翻译政策指导方针:瑞典疾病预防的多个案例研究
Mattias Elg1, Elin Wihlborg2, Malin Wiger3
1Division of Logistics and Quality Management, Department of Management and Engineering, Linköping University, 581 83, Linköping, Sweden. mattias.elg@liu.se.
BMC health services research
|July 7, 2025
概括
由于系统层面的协调问题和参与者冲突,医疗保健政策的实施面临着挑战. 一个多层次的多逻辑框架揭示了政策翻译是如何在系统层面适应,改变或阻止的,从而影响最终的结果.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗保健政策分析 政策分析
- 公共卫生实施科学 公共卫生实施科学
背景情况:
- 有效的医疗保健政策实施需要了解协调和参与者议程的挑战.
- 公共卫生保健系统在将政策转化为实践方面面临重大障碍.
- 需要框架来分析跨多个系统级别和机构逻辑的政策实施.
研究的目的:
- 提出和说明一个分析框架,以了解医疗保健政策的实施.
- 揭示公共卫生保健系统中实施政策的综合挑战.
- 分析政策转化过程,从开发到临床实践.
主要方法:
- 采用多个案例研究设计,检查了瑞典四个医疗保健地区的疾病预防指南实施情况.
- 定性分析涉及采访28名受访者,涉及不同系统级别和机构逻辑.
- 该研究探讨了政策转化变化,从强到弱或中断,将参与者,环境和政策联系起来.
主要成果:
- 政策翻译是一个阶段性的过程,涉及行政系统中的调整和整合到临床实践中.
- 出现了四个关键主题:逐步重新解释政策,重点转变的影响,技术的作用和嵌入到日常生活中.
- 基于证据的疾病预防方法 (DPM) 国家指南通过区域系统跟踪到临床实践.
结论:
- 政策实施是一个动态的,逐步的翻译过程,受每个系统级别和逻辑的影响.
- 每个层次 (政治,行政,临床) 都可以调整,改变,推迟或阻止政策的翻译.
- 政策转换的早期行动对后续阶段的成功具有关键影响.
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