加强非传染性公共卫生计划:一种系统动态方法,以了解覆盖范围,维护和实施成本
Simon Keith Chiu1,2,3,4,5, Alix Hall6,7,8, Louise Freebairn9,10
1Hunter Medical Research Institute, The Population Health Research Program, New Lambton Heights, New South Wales, Australia. simon.chiu@newcastle.edu.au.
概括
公共卫生计划在维持参与和控制成本方面面临挑战. 这项研究使用了系统动态建模来表明,虽然替代性覆盖策略可以促进参与,但持续的参与和成本效益是计划成功的关键.
科学领域:
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
- 预防医学 预防医学
背景情况:
- 非传染性疾病 (NCD) 每年导致全球4.1亿人死亡,原因是可修改的风险因素.
- 由于实施挑战和高成本,有效的NCD预防计划未得到充分利用.
- RE-AIM (Reach, Efficacy, Adoption, Implementation, Maintenance) 框架和系统建模提供了改善公共卫生倡议交付的工具.
研究的目的:
- 在RE-AIM框架内,利用系统动态探索 RE-AIM 框架内的覆盖范围,维护和成本之间的途径.
- 分析增强覆盖范围和维护策略对参与和项目成本的影响.
- 确定改善公共卫生预防计划实施和可持续性的战略.
主要方法:
- 开发了一个系统动态模型来模拟假设的场景.
- 该模型调查了不同策略对覆盖范围,维护,参与和成本的影响.
- 场景的重点是加强参与途径,减少参与者退缩.
主要成果:
- 增强的覆盖范围策略和替代参与途径增加了参与率.
- 参与和脱离之间的人口循环导致了更高的整体项目成本.
- 脱离是影响计划成本效益的一个重大挑战.
结论:
- 复杂的,非线性关系影响公共卫生预防的实施.
- 维持战略对于保持参与和计划有效性至关重要.
- 需要有效和经济高效的战略来解决脱离和优化公共卫生计划的结果.
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