From Mexico to Mali: progress in health policy and systems research
From Mexico to Mali: progress in health policy and systems research
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DOI：
10.1016/s0140-6736(08)61658-x
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发表时间：
2008-11-01
期刊：
影响因子：
168.9
通讯作者：
Mills, Anne
中科院分区：
文献类型：
--
作者：
Bennett, Sara;Adam, Taghreed;Mills, Anne
2004年，在墨西哥举行的部长级首脑会议提请注意对卫生政策和系统研究（HPSR）的历史性忽视，并呼吁增加资金，投资于卫生政策和系统研究的国家机构能力，并为选定的优先研究课题提供资源。在会议讨论、已发表的报告以及来自低收入和中等收入国家的研究资助者和组织的现有数据的基础上，我们讨论了自墨西哥峰会以来HPSR是如何发展的。HPSR的资金，特别是在低收入国家，主要由国际和双边组织提供支持。对卫生系统的日益关注已转化为对HPSR的更多支持。然而，小额赠款和资助者之间缺乏协调阻碍了能力发展，高收入国家和低收入国家的机构能力之间仍然存在巨大差距。缺乏国家能力被认为是HPSR发展的主要制约因素。墨西哥首脑会议提出的建议仍然具有现实意义，必须通过在马里和其他地方举行的部长级论坛加速实现这些建议的势头。
In 2004, the ministerial summit in Mexico drew attention to the historic neglect of health policy and systems research (HPSR) and called for increased funding, investment in national institutional capacity for HPSR, and resources for selected priority research topics. On the basis of meeting discussions, published reports, and available data from research funders and organisations in low-income and middle-income countries, we discuss how HPSR has evolved since the summit in Mexico. Funding for HPSR, particularly in low-income countries, is mainly supported by international and bilateral organisations. Increased interest in health systems has translated into increased support for HPSR. However, small grants and lack of coordination between funders inhibit capacity development, and substantial gaps remain between institutional capacities of high-income and low-income countries. Lack of national capacity is judged to be the key constraint to the development of HPSR. Recommendations from the summit in Mexico remain pertinent, and momentum towards their achievement must be accelerated through the ministerial forum in Mali and beyond.