利用CHNRI方法确定中国卫生政策优先研究问题

Determining the priority issues of health policy based on CHNRI

目的:运用儿童健康与营养研究(Children Health and Nutrition Research Initiative,CHNRI)方法,确定我国优先干预的卫生问题,为卫生政策制定者提供循证决策依据。方法:以我国医改与卫生事业发展"十二五"规划为背景资料,通过文献分析从中筛选出多项卫生政策研究问题,并采用CHNRI项目开发的设定优先研究领域的工具和方法进行优先问题选择。结果与讨论:研究筛选出的前10位优先研究问题主要集中在以下几方面:公共卫生服务相关研究、卫生经费的筹资及利用、重点人群和重点地区卫生政策相关研究、卫生信息化建设、医疗质量控制等,建议政府应在"十三五"期间加强有关问题的研究与干预。利用CHNRI方法确定卫生政策优先研究问题可行且有效,可为决策者提供循证依据。

Objective： In order to provide basis for health policy-makers, the CHNRI method is used to deter- mine health problems that should be dealt with in advance during the period of the Twelfth Five-Year Health Plan. Methods： In combination with China＇s new health reform policy and the Twelfth Five-Year Health Plan, the research team will identify the top ten priority research topics from current health policies by using a literature review and the CHNRI methods. Results and Conclusions： Ttop ten priority issues were discovered： research on public health serv- ices, financing and use of health funds, research on health policies, health information construction and medical quality controls, etc. It is recommended that the government should strengthen research and intervention on these is- sues in the future. The use of CHNRI for prioritization of health policies is feasible and effective as an evidential basis for health policy-makers.