知证卫生决策工具之十四——组织和开展政策对话支持知证决策*_Chinese Journal of Evidence-Based Medicine

Authors：

John N Lavis ¹ , Jennifer Boyko ² , Andrew D Oxman ³ , Simon Lewin ⁴ , Atle Fretheim ⁵

1. Centre for Health Economics and Policy Analysis;2. Health Research Methodology Programme;3. Norwegian Knowledge Centre for the Health Services;4. Norwegian Knowledge Centre for the Health Services;5. Norwegian Knowledge Centre for the Health Services;

Corresponding author：

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DOI：

10.7507/1672-2531.20100439

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政策对话允许将研究证据与受未来优先决策问题影响并参与决策的个人的观点、经验和隐性知识综合考虑。众多因素激起了对使用政策对话越来越多的关注，这些因素包括：① 认识到对决策者和其他利益相关者而言本土化“决策支持”的需要；② 认识到研究证据仅是影响决策者和其他利益相关者决策过程的因素之一；③ 认识到许多利益相关者能给决策过程注入自己的价值观或偏好；④ 认识到不仅决策者、许多利益相关者也能够采取行动解决高度优先问题。本文通过提出一些问题引导组织和开展政策对话支持知证决策。这些问题包括：① 对话是否致力于解决高度优先问题？② 对话是否提供了机会来讨论问题、问题解决方案及方案实施中需考虑的重要事项？③ 是否已通过预先发放政策简报和讨论影响决策过程的全部因素为对话提供信息？④ 对话是否确保了该问题决策参与者或将受其影响的人员代表的公平性？⑤ 该对话是否有人主持并遵循不评价个体也不强求达成共识的原则？⑥ 所得结果和后续活动是否支持行动措施？

Citation： John N Lavis,Jennifer Boyko,Andrew D Oxman,Simon Lewin,Atle Fretheim. 知证卫生决策工具之十四——组织和开展政策对话支持知证决策*. Chinese Journal of Evidence-Based Medicine, 2010, 10(5): 514-519. doi: 10.7507/1672-2531.20100439 Copy

1.	Lavis JN, Oxman AD, Lewin S, et al. SUPPORT Tools for evidenceinformed health Policymaking (STP). Introduction. Health Res Policy Syst, In Press.
2.	Culyer AJ, Lomas J. Deliberative process and evidence-informed decisions-making in health care: Do they work and how might we know? Evidence & Policy, 2006, 12: 357-371.
3.	Lomas J, Culver T, McCutcheon C, et al. Conceptualizing and Combining evidence for health system guidance. Ottawa, Canadian Health Services Research Foundation, 2005.
4.	Lavis JN. Moving forward on both systematic reviews and deliberative processes. Healthcare Policy, 2006, 1: 59-63.
5.	Lomas J Decision support: A new approach to making the best healthcare management and policy choices. Healthcare Quarterly, 2007, 10: 16-18.
6.	Hanney SR, Gonzalez Block MA, Buxton MJ, et al. The utilisation of health research in policy-making: Concepts, examples, and methods of assessment. Health Research Policy and Systems, 2003, 1.
7.	Lavis JN, Posada FB, Haines A, et al. Use of research to inform public policymaking. Lancet, 2004, 364: 1615-1621.
8.	Gregory J, Hartz-Karp J, Watson R. Using deliberative techniques to engage the community in policy development. Australia and New Zealand Health Policy, 2008, 5.
9.	Schunemann HJ, Fretheim A, Oxman AD. Improving the use of research evidence in guideline development: 10. Integrating values and consumer involvement. Health Research Policy and Systems, 2006, 4.
10.	Lavis JN, Hammill A, Gildiner A, et al. A Systematic Review of the Factors that Influence the Use of Research Evidence by Public Policymakers. Final Report Submitted to the Canadian Population Health Initiative. Hamilton, Canada, McMaster University Program in Policy Decision-Making, 2005.
11.	Lavis JN, Davies HTO, Oxman A, et al. Towards systematic reviews that inform healthcare management and policymaking. J Health Serv Res Policy, 2005, 10: 35-48.
12.	Abelson J, Forest P-G, Eyles J, et al. Deliberations about deliberative methods: Issues in the design and evaluation of public participation processes. Social Science & Medicine, 2003, 57: 239-251.
13.	Abelson J, Forest P-G, Eyles J, et al. Examining the role of context in the implementation of a deliberative public participation experiment: Results from a Canadian comparative study. Social Science & Medicine, 2007, 64: 2115-2128.
14.	Black N, Murphy M, Lamping D, et al. Consensus development methods: A review of best practice in creating clinical guidelines. Journal of Health Services Research and Policy, 1999, 4: 236-248.
15.	Fretheim A, Schunemann HJ, Oxman AD. Improving the use of research evidence in guideline development: 3. Group composition and consultation process. Health Research Policy and Systems, 2006, 4.
16.	Fretheim A, Schunemann HJ, Oxman AD. Improving the use of research evidence in guideline development: 5. Group processes. Health Research Policy and Systems, 2006, 4.
17.	Schunemann HJ, Fretheim A, Oxman AD. Improving the use of research evidence in guideline development: 1. Guidelines for guidelines. Health Res Policy Syst, 2006, 4: 13.
18.	Lavis JN, Hamid M, Sewankambo NK, et al. International Dialogue on Evidence-Informed Action. Hamilton, Canada: McMaster University Program in Policy Decision-Making, 2007.
19.	Lavis JN, Permanand G, Oxman AD, et al. SUPPORT Tools for evidence- informed health Policymaking (STP). 13. Preparing and using policy briefs to support evidence-informed policymaking. Health Res Policy Syst, In Press.

