Series: Clinical Epidemiology in South Africa. Paper 1: Evidence-based health care and policy in Africa: past, present, and future
Series: Clinical Epidemiology in South Africa. Paper 1: Evidence-based health care and policy in Africa: past, present, and future
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DOI：
10.1016/j.jclinepi.2016.06.006
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发表时间：
2017-03-01
影响因子：
7.2
通讯作者：
Volmink, Jimmy
中科院分区：
文献类型：
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作者：
Young, Taryn;Garner, Paul;Volmink, Jimmy
非洲面临着沉重的疾病负担和卫生系统挑战，但在认识、接受和采用循证医疗保健 (EBHC) 方面正在取得进展。在本文中，我们回顾了过去 20 年的发展，并考虑了进一步的步骤，以帮助将可靠的研究结果转化为决策过程。非洲地区促进 EBHC 的各种举措迅速增长。其中包括初级和二级研究的进行和报告、研究能力发展和支持性举措、信息获取以及与决策者合作将研究纳入临床指南和卫生政策。然而，要改善对该地区健康的影响，仍然需要做很多工作。采取多管齐下的方法非常重要，其中包括针对优先卫生问题开展的区域相关良好研究、增加卫生保健政策和实践方面的研究、支持研究的开展和使用的专门能力发展举措，并通过更广泛的合作和公平的伙伴关系来促进。在相互支持的伙伴关系中共同努力是推进循证医疗保健实践和改善健康的关键。 (C) 2016 年作者。由爱思唯尔公司出版
Africa has high disease burden and health system challenges but is making progress in recognizing, accepting, and adopting evidence based health care (EBHC). In this article, we reflect on the developments of the past 2 decades and consider further steps that will help with the translation of reliable research results into the decision making process. There has been a rapid growth in various initiatives to promote EBHC in the African region. These include the conduct and reporting of primary and secondary research, research capacity development and supportive initiatives, access to information, and work with decision makers in getting research into clinical guidelines and health policies. Much, however, still needs to be done to improve the impact on health in the region. A multipronged approach consisting of regionally relevant well-conducted research addressing priority health problems, increased uptake of research in health care policy and practice, dedicated capacity development initiatives to support the conduct as well as use of research, facilitated by wider collaboration, and equitable partnerships will be important. Working together in mutually supporting partnerships is key to advancing both evidence-informed health care practices and better health. (C) 2016 The Authors. Published by Elsevier Inc.