在基于社区的预防中结合系统思维方法和实施科学构造:系统审查
Jillian Whelan1,2,3, Penny Fraser4,5,6, Kristy A Bolton7,5,8
1School of Medicine, Deakin University, Geelong, Australia. jill.whelan@deakin.edu.au.
很少有研究将系统科学和实施科学结合起来,用于人口健康干预. 整合这些方法可以提高干预的有效性,并维持系统变化,以获得更好的健康结果.
科学领域:
- 公共卫生 公共卫生
- 系统科学 系统科学
- 实施科学 实施科学
背景情况:
- 系统科学和实施科学为设计和实施人口健康干预提供了互补的方法.
- 整合这些学科可以提高干预效率,促进可持续的系统层面的变化.
- 关于系统思维和实施科学在实践中的结合应用的研究有限.
研究的目的:
- 识别和综合同行评审的文献,结合系统思维方法和实施科学结构.
- 了解系统与实施科学在人口健康干预中的整合程度.
主要方法:
- 在六个数据库 (2009-2021) 中进行系统的文献搜索.
- 纳入标准:以社区为基础的人口健康研究,使用系统方法进行干预设计和实施.
- 混合方法评估工具 (MMAT) 用于质量评估.
主要成果:
- 从9086个初始记录中,包括了17个手稿 (报告了14项研究).
- 最常见的系统方法:"整个社区系统方法" (4/14) 和"基于社区的系统动态" (2/14).
- 使用了19个实施科学框架;RE-AIM是多项研究中唯一一个.
结论:
- 关于系统思维和实施科学在人口健康干预中联合使用的已发表的研究很少.
- 进一步探索这些领域之间的协同作用是有必要的,以优化系统方法的实施.
- 加强整合可以改善干预措施的设计和交付,以获得更大的影响力.
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