系統評價是發展中國家衛生系統循證研究的有效工具嗎？_《中國循證醫學雜志》

作者：

湯勝藍 ¹ ,  劉曉云 ² , Dale Huntington ³ , 劉琴 ⁴

1. 聯合國兒童基金會/聯合國開發計劃署/世界銀行/世界衛生組織熱帶病研究和培訓特別規劃署（TDR）（瑞士日內瓦）；2. 北京大學中國衛生發展研究中心（北京?100191）；3. 聯合國開發計劃署/ 聯合國人口活動基金會/世界衛生組織/世界銀行人類生殖研究、發展和研究培訓特別規劃署（HRP）（瑞士日內瓦）；4. 重慶醫科大學公共衛生學院（重慶?400016）;

關鍵詞：

系統評價衛生體制研究發展中國家

DOI：

10.7507/1672-2531.20110106

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越來越多的衛生體制研究人員運用系統評價的方法來綜合研究證據，促進全球和國家的衛生政策發展。然而，在衛生體制研究中開展衛生政策文獻的系統評價面臨方法學上的挑戰。本文探討了系統評價作為一種研究工具，在發展中國家衛生體制循證研究中的應用前景及局限性。文中首先簡要介紹了系統評價方法及其在衛生研究領域過去數十年的發展，然后討論了衛生體制研究作為系統科學的定義，并將其特點與醫學研究相比較，最后討論和分析了系統評價能否成為發展中國家衛生體制循證研究的有效工具。我們認為，系統評價可能會是衛生體制循證研究中解決特定政策問題的一種非常有用的工具，然而，在某些衛生體制及衛生政策問題的研究上，系統評價方法并不適用。

引用本文： 湯勝藍,劉曉云,Dale Huntington,劉琴. 系統評價是發展中國家衛生系統循證研究的有效工具嗎？. 中國循證醫學雜志, 2011, 11(6): 600-604. doi: 10.7507/1672-2531.20110106 復制

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16.	Petticrew M. Systematic reviews in public health: old chestnuts and new challenges. Bull World Health Organ , 2009, 87(3): 163-163A.

1. 2 Cook DJ, Mulrow CD, Haynes RB. Systematic reviews: synthesis of best evidence for clinical decisions. Ann Intern Med , 1997, 126(5): 376-380.
2. Wolf FM. Meta-analysis: quantitative methods for research synthesis. SAGE Publications Inc, 1986.
3. Gruen RL, Morris PS, McDonald EL, et al. Making systematic reviews more useful for policy-makers. Bull World Health Organ , 2005, 83(6): 480.
4. Katrak P, Bialocerkowski AE, Massy-Westropp N, et al . A systematic review of the content of critical appraisal tools. BMC Med Res Methodol , 2004, 4: 22.
5. Pawson R. Evidence-based policy: the promise of "Realist synthesis'. Evaluation , 2002, 8: 340-358.
6. Greenhalgh T, Robert G, Bate P, et al . Diffusion of innovations in health service organizations. Malden, Massachusetts: Blackwell Publishing Ltd., 2005.
7. Greenhalgh T, Potts HWW, Wong G, et al . Tensions and paradoxes in electronic patient record research: A systematic literature review using the meta-narrative method. Milbank Quarterly , 2009, 87(4): 729-788.
8. Phillips B, Ball C, Sackett D, et al . Levels of Evidence. Available at: http://www.cebm.net/index.aspx?o=1025.
9. What is health policy and systems research and why does it matter? Alliance for Health Policy and Systems Research, Briefing note 1, 2007: 1-7.
10. Varkevisser CM, Pathmanathan I, Brownlee A. Designing and conducting health systems research projects. Volume 1: Proposal development and fieldwork. Jointly published by KIT Publishers and the International Development Research Centre (IDRC), in association with the Africa Regional Office (AFRO) of the World Health Organization. 2003.
11. Sterman JD. Learning from Evidence in a Complex World. Am J Public Health , 2006, 96(3): 505-514.
12. WHO. Systems thinking for health systems strengthening, Geneva, 2009.
13. World Bank. Healthy development -The World Bank strategy for health, nutrition, & population results. 2007.
14. Mills A. Health policy and systems research: defining the terrain; identifying the methods. Health Policy Plan, 2011.
15. Campbell DT, Stanley JC. Experimental and Quasi-Experimental Designs for Research. Chicago: Rand McNally. 1963.
16. Petticrew M. Systematic reviews in public health: old chestnuts and new challenges. Bull World Health Organ , 2009, 87(3): 163-163A.

《中國循證醫學雜志》

系統評價是發展中國家衛生系統循證研究的有效工具嗎？

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《中國循證醫學雜志》

系統評價是發展中國家衛生系統循證研究的有效工具嗎？

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