在循证决策中纳入公平考量:理论与实践思考

Centering Equity in Evidence‐Informed Decision Making: Theoretical and Practical Considerations

Milbank Quarterly · 2025
被引 2
ABS 3

中文导读

本文提出在循证决策中系统评估干预措施对公平影响的综合方法,当实证证据不足时,利用理论和框架从历史背景、干预设计、差异化影响和社区情境四个维度指导公平评估,以帮助实践者和政策制定者做出促进公平的决策。

Abstract

Policy Points The population health research field should develop a synthesized approach to evaluate evidence for an intervention's potential impact on equity. When empirical evidence is lacking, theory and frameworks should guide the equity assessments in four areas: 1) understanding historical context, meaning root causes of disparities and inequity; 2) understanding intervention design and intended beneficiaries; 3) understanding differential impact and intersectionality; and 4) understanding community context before implementing or scaling interventions. The synthesized approach of equity assessment better informs practitioners and policymakers in evidence-based decision making to advance equity.

健康公平循证决策人口健康卫生政策