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| 知证卫生决策工具之十——评价系统评价结果时应考虑公平性 | |
| 引用本文： | Andrew D Oxman,John N Lavis,Simon Lewin,Atle Fretheim,王莉,李媛媛. 知证卫生决策工具之十——评价系统评价结果时应考虑公平性[J]. 中国循证医学杂志, 2010, 10(4): 405-411. DOI: 10.1186/1478-4505-7-S1-S10 |
| 作者姓名： | Andrew D Oxman John N Lavis Simon Lewin Atle Fretheim 王莉 李媛媛 |
| 作者单位： | [1]Norwegian Knowledge Centre for the Health Services, P.O. Box 7004, St. Olavs plass, N-0130 Oslo, Norway [2]Centre for Health Economics and Policy Analysis, Department of Clinical Epidemiology and Biostatistics, and Department of PoliticalScience, McMaster University, 1200 Main St. West, HSC-2D3, Hamilton, ON, Canada, L8N 3Z5 [3]Norwegian Knowledge Centre for the Health Services, P.O. Box 7004, St. Olavs plass, N-0130 Oslo, Norway; Health Systems ResearchUnit, Medical Research Council of South Africa [4]Norwegian Knowledge Centre for the Health Services, P.O. Box 7004, St. Olavs plass, N-0130 Oslo Norway; Section for InternationalHealth, Institute of General Practice and Community Medicine, Faculty of Medicine, University of Oslo, Norway [5]不详, P.O. Box 7004, St. Olavs plass, N-0130 Oslo Norway; Section for InternationalHealth, Institute of General Practice and Community Medicine, Faculty of Medicine, University of Oslo, Norway |
| 摘 要： | 本文我们主要讨论公平性问题。不公平可以定义为“不必要且可避免的、不公平、不公正的健康差异”。公平性和不公平与社会和经济因素间的关系已有成熟研究。有效的政策或项目能提高人群总体健康水平。但这些政策及项目对公平性的影响不一：它们可能并不影响公平性问题，也可能减轻或加剧不公平性问题（不论对人群健康的总体影响如何）。 当应用研究证据分析政策或项目方案对弱势群体及特定环境下公平性问题的潜在影响时，本文建议考虑以下 4 个问题：① 对于正在斟酌的方案，哪些可能是弱势群体或不利环境？② 针对弱势群体或不利环境的方案，对其相对效果的预期差异是否有合理解释？③ 是否不同群体或环境的基线情况有差异，以至方案在弱势群体或不利环境的绝对效果有差异，或主要问题的重要性不同。④ 是否对实施方案时应注意的问题做了深入思考，以确保减轻（如果可能）或至少不加剧不公平性问题。 |
| 关 键 词： | 公平性问题 评价系统 卫生决策 弱势群体 应考 工具 健康水平 人群健康 |
SUPPORT Tools for evidence-informed health Policymaking (STP) 10:Taking equity into consideration when assessing the findings of a systematic review |
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| ,rew D Oxman,John N Lavis,Simon Lewin,Atle Fretheim . Norwegian Knowledge Centre for the Health Services,P.O. Box ,St. Olavs plass,N- Oslo,Norway,. Centre for Health Economics , Policy Analysis. SUPPORT Tools for evidence-informed health Policymaking (STP) 10:Taking equity into consideration when assessing the findings of a systematic review[J]. Chinese Journal of Evidence-based Medicine, 2010, 10(4): 405-411. DOI: 10.1186/1478-4505-7-S1-S10 | |
| Authors: | ,rew D Oxman,John N Lavis,Simon Lewin,Atle Fretheim . Norwegian Knowledge Centre for the Health Services,P.O. Box ,St. Olavs plass,N- Oslo,Norway,. Centre for Health Economics , Policy Analysis |
| Affiliation: | 1. Norwegian Knowledge Centre for the Health Services,P.O.Box 7004,St.Olavs plass,N-0130 Oslo,Norway 2. Centre for Health Economics and Policy Analysis,Department of Clinical Epidemiology and Biostatistics,and Department of Political Science,McMaster University,1200 Main St.West,HSC-2D3,Hamilton,ON,Canada,L8N 3Z5 3. Norwegian Knowledge Centre for the Health Services,P.O.Box 7004,St.Olavs plass,N-0130 Oslo,Norway;Health Systems Research Unit,Medical Research Council of South Africa 4. Norwegian Knowledge Centre for the Health Services,P.O.Box 7004,St.Olavs plass,N-0130 Oslo Norway;Section for International Health,Institute of General Practice and Community Medicine,Faculty of Medicine,University of Oslo,Norway |
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