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Strengthening complex systems for chronic disease prevention: a systematic review
Lori Baugh Littlejohns1, Andrew Wilson2
1Menzies Centre for Health Policy, The Australian Prevention Partnership Centre, D17 Charles Perkins Centre, University of Sydney, Sydney, NSW 2006, Australia. lori.baughlittlejohns@sydney.edu.au.
BMC Public Health
|June 13, 2019
Summary
This study introduces a practical framework for chronic disease prevention (CDP) systems. It defines effective CDP systems and offers a method to assess and strengthen them using complex systems approaches.
Area of Science:
- Public Health
- Systems Science
- Chronic Disease Prevention
Background:
- Existing frameworks address healthcare and public health systems but lack practical approaches for chronic disease prevention (CDP) systems using complex systems principles.
- There is a need for a defined structure to describe, assess, and enhance systems dedicated to chronic disease prevention.
Purpose of the Study:
- To define systems for chronic disease prevention (CDP).
- To identify key attributes of effective CDP systems.
- To explore the application of complex systems approaches in CDP.
Main Methods:
- A systematic and integrative literature review was conducted.
- Databases searched included Medline, SCOPUS, and Global Health (December 2017-January 2018).
- 141 selected articles were coded and synthesized to identify themes related to CDP systems and complex systems paradigms.
Main Results:
- A revised definition of systems for chronic disease prevention (CDP) was established.
- Seven key attributes of effective CDP systems were identified: collaborative capacity, health equity paradigm, leadership and governance, resources, implementation of desired actions, information, and complex systems paradigm.
- A foundational framework for describing, assessing, and strengthening CDP systems was developed.
Conclusions:
- The developed framework provides a robust basis for strengthening chronic disease prevention (CDP) systems.
- It integrates established CDP attributes with insights from complex systems theory and practice.
- This framework offers a practical tool for enhancing the effectiveness of CDP initiatives.
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