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评估基于社区的"整个系统"肥胖预防干预措施的理论和实际困难:一个研究小组的批判性反思
E W Gadsby1, S Hotham2, R Merritt2
1Faculty of Health Sciences and Sport, University of Stirling, Stirling FK9 4LA, UK; Centre for Health Services Studies, University of Kent, Canterbury, UK.
评估公共卫生干预措施涉及复杂的挑战. 本研究突出了整个系统的肥胖预防计划中可评估性,目的和证据质量的问题,为未来的公共部门评估提供了关键教训.
科学领域:
- 公共卫生评估 公共卫生评估
- 医疗保健服务研究 医疗服务研究
- 系统科学 系统科学
背景情况:
- 对公共部门组织的委托评估需要仔细考虑目的,务实和政治.
- 评估以社区为基础的干预措施,如肥胖预防计划,在地方政府背景下提出了独特的挑战.
研究的目的:
- 批判性地讨论委托评估的目的,实用性和政治.
- 分析了在评估"整个系统"肥胖预防干预的过程中遇到的挑战.
主要方法:
- 使用可评估性评估来探索理论和实际的评估困难.
- 利用软系统方法论,在现实世界的评估中对政治挑战进行回顾性分析.
- 通过与项目团队,利益相关者和理事会委员会在三年内进行广泛的接触,收集了数据.
主要成果:
- 确定了三个关键的相互关联的挑战:程序的可评估性,定义的评估目的以及证据的性质,作用和质量.
- 可评估性评估澄清了理论和实际的评估参数.
- 软系统方法提供了对评估过程中固有的政治紧张局势的见解.
结论:
- 可评价性评估对于定义程序参数至关重要.
- 软系统方法学有助于理解评估中的政治动态.
- 从这次评估中吸取的教训对于公共部门的举措具有广泛的适用性.
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