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NATIONAL HEALTH RESEARCH PRIORITY SETTING

机译:国家卫生研究重点设定

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Priority setting in health research is an important component of national health research strategy development. With limited resource, priority setting helps policy makers in identifying areas of research that they will invest to ensure the best value for money. It also helps co - ordinate researchers to focus their actions into important and meaningful areas. This article describes the health research priority setting study that was conducted in Thailand in 2006 by a collaborative network of scholars from all regions of the country. The process includes extensive literature review, data collection, and questionnaire surveys to health practitioners and health researchers in Bangkok and other regions, both in the academic sector and in the Ministry of Public Health. The aim of the study was to identify the top 10 diseases that should be the priority for health research investment in Thailand. In addition, the study also explored the types of research gap in each disease whether they are from the lack of knowledge, the lack of tools and technology, or the lack of effective service delivery system. Specific research topics for each of these 10 diseases were also identified. The study reveals that the priority diseases ranked according to their importance are HIV / AIDS, traffic accident, diabetes mellitus, stroke, cardiovascular disease, chronic obstructive pulmonary disease, liver cancer, alcohol dependency, depression, and tuberculosis. There is a strong correlation between the disease rankings for priority research investment and the disease rankings from the Ministry of Public Health's burden of disease study. In the subgroup analyses, it was found that the priority research rankings are not the same for respondents from different occupation groups or different regions. The study also identifies several cross - cutting issues that warrant research investment including health education and behavioral change techniques, health information system development on disease epidemiology and health risks, health resource distribution study especially the distribution of high - cost technology and the health workforce, and research on development of proactive health service system. This study shows that it is important for all stakeholders to be given an opportunity to participate in the priority setting process of health research. The findings from this priority setting process should be utilized by research agencies on budgeting decisions or research granting decisions. The authors recommend active coordinations among all research funders and stakeholders to support high priority diseases together. It is also suggested that further investment to develop the tools and process for health research priority settings is necessary for progressive and sustainable development of national health research strategy.
机译:卫生研究中的重点确定是国家卫生研究战略制定的重要组成部分。凭借有限的资源,优先级设置可以帮助决策者确定他们将投资以确保最佳物有所值的研究领域。它还有助于协调研究人员将他们的行动集中在重要而有意义的领域。本文介绍了由来自泰国各地的学者组成的合作网络于2006年在泰国进行的健康研究优先重点设定研究。该过程包括对学术界和公共卫生部的曼谷及其他地区的卫生从业人员和卫生研究人员进行广泛的文献回顾,数据收集和问卷调查。该研究的目的是确定应该成为泰国卫生研究投资重点的十大疾病。此外,研究还探讨了每种疾病的研究差距类型,无论是由于缺乏知识,缺乏工具和技术,还是缺乏有效的服务提供系统。还确定了这10种疾病中每种疾病的特定研究主题。研究发现,按重要性排列的优先疾病是艾滋病毒/艾滋病,交通事故,糖尿病,中风,心血管疾病,慢性阻塞性肺疾病,肝癌,酒精依赖症,抑郁症和结核病。优先研究投资的疾病排名与公共卫生部疾病研究负担的疾病排名之间存在很强的相关性。在亚组分析中,发现来自不同职业群体或不同地区的受访者的优先研究排名不同。该研究还确定了需要研究投入的几个跨领域问题,包括健康教育和行为改变技术,有关疾病流行病学和健康风险的健康信息系统开发,健康资源分配研究,尤其是高成本技术和卫生人力的分配,以及积极发展卫生服务系统的研究。这项研究表明,重要的是让所有利益相关者有机会参与健康研究的重点制定过程。研究机构应利用此优先级确定过程中的结果进行预算决策或研究授权决策。作者建议在所有研究资助者和利益相关者之间进行积极协调,以共同支持高度优先的疾病。还建议进一步投资以开发卫生研究优先重点设置的工具和程序,对于逐步和可持续发展国家卫生研究战略是必要的。

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