JN, Permanand G, Oxman AD, et al. SUP-PORT Tools for evidence-informed health Policymaking(STP). 13. Preparing and using policy briefs to support evidence-informed policymaking. Health Res Policy Syst, 2009, 7(Suppl 1): S13.
3. Lavis JN, Boyko J, Oxman AD, et al. SUPPORT Tools for evidenceinformed health Policymaking (STP). 14.Organising and using policy dialogues to support evidence-informed policymaking. Health Res Policy Syst, 2009, 7(Suppl1): S14.
4. Lavis JN, Wilson MG, Oxman AD, et al. SUPPORT Tools for evidence-informed health Policymaking (STP). 4.Using research evidence to clarify a problem. Health Res Policy Syst, 2009, 7(Suppl 1): S4.
5. Lavis JN, Wilson MG, Oxman AD, et al. SUPPORT Tools for evidence-informed health Policymak-ing (STP). 5. Using research evidence to frame options to address a problem. Health Res Policy Syst, 2009, 7(Suppl 1): S5.
6. Fretheim A, Munabi-Babigumira S, Oxman AD, et al. SUPPORT Tools for evidence-informed health Policymak-ing (STP). 6. Using research evidence to address how an option will be implemented. Health Res Policy Syst, 2009, 7(Suppl1): S6.
7. Abegunde DO, Mathers CD, Adam T, et al. The burden and costs of chronic diseases in low-income and middle-income countries. Lancet, 2007, 370: 1929-1938.
8. DeSavigny D, Kasale H, Mbuya C, et al. In Focus: Fixing Health Systems. 2004 [http://www.idrc.ca/openebooks/411-6/]. Interna-tional Development Research Centre.
9. Rudan I, Lawn J, Cousens S, et al. Gaps inpolicy-relevant information on burden of disease in children:a systematic review. Lancet, 2005, 365: 2031-2040.
10. Stuckler D, King L, Robinson H, et al.WHO’s budgetary allo-cations and burden of disease: a comparative analysis. Lancet, 2008, 372: 1563-1569.
11. Hutubessy R, Chisholm D, Edejer TT. Generalized cost-effectiveness analysis for national-level priority-setting in the health sector. Cost Eff Resour Alloc, 2003, 1: 8.
12. Laxminarayan R, Mills AJ, Breman JG, et al. Advance-ment of global health: key messages from the Disease Control Priorities Project. Lancet, 2006, 367: 1193-1208.
13. Mitton C, Donaldson C. Health care priority setting: principles, practice and challenges. Cost Eff Resour Alloc, 2004, 2: 3.
14. Daniels N, Sabin J. Setting limits fairly. Can we learn to share scarce medical resources? Oxford University Press; 2002.
15. Gibson JL, Martin DK, Singer PA. Evidence, economics and ethics: resource allocation in health services organizations. Healthc Q, 2005, 8: 50-9, 4.
16. Kapiriri L, Norheim OF, Heggenhougen K. Using burden of disease information for health planning in developing countries:the experience from Uganda. Soc Sci Med, 2003, 56: 2433-2441.
17. Kapiriri L, Norheim OF, Martin DK. Priority setting at the micro, meso- and macro-levels in Canada, Norway and Uganda. Health Policy, 2007, 82: 78-94.
18. Ali N, Bhutta ZA, Bruce N, et al. The Combined Approach Matrix: A Priority-Setting Tool for Health Research. Global Forum for Health Research; 2004. http://www.google.ca/search?sourceid =navclient&ie=UTF- 8&rlz=1T4GGLL_enCA333CA338&q=o+ Ali+N%2c+Bhutta+ZA%2c+Bruce+N%2c+de+Francisco+A% 2c+Ghaffar+A%2c+Gul-binat+W%2c+et+al.%3a+The+Comb ined+Approach+Matrix%3a+A+Priority–Setting+Tool +for+Health+Research+Glo-bal+ Forum+for+Health+Research%3b +2004.
19. Gross CP, Anderson GF, Powe NR. The relation between funding by the National Institutes of Health and the burden of disease. N Engl J Med, 1999, 340: 1881-1887.
20. Lomas J, Fulop N, Gagnon D, et al. On being a good listener:setting priorities for applied health services research. Milbank Q, 2003, 81: 363-388.
21. Nuyens Y. Setting priorities for health research: lessons from lowand middle-income countries. Bull World Health Organ, 2007, 85: 319-321.
22. The Working Group on Priority Setting. Priority setting for health research: lessons from developing countries. The Working Group on Priority Setting. Health Policy Plan, 2000, 15: 130-136.
23. Oxman AD, Schunemann HJ, Fretheim A. Improving the use of research evidence in guideline development: 2. Priority setting. Health Res Policy Syst, 2006, 4: 14.
24. Fretheim A, Oxman AD, Lavis JN, et al. SUPPORT Tools for evidence- informed health Policymaking (STP). 18. Planning monitoring and evaluation of policies. Health Res Policy Syst, 2009, 7(Suppl 1): S18.
25. Cheng TM. Taiwan’s new national health insurance program:genesis and experience so far. Health Aff (Millwood), 2003, 22: 61-76.
26. Lavis JN, Oxman AD, Grimshaw J, et al. SUPPORT Tools for evidence- informed health Policymaking (STP). 7. Finding systematic reviews. Health Res Policy Syst, 2009, 7(Suppl 1): S7.
27. Kingdon JW. Agendas, Alternatives, and Public Policies. 2nd edition. Longman; 2003.
28. Healy J, Maxwell J, Hong PK, et al. Responding to Requests for Information on Health Systems from Policy Makers in Asian Countries. 2007 [http://www.who.int/alliance-hpsr/RespondingReques ts_HS_AsianCountries_Healy.pdf ]. Alliance for Health Policy and Systems Research, World Health Organization.
29. Nolte E, Ettelt S, Thomson S, et al. Learning from other countries: an on-call facility for health care policy. J Health Serv Res Policy, 2008, 13(Suppl 258-64 http://jhsrp.rsmjournals.com/cgprint/13/ suppl_2/ 58?maxtoshow=&HITS=10&hits=10&RESULTFORMAT =&fulltext=nolte&searchid=1&FIRSTINDEX=0&sortspec=relevanc e&resourcetype=HWCIT].

《中國循證醫學雜志》

知證衛生決策工具之三——設定優先順序支持知證決策*

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《中國循證醫學雜志》

知證衛生決策工具之三——設定優先順序支持知證決策*

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