论文部分内容阅读
越来越多的卫生体制研究人员运用系统评价的方法来综合研究证据,促进全球和国家的卫生政策发展。然而,在卫生体制研究中开展卫生政策文献的系统评价面临方法学上的挑战。本文探讨了系统评价作为一种研究工具,在发展中国家卫生体制循证研究中的应用前景及局限性。文中首先简要介绍了系统评价方法及其在卫生研究领域过去数十年的发展,然后讨论了卫生体制研究作为系统科学的定义,并将其特点与医学研究相比较,最后讨论和分析了系统评价能否成为发展中国家卫生体制循证研究的有效工具。我们认为,系统评价可能会是卫生体制循证研究中解决特定政策问题的一种非常有用的工具,然而,在某些卫生体制及卫生政策问题的研究上,系统评价方法并不适用。
More and more health system researchers use systematic reviews to synthesize evidence and promote global and national health policy development. However, systematic reviews of health policy literature in the study of health systems pose a number of methodological challenges. This article explores the application prospects and limitations of systematic reviews as a research tool in evidence-based research on health systems in developing countries. The paper firstly introduces the systematic evaluation method and its development in the field of health research in the past several decades. Then it discusses the research on health system as the definition of system science, compares its characteristics with medical research, and finally discusses and analyzes the systematic reviews Can it become an effective tool for evidence-based research on health systems in developing countries? In our opinion, systematic reviews may be a very useful tool to address specific policy issues in the evidence-based study of health systems. However, in some studies on health systems and health policy issues, the Systematic Evaluation Approach does not apply.