知證衛生決策工具之十四——組織和開展政策對話支持知證決策*_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：

Keywords：

DOI：

10.7507/1672-2531.20100439

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政策對話允許將研究證據與受未來優先決策問題影響并參與決策的個人的觀點、經驗和隱性知識綜合考慮。眾多因素激起了對使用政策對話越來越多的關注，這些因素包括：① 認識到對決策者和其他利益相關者而言本土化“決策支持”的需要；② 認識到研究證據僅是影響決策者和其他利益相關者決策過程的因素之一；③ 認識到許多利益相關者能給決策過程注入自己的價值觀或偏好；④ 認識到不僅決策者、許多利益相關者也能夠采取行動解決高度優先問題。本文通過提出一些問題引導組織和開展政策對話支持知證決策。這些問題包括：① 對話是否致力于解決高度優先問題？② 對話是否提供了機會來討論問題、問題解決方案及方案實施中需考慮的重要事項？③ 是否已通過預先發放政策簡報和討論影響決策過程的全部因素為對話提供信息？④ 對話是否確保了該問題決策參與者或將受其影響的人員代表的公平性？⑤ 該對話是否有人主持并遵循不評價個體也不強求達成共識的原則？⑥ 所得結果和后續活動是否支持行動措施？

Citation： John N Lavis,Jennifer Boyko,Andrew D Oxman,Simon Lewin,Atle Fretheim. 知證衛生決策工具之十四——組織和開展政策對話支持知證決策*. 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

知證衛生決策工具之十四——組織和開展政策對話支持知證決策*

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