1. Lavis JN, Oxman AD, Lewin S, et al. SUPPORT Tools for evidenceinformed health Policymaking (STP). Introduction. Health Res Policy Syst, In Press.
2. Culyer AJ, Lomas J. Deliberative process and evidence-informed decisions-making in health care: Do they work and how might we know? Evidence & Policy, 2006, 12: 357-371.
3. Lomas J, Culver T, McCutcheon C, et al. Conceptualizing and Combining evidence for health system guidance. Ottawa, Canadian Health Services Research Foundation, 2005.
4. Lavis JN. Moving forward on both systematic reviews and deliberative processes. Healthcare Policy, 2006, 1: 59-63.
5. Lomas J Decision support: A new approach to making the best healthcare management and policy choices. Healthcare Quarterly, 2007, 10: 16-18.
6. Hanney SR, Gonzalez Block MA, Buxton MJ, et al. The utilisation of health research in policy-making: Concepts, examples, and methods of assessment. Health Research Policy and Systems, 2003, 1.
7. Lavis JN, Posada FB, Haines A, et al. Use of research to inform public policymaking. Lancet, 2004, 364: 1615-1621.
8. Gregory J, Hartz-Karp J, Watson R. Using deliberative techniques to engage the community in policy development. Australia and New Zealand Health Policy, 2008, 5.
9. Schunemann HJ, Fretheim A, Oxman AD. Improving the use of research evidence in guideline development: 10. Integrating values and consumer involvement. Health Research Policy and Systems, 2006, 4.
10. Lavis JN, Hammill A, Gildiner A, et al. A Systematic Review of the Factors that Influence the Use of Research Evidence by Public Policymakers. Final Report Submitted to the Canadian Population Health Initiative. Hamilton, Canada, McMaster University Program in Policy Decision-Making, 2005.
11. Lavis JN, Davies HTO, Oxman A, et al. Towards systematic reviews that inform healthcare management and policymaking. J Health Serv Res Policy, 2005, 10: 35-48.
12. Abelson J, Forest P-G, Eyles J, et al. Deliberations about deliberative methods: Issues in the design and evaluation of public participation processes. Social Science & Medicine, 2003, 57: 239-251.
13. Abelson J, Forest P-G, Eyles J, et al. Examining the role of context in the implementation of a deliberative public participation experiment: Results from a Canadian comparative study. Social Science & Medicine, 2007, 64: 2115-2128.
14. Black N, Murphy M, Lamping D, et al. Consensus development methods: A review of best practice in creating clinical guidelines. Journal of Health Services Research and Policy, 1999, 4: 236-248.
15. Fretheim A, Schunemann HJ, Oxman AD. Improving the use of research evidence in guideline development: 3. Group composition and consultation process. Health Research Policy and Systems, 2006, 4.
16. Fretheim A, Schunemann HJ, Oxman AD. Improving the use of research evidence in guideline development: 5. Group processes. Health Research Policy and Systems, 2006, 4.
17. Schunemann HJ, Fretheim A, Oxman AD. Improving the use of research evidence in guideline development: 1. Guidelines for guidelines. Health Res Policy Syst, 2006, 4: 13.
18. Lavis JN, Hamid M, Sewankambo NK, et al. International Dialogue on Evidence-Informed Action. Hamilton, Canada: McMaster University Program in Policy Decision-Making, 2007.
19. Lavis JN, Permanand G, Oxman AD, et al. SUPPORT Tools for evidence- informed health Policymaking (STP). 13. Preparing and using policy briefs to support evidence-informed policymaking. Health Res Policy Syst, In Press.

Chinese Journal of Evidence-Based Medicine

知证卫生决策工具之十四——组织和开展政策对话支持知证决策*

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