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Developing a decision aid to guide public sector health policy decisions: A study protocol

机译:开发决策辅助工具以指导公共部门卫生政策决策:研究方案

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Background Decision aids have been developed in a number of health disciplines to support evidence-informed decision making, including patient decision aids and clinical practice guidelines. However, policy contexts differ from clinical contexts in terms of complexity and uncertainty, requiring different approaches for identifying, interpreting, and applying many different types of evidence to support decisions. With few studies in the literature offering decision guidance specifically to health policymakers, the present study aims to facilitate the structured and systematic incorporation of research evidence and, where there is currently very little guidance, values and other non-research-based evidence, into the policy making process. The resulting decision aid is intended to help public sector health policy decision makers who are tasked with making evidence-informed decisions on behalf of populations. The intent is not to develop a decision aid that will yield uniform recommendations across jurisdictions, but rather to facilitate more transparent policy decisions that reflect a balanced consideration of all relevant factors. Methods/design The study comprises three phases: a modified meta-narrative review, the use of focus groups, and the application of a Delphi method. The modified meta-narrative review will inform the initial development of the decision aid by identifying as many policy decision factors as possible and other features of methodological guidance deemed to be desirable in the literatures of all relevant disciplines. The first of two focus groups will then seek to marry these findings with focus group members' own experience and expertise in public sector population-based health policy making and screening decisions. The second focus group will examine issues surrounding the application of the decision aid and act as a sounding board for initial feedback and refinement of the draft decision aid. Finally, the Delphi method will be used to further inform and refine the decision aid with a larger audience of potential end-users. Discussion The product of this research will be a working version of a decision aid to support policy makers in population-based health policy decisions. The decision aid will address the need for more structured and systematic ways of incorporating various evidentiary sources where applicable.
机译:背景技术在许多健康学科中已经开发了决策辅助工具,以支持基于证据的决策,包括患者决策辅助工具和临床实践指南。但是,政策背景在复杂性和不确定性方面与临床背景不同,需要使用不同的方法来识别,解释和应用许多不同类型的证据来支持决策。文献中很少有研究专门为卫生政策制定者提供决策指导,因此本研究旨在促进研究证据的结构化和系统化整合,而在目前指导,价值和其他非基于研究的证据很少的情况下,本研究旨在为研究提供依据政策制定过程。由此产生的决策援助旨在帮助负责代表人民做出有据可依的决策的公共部门卫生政策决策者。目的不是要开发出能够在各个司法管辖区之间产生统一建议的决策辅助工具,而是要促进更加透明的政策决策,以反映对所有相关因素的均衡考虑。方法/设计该研究包括三个阶段:修改后的元叙事评论,焦点小组的使用以及Delphi方法的应用。修改后的元叙事评论将通过识别尽可能多的政策决策因素以及所有相关学科的文献中认为合乎需要的方法指导的其他特征,为决策辅助的初步发展提供信息。然后,两个焦点小组中的第一个将寻求将这些发现与焦点小组成员在公共部门基于人群的卫生政策制定和筛查决策方面的经验和专长相结合。第二个焦点组将研究与决策辅助工具有关的问题,并充当决策辅助工具草案的初始反馈和完善的探空板。最后,将使用Delphi方法进一步为更多的潜在最终用户提供信息并完善决策辅助。讨论本研究的结果将是决策辅助工具的工作版本,以支持政策制定者进行基于人群的卫生政策决策。决策援助将满足在适用时采用更结构化和系统化的方式纳入各种证据来源的需求。

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