实施健康促进干预措施的瓶模式:关于荷兰干预-环境相互作用的横截面观察研究
K M Grêaux1, P van Assema2,3, K M H H Bessems2
1Department of Health Promotion, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Centre+, PO Box 616, 6200 MD, Maastricht, the Netherlands. kimberly.greaux@ua.aw.
Archives of public health = Archives belges de sante publique
|October 18, 2023
概括
卫生政策中的实施瓶是常见的,并且通常是每个干预系统独有的. 了解这些规律性和变化是改善长期健康结果的关键.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 复杂系统理论 复杂系统理论
背景情况:
- 实施被视为干预及其背景之间的相互作用.
- 干预环境的相互作用可能会造成阻碍进步的特定"瓶".
- 识别这些瓶可以帮助预测和解决实施挑战.
研究的目的:
- 检查跨部门政策制定中的实施瓶的存在和模式.
- 了解干预-环境相互作用如何影响瓶的出现.
主要方法:
- 在荷兰进行了一项横截面观测研究.
- 实施者评价了各种干预系统中成功实施的条件.
- 用描述性统计和假设测试来分析瓶模式.
主要成果:
- 超过一半的可能情况被确定为瓶.
- 在实施者,干预和政治/行政因素之间发现了瓶.
- 每个系统都有独特的一组瓶,通常与跨部门的政策制定有关.
结论:
- 卫生政策制定中的干预-环境相互作用创造了可预测的规律性和瓶的不可预测的变化.
- 规范性可以为可持续的健康改善提供能力建设信息.
- 变化需要灵活的实施策略,以适应特定地点的问题.
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