SUPPORT Tools for evidence-informed health Policymaking (STP) 3: Setting priorities for supporting evidence-informed policymaking*_Chinese Journal of Evidence-Based Medicine

Authors：

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

1. Centre for Health Economics and Policy Analysis, Department of Clinical Epidemiology and Biostatistics, and Department of Political Science, McMaster University;2. Norwegian Knowledge Centre for the Health Services;3. Norwegian Knowledge Centre for the Health Services, Health Systems Research Unit, Medical Research Council of South Africa;4. Norwegian Knowledge Centre for the Health Services, Faculty of Medicine, University of Oslo;

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DOI：

10.7507/1672-2531.20100395

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决策者开展或支持知证决策与项目的资源有限。所需资源包括员工的工作时间、员工开展工作的基础设施（如电子图书馆的使用权限或购买期刊文章）和不断更新专业知识。决策者们也许更愿意将这样的工作承包给具备恰当技能和设施的独立机构，但决策者的资金有限。不管为知证决策提供的支持来自外部还是内部，是集中还是分散，资源都需要合理最大化利用。不恰当设定优先次序的例子包括：① 采取逐个评价个案的方式支持知证决策制定时间进度表, 而不是为每一个时间进度表提供明确规范的支持力度；② 优先次序设定的标准含糊不清；尤其设定优先次序的过程不清楚或不系统不准确；③ 无交流和监测评价计划。本文提出用于指导在查找和使用研究证据支持知证决策的过程中如何设定优先次序的问题，包括：① 设定优先次序的方法可否明确地为以不同方式解决最优先问题制定时间表？② 该方法是否采用了设定优先次序的清晰标准？③ 该方法是否采用了设定优先次序的清晰流程？④ 该方法是否采用了交流策略和监测与评估计划？

Citation： John N Lavis,Andrew D Oxman,Simon Lewin,Atle Fretheim. SUPPORT Tools for evidence-informed health Policymaking (STP) 3: Setting priorities for supporting evidence-informed policymaking*. Chinese Journal of Evidence-Based Medicine, 2010, 10(3): 255-261. doi: 10.7507/1672-2531.20100395 Copy

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].

Chinese Journal of Evidence-Based Medicine

SUPPORT Tools for evidence-informed health Policymaking (STP) 3: Setting priorities for supporting evidence-informed policymaking*

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