将复杂干预措施的规划,开发和实施与地方环境协调一致,以公平为重点:应用PRISM/RE-AIM框架
Monica Pérez Jolles1,2, Meredith P Fort3, Russell E Glasgow4,5
1Adult and Child Center for Health Outcomes Research and Delivery Science (ACCORDS), University of Colorado School of Medicine, Anschutz Medical Campus, Mailstop F443, 1890 North Revere Court, Aurora, CO, 80045, USA. MONICA.JOLLES@CUANSCHUTZ.EDU.
International journal for equity in health
|February 26, 2024
概括
了解当地环境对于有效的医疗保健干预至关重要. 本研究介绍了PRISM框架,以使干预措施与上下文保持一致,改善健康公平性和可持续性.
科学领域:
- 实施科学 实施科学
- 健康 公平 研究 健康 公平 研究
- 实用研究 实用研究
背景情况:
- 了解和响应当地环境对于医疗保健和公共卫生干预措施的有效性和持续性至关重要.
- 背景包括多层次的政治,历史,经济,社会和组织因素,这些因素影响健康结果,如果解决方案不一致,可能会使不平等持续下去.
- 实用强有力的实施和可持续性模型 (PRISM) 是一个基于上下文的框架,集成RE-AIM结果,以指导对上下文领域的评估和解决,强调健康公平.
研究的目的:
- 为调整干预的核心功能和形式与PRISM的上下文领域提供一个新的视角.
- 在整个研究和实践中,利用共同创作方法,促进与各种合作伙伴的代参与.
- 在实施科学中增强语境响应和调整,以改善健康公平.
主要方法:
- 从系统思维,参与参与和健康公平原则中汲取.
- 扩展了以前的工作,提供了对干预与上下文调整的新视角.
- 利用RE-AIM框架的"结果级联"来识别机会和差距.
主要成果:
- 建议通过代循环将干预与上下文对齐.
- 介绍了"结果级联"以说明RE-AIM结果中的失败点.
- 包括一个案例研究,以展示实践和研究的建议.
结论:
- 强调在实施前,实施期间和实施后调整干预措施与背景的重要性,以确保健康公平.
- 在概念上为务实研究和基于证据的实践的实施做出贡献.
- 倡导应用PRISM框架,重点关注健康公平,以推进实施科学.
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