The evidence quality of public health decision-making:A meta-epidemiological study
10.3969/j.issn.1674-2982.2024.10.011
- VernacularTitle:公共卫生决策证据质量的Meta流行病学研究
- Author:
Jia-Yi HUANG
1
;
Xin-Xin DENG
;
Han-Bin WANG
;
Xiao-Ye HU
;
Cui LIANG
;
Lu CUI
;
Ke-Hu YANG
;
Xiu-Xia LI
Author Information
1. 兰州大学卫生技术评估中心/兰州大学循证社会科学研究中心兰州大学公共卫生学院 甘肃 兰州 730000;兰州大学循证医学中心 兰州大学基础医学院 甘肃 兰州 730000;甘肃省循证医学重点实验室 甘肃 兰州 730000
- Keywords:
Public health;
Decision making;
Evidence quality;
GRADE approach;
PHE-Grading
- From:
Chinese Journal of Health Policy
2024;17(10):76-81
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the difference between the Evidence Quality Grading System for Public Health Decision-making(PHE-Grading)and the Grading of Recommendations Assessment,Development and Evaluation(GRADE)System in evaluating the quality of evidence for public health decision-making.Methods:Systematic reviews about topic"Public health"were electronically searched in the Cochrane Library database from inception to February 27,2024.EndNote 20 software was used for literature screening,Excel 2021 and SPSS 22.0 software were used for data collation and analysis,and the forest plot was drawn by RevMan 5.4.1 software.Results:A total of 61 systematic reviews were finally included for evidence quality evaluation.The forest plot of GRADE and PHE-Grading evidence grading results showed that high grade[OR:2.39,95%CI(1.21 to 4.75)],moderate grade[OR:0.40,95%CI(0.31 to 0.52)],low grade[OR:0.37,95%CI(0.29 to 0.46)],and extremely low grade[OR:85.11,95%CI(34.80 to 208.11)],and the differences in evidence quality grading results between the two systems were statistically significant.Conclusions:Compared with GRADE,PHE-Grading may be more accurate in grasping the certainty of public health decision-making evidence.Currently,the quality of public health decision-making evidence is still concentrated in low and middle level,and high-quality research still needs to be strengthened to support scientific decision-making.
