在加拿大的公共卫生中基于证据的决策:定性探索
Isabella Romano1,2, Emily C Clark3, Janine Quiambao1,2
1Cathexis Consulting, Toronto, ON, Canada.
JBI evidence implementation
|August 22, 2024
概括
加拿大公共卫生重视基于证据的决策 (EIDM),但实施情况有很大差异. 随着COVID-19的流行,人们需要更好的资源和技能来充分将EIDM纳入实践.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 知识 翻译 翻译
背景情况:
- 基于证据的决策 (EIDM) 对公共卫生实践至关重要.
- 加拿大已支持EIDM,但其整合需要进行彻底评估.
- 在公共卫生环境中,对EIDM的期望正在增加.
研究的目的:
- 在加拿大公共卫生组织中探索COVID-19前的EIDM.
- 检查COVID-19大流行对公共卫生中的EIDM的影响.
主要方法:
- 定性描述性研究设计.
- 通过采访加拿大各地的公共卫生专业人员收集的数据.
- 分析了来自四个省份和一个领土的20名参与者的经验.
主要成果:
- 值得重视的是EIDM,但实施的一致性,资源和员工技能差异很大.
- 领导力显著影响EIDM,尽管投资水平不同.
- 疫情加快了决策的紧迫性,并揭示了证据使用和角色的转变.
结论:
- 虽然EIDM的公认价值有所增长,但整合差距仍然存在.
- 资源投资不足阻碍了EIDM的全面实施.
- 足够的时间,资源和技能对于将EIDM整合到所有公共卫生功能中至关重要.
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