卫生研究优先领域设置方法介绍及在中医药研究领域的应用建议  

Introduction to Health Research Priority Setting Methods and Application Recommendations of Methods in Field of Traditional Chinese Medicine

作　　者：景城阳 吴雪 张乐 李苗苗 戴泽琦 廖星[1] JING Chengyang;WU Xue;ZHANG Le;LI Miaomiao;DAI Zeqi;LIAO Xing(Center for Evidence Based Chinese Medicine,Institute of Basic Research in Clinical Medicine,China Academy of Chinese Medical Sciences,Beijing 100700,China)

机构地区：[1]中国中医科学院,中医临床基础医学研究所循证医学基础研究室,北京100700

出　　处：《中国实验方剂学杂志》2023年第6期167-175,共9页Chinese Journal of Experimental Traditional Medical Formulae

基　　金：国家自然科学基金项目(82174239);中国中医科学院科技创新工程项目(CI2021A05503,CI2021B003,CI2021A00701-3)。

摘　　要：卫生研究优先领域设置是基于现有疾病负担或医疗需求,以科学、系统的方法筛选出研究优先级相对较高的特定领域或主题,并通过影响卫生决策来来优化卫生资源配置,从而缓解地区或全球卫生与发展不平衡的情况。许多发达国家已对此开展了不同规模的相关研究及实践工作,世界卫生组织(WHO)更是高度重视相关成果在发展中国家的转化与应用。我国作为全球最大的发展中国家,在该领域的研究起步较晚,仅有少量学者根据具体国情开展了一部分本土化方法学研究与实践工作,总体上尚未引起国内大规模的研究机构或政府组织集中关注。在中医药研究中鲜有提及优先领域者,但针对中医治疗优势病种的研究与决策亦可以视作探索中医优先(治疗)领域的实践工作。虽然决策者们已有“中医药研究优先领域”优先支持的决策意识,但来自顶层设计的决策依据主要是基于高层次智囊团来达成的共识。不仅缺少广泛的调研,也没有囊括多个利益相关方的数据,为此,亟待引入适宜的优先领域设置方法以解决这一决策过程的透明化、科学化难题。基于具体实施路径的角度详细介绍了国际主流的3种综合性优先领域设置方法——詹姆斯·林德联盟优先领域设置合作团体(JLAPSP)方法、儿童健康与营养研究倡议(CHNRI)方法、卫生研究发展委员会(COHRED)方法,并对其如何应用于中医药研究领域提出了相关建议,以资本土相关研究工作参考与借鉴。Health research priority setting, based on the existing disease burden or healthcare needs, screens out specific areas or topics with relatively high research priority by scientific and systematic methods, and optimizes the allocation of health resources by influencing healthcare decision-making, so as to alleviate the imbalance between regional or global health and development. Many developed countries have carried out related research and practical work on different scales, and the World Health Organization(WHO) attaches great importance to the transformation and application of relevant achievements in developing countries. As the largest developing country in the world, China’s research in this field started relatively late, and only a small number of scholars have carried out part of the localization methodology research and practice according to the specific national conditions. However, health research priority setting has not yet attracted the attention of large-scale research institutions or government organizations in China. Although the priority setting is rarely mentioned in the research on traditional Chinese medicine(TCM), the research and decision-making on the diseases responding specifically to TCM can also be regarded as the practical work of exploring the priority of TCM.Policymakers have a sense of priority support in the "priority of TCM research", but the decisions from the top design are mainly based on the consensus reached by high-level think tanks. There is a lack of extensive research, and moreover, the data of multiple stakeholders are not included. Therefore, it is urgent to introduce appropriate priority setting methods to solve the problem of transparency and scientificity in the decision-making process. Given the perspective of the specific implementation, the present study introduced three international priority setting methods, i. e., the James Lind Alliance and Priority Setting Partnerships(JLAPSP,)the Child Health and Nutrition Research Initiative(CHNRI), and the Council on He

关 键 词：优先领域设置 卫生研究 卫生决策 方法学 中医药研究 

分 类 号：R2-031[医药卫生—中西医结合] R932[医药卫生—中医学] R256.35R442.2