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Understanding the implications of the Sustainable Development Goals for health policy and systems research: results of a research priority setting exercise.
Globalization and Health ( IF 10.8 ) Pub Date : 2020-01-09 , DOI: 10.1186/s12992-019-0534-2
Sara Bennett 1 , Nasreen Jessani 1, 2, 3 , Douglas Glandon 1 , Mary Qiu 1 , Kerry Scott 1 , Ankita Meghani 1 , Fadi El-Jardali 4 , Daniel Maceira 5 , Dena Javadi 6 , Abdul Ghaffar 6
Affiliation  

BACKGROUND Given the paradigmatic shift represented by the Sustainable Development Goals (SDGs) as compared to the Millennium Development Goals - in particular their broad and interconnected nature - a new set of health policy and systems research (HPSR) priorities are needed to inform strategies to address these interconnected goals. OBJECTIVES To identify high priority HPSR questions linked to the achievement of the Sustainable Development Goals. METHODS We focused on three themes that we considered to be central to achieving the health related SDGs: (i) Protecting and promoting access to health services through systems of social protection (ii) Strengthening multisectoral collaborations for health and (iii) Developing more participatory and accountable institutions. We conducted 54 semi-structured interviews and two focus group discussions to investigate policy-maker perspectives on evidence needs. We also conducted an overview of literature reviews in each theme. Information from these sub-studies was extracted into a matrix of possible research questions and developed into three domain-specific lists of 30-36 potential priority questions. Topic experts from the global research community then refined and ranked the proposed questions through an online platform. A final webinar on each theme sought feedback on findings. RESULTS Policy-makers continue to demand HPSR for many well-established issues such as health financing, human resources for health, and service delivery. In terms of service delivery, policy-makers wanted to know how best to strengthen primary health care and community-based systems. In the themes of social protection and multisectoral collaboration, prioritized questions had a strong emphasis on issues of practical implementation. For participatory and accountable institutions, the two priority questions focused on political factors affecting the adoption of accountability measures, as well as health worker reactions to such measures. CONCLUSIONS To achieve the SDGs, there is a continuing need for research in some already well established areas of HPSR as well as key areas highlighted by decision-makers. Identifying appropriate conceptual frameworks as well as typologies of examples may be a prerequisite for answering some of the substantive policymaker questions. In addition, implementation research engaging non-traditional stakeholders outside of the health sector will be critical.

中文翻译:

了解可持续发展目标对卫生政策和系统研究的意义:研究重点确定工作的结果。

背景技术鉴于与千年发展目标相比,可持续发展目标(SDG)代表的范式转变-特别是其广泛和相互联系的性质-需要一套新的卫生政策和系统研究(HPSR)优先事项来为应对战略提供信息这些相互关联的目标。目的确定与实现可持续发展目标相关的高度优先的HPSR问题。方法我们重点关注三个主题,这些主题被认为是实现与健康相关的可持续发展目标的核心:(i)通过社会保护系统保护和促进获得卫生服务的机会(ii)加强卫生部门间的合作,以及(iii)开展更多的参与性和可持续性问责机构。我们进行了54次半结构化访谈和两次焦点小组讨论,以调查决策者对证据需求的观点。我们还对每个主题的文献综述进行了概述。这些子研究中的信息被提取到可能的研究问题矩阵中,并被开发为30-36个潜在优先问题的三个领域特定列表。然后,来自全球研究界的主题专家通过在线平台对提出的问题进行了完善和排名。关于每个主题的最后一次网络研讨会寻求对发现的反馈。结果决策者继续要求对许多公认的问题进行HPSR,例如卫生筹资,卫生人力资源和服务提供。在服务提供方面,决策者想知道如何最好地加强初级卫生保健和基于社区的系统。在社会保护和多部门合作的主题中,优先考虑的问题特别强调了实际执行问题。对于参与式和问责制机构,两个优先问题集中在影响采用问责制措施的政治因素以及卫生工作者对此类措施的反应。结论为了实现可持续发展目标,对HPSR某些已经确立的领域以及决策者强调的关键领域的研究仍存在需求。确定适当的概念框架和实例类型可能是回答一些实质性政策制定者问题的前提。此外,与卫生部门以外的非传统利益相关者进行合作的实施研究将至关重要。
更新日期:2020-04-22
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