Health policy triangle framework: Narrative review of the recent literature.

Health policy triangle framework: Narrative review of the recent literature.
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DOI:
10.1016/j.hpopen.2020.100016
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发表时间:
2020-12
期刊:
影响因子:
--
通讯作者:
Byrne S
Byrne S
中科院分区:
其他
文献类型:
--
作者:
O'Brien GL;Sinnott SJ;Walshe V;Mulcahy M;Byrne S

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卫生政策三角形是世纪后期发展起来的一种政策分析框架,被广泛应用于分析大量与卫生相关的问题。探讨和总结HPT框架在最近文献中对健康相关(公共)政策决策的应用。该叙述性综述包括对2015年1月至2020年1月纳入的文章进行系统检索和总结。检索了6个电子数据库。纳入的研究被要求使用HPT框架作为其政策分析的一部分。使用主题分析原则分析数据。在筛选纳入的2217项研究中,最终审查包括54项研究,大部分是定性研究。提出了五个描述性分类主题:(i)卫生人力资源、服务和系统;(ii)传染性和非传染性疾病;(iii)身心健康;(iv)产前和产后护理;(v)杂项。大多数研究是在中低收入国家进行的。审查发现,所分析的卫生政策类型几乎都是在国家或国际一级制定的,主要涉及公共卫生问题。鉴于其可推广的性质,未来的研究,适用于HPT框架调查在地方和区域层面的较小规模的卫生政策决策,可能是有益的。1994年,文献中首次描述了卫生政策三角。它的可概括性允许分析许多不同的健康相关主题。近年来,它在低收入和中等收入国家的使用有所增加。
Developed in the late 20th century, the health policy triangle (HPT) is a policy analysis framework used and applied ubiquitously in the literature to analyse a large number of health-related issues. To explore and summarise the application of the HPT framework to health-related (public) policy decisions in the recent literature. This narrative review consisted of a systematic search and summary of included articles from January 2015 January 2020. Six electronic databases were searched. Included studies were required to use the HPT framework as part of their policy analysis. Data were analysed using principles of thematic analysis. Of the 2217 studies which were screened for inclusion, the final review comprised of 54 studies, mostly qualitative in nature. Five descriptive categorised themes emerged (i) health human resources, services and systems, (ii) communicable and non-communicable diseases, (iii) physical and mental health, (iv) antenatal and postnatal care and (v) miscellaneous. Most studies were conducted in lower to upper-middle income countries. This review identified that the types of health policies analysed were almost all positioned at national or international level and primarily concerned public health issues. Given its generalisable nature, future research that applies the HPT framework to smaller scale health policy decisions investigated at local and regional levels, could be beneficial. In 1994, the health policy triangle was first described in the literature. Its generalisable nature allows for analysis of many diverse health-related topics. In recent years, its utilisation in low and middle-income countries has increased.
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