Evidence for public health policy on inequalities: 1: The reality according to policymakers
Evidence for public health policy on inequalities: 1: The reality according to policymakers
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DOI：
10.1136/jech.2003.015289
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发表时间：
2004-10-01
影响因子：
6.3
通讯作者：
Egan, M
中科院分区：
文献类型：
--
作者：
Petticrew, M;Whitehead, M;Egan, M
目的：与英国和国际政策顾问一起探讨研究证据如何影响公共卫生政策制定，以及如何提高其相关性和实用性，特别是关于产生和减少健康不平等的证据。设计，设置和参与者：有高级政策顾问参加的定性驻地讲习班，这些顾问在一系列部门的政策制定中发挥实质性作用（主要是公共卫生，但也包括教育、社会福利和卫生服务）。在作者主持的四次深入会议上，向与会者提出了重点问题。他们的反应，然后按主题进行分析，以确定关键的主题，有关的可用性和效用的现有证据对health inequality.Main results：在许多病因学和评价性研究中缺乏公平的层面被与会者强调。许多公共卫生研究也被认为缺乏基本的理论基础。除了对政策和其他干预措施的有效性和成本效益进行评价外，他们还确定需要进行预测性研究和方法研究，以进一步制定评估各组干预措施对健康影响的方法。这项研究加强了这样一种看法，即缺乏关于政策的效力和成本效益的资料，它揭示了健康不平等证据基础中的其他差距。一篇配套论文讨论了研究人员对如何刺激产生更相关的公共卫生证据的看法。
Objective: To explore with UK and international policy advisors how research evidence influences public health policy making, and how its relevance and utility could be improved, with specific reference to the evidence on the production and reduction of health inequalities.Design, setting, and participants: Qualitative residential workshop involving senior policy advisors with a substantive role in policy development across a range of sectors (mainly public health, but also including education, social welfare, and health services). In four in depth sessions, facilitated by the authors, focused questions were presented to participants. Their responses were then analysed thematically to identify key themes, relating to the availability and utility of existing evidence on health inequalities.Main results: The lack of an equity dimension in much aetiological and evaluative research was highlighted by participants. Much public health research was also felt to have weak underlying theoretical underpinnings. As well as evaluations of the effectiveness and cost-effectiveness of policy and other interventions, they identified a need for predictive research, and for methodological research to further develop methods for assessing the impact on health of clusters of interventions.Conclusions: This study reinforces the view that there is a lack of information on the effectiveness and cost-effectiveness of policies, and it uncovered additional gaps in the health inequalities evidence base. A companion paper discusses researchers' views of how the production of more relevant public health evidence can be stimulated.