循证决策软件Onehealth的基本理论方法及应用现状

Basic Theory and Methods and Application of Onehealth Software for Evidence-based Decision-making

循证决策软件Onehealth是一个大型的数据库,可基于联合国流行病学参考模块进行效果预测,运用作业成本计算法自底向上进行成本测算,可模拟卫生服务在不同覆盖率水平下的卫生系统投入成本及死亡率变化情况,通过成本投入/避免死亡数,量化卫生服务的成本-效果,为合理分配卫生资源提供直观依据。本文系统介绍了Onehealth的相关概念、模型结构及应用实例,并以苏丹针对儿童营养相关的干预措施研究为例,演示说明Onehealth软件的具体操作。Onehealth软件拥有科学、严谨的理论方法,其作为一款全新的循证辅助决策软件,对国家或者地区的宏观决策具有极好的实用意义。

Onehealth,an evidence-based decision-making software,is based on the United Nations＇ epidemiological reference modules to predict the effect of health services.Onehealth is a large database.The software is using activitybased costing,simulating investment costs of health system and changes of mortality in different coverage levels.By the cost of inputs/avoid deaths,it could quantify the cost of health services effectiveness and provide an intuitive basis for the rational allocation of health resources.This study introduces the relevant concepts,model structures and applications of Onehealth.We took the study of child nutrition interventions in Sudan for example and to present Onehealth tool＇s operating.As a new auxiliary and evidence-based decision-making software with scientific and rigorous theoretical approach,Onehealth has practical significance on the national or regional macro decision-making.