在卫生和社会计划实施中确定影响评估的过程组件:对理论,模型和框架的范围审查
S Lukersmith1, C Woods1, H Sarma2
1Health Research Institute, Faculty of Health, University of Canberra, ACT, Australia.
Public health
|January 25, 2025
概括
研究人员需要更好的工具来进行实施影响分析. 一项审查发现现有的理论,模型和框架 (TMF) 往往错过了现实世界卫生和社会服务研究的关键过程组件.
科学领域:
- 医疗服务研究 医疗服务研究
- 实施科学 实施科学
- 项目评价 项目评价
背景情况:
- 健康和社会服务研究影响分析对于证明价值至关重要.
- 分析计划,干预或政策的现实影响是复杂的.
- 许多实施评估理论,模型和框架 (TMF) 存在,这给研究人员在选择合适的理论,模型和框架方面带来了挑战.
研究的目的:
- 在实施影响分析中使用TMF的系统范围.
- 审查和绘制实施影响分析过程的关键组成部分.
- 为了确定现有TMF中的差距,以便在现实世界中应用.
主要方法:
- 根据PRISMA-ScR指南进行了范围审查.
- 在MEDLINE和SCOPUS中进行了系统的文献搜索,并通过手动和专家指导的搜索 (2010-2024) 进行了补充.
- 包括描述在现实环境中使用的实施评估TMF的同行评审文章;数据在Excel中绘制图表.
主要成果:
- 确定了71篇相关论文,包括理论 (n=6),模型 (n=14) 和框架 (n=51).
- 大多数TMF专注于资源和/或结果,只有25%的TMF关注实施过程的组成部分.
- 十个框架是全面的,至少涵盖了两个实施阶段和五个组件;然而,大多数都缺乏实际的应用工具.
结论:
- 没有确定框架完全纳入所有实施阶段或每个阶段内的关键过程组件.
- 显著需要确定实施影响分析的基本组成部分.
- 需要开发分类学,词汇表和实用工具,以评估现实世界的过程组件.
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