GRADE对健康公平性的考虑

The consideration of health equity by GRADE

健康公平性的核心关注点是为让所有公众都能够公平享有健康服务,实现良好的健康结局。指南制订者越来越重视在指南制订过程中对健康公平性的考虑,并且在相关的指南中进行探索和实践。2014年,GRADE工作组开始研究如何在指南中应用GRADE评价健康公平性,2017年正式发表了相关的方法学系列论文,提出了GRADE评价健康公平性的5种方法,同时讨论了目前应用GRADE考虑健康公平性所面临的方法学挑战。本文旨在介绍GRADE对健康公平性的考虑,为中国临床指南的制订者和研究者提供参考。

The focus of health equity is to enable the public to have fair access to health services and achieve satisfactory health outcomes. With research developments, guideline developers increasingly pay more attention to the fairness in the practice guidelines and have carried out exploration and practice in the relevant guidelines. The GRADE working group has begun to investigate how to use GRADE to assess health equity in practice guidelines since 2014. In 2017, the series of methodological guidelines of health equity in guideline development was officially published. It proposed 5 approaches to evaluate health equity and pointed out current methodological challenges of applying GRADE to assess health equity. This paper aims to introduce the GRADE equity guidelines, so as to provide a reference for Chinese researchers in their practice.