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参与式系统动态建模:在全球卫生中通过上下文化实施科学来推进公平

Asma Mohamedsharif¹, Ayat Abu-Agla², Juliane Mielke³

¹Faculty of Medicine, AlNeelain University, Khartoum, Sudan. asma3omshy@gmail.com.

BMC global and public health

|February 3, 2026

概括

参与式系统动态建模 (PSD) 通过考虑复杂的环境来解决低收入和中等收入国家 (LMICs) 的实施科学失败问题. 这种方法建立了适应环境的健康干预能力.

科学领域:

实施科学实施科学
卫生公平性健康公平性
系统思维系统思维

背景情况:

低收入和中等收入国家 (LMICs) 的实施科学往往由于对上下文复杂性的考虑不足而失败.
传统方法将环境视为静态,忽视影响干预结果的动态相互作用和权力关系.
在理解环境如何真正塑造持续的健康干预影响方面存在重大认识差距.

研究的目的:

引入参与式系统动态建模 (PSD) 作为LMICs实施科学的变革性方法.
展示PSD如何克服传统方法在解决上下文复杂性的局限性.
倡导将PSD纳入健康规划和研究基础设施.

主要方法:

PSD将各种证据 (行政数据,研究,专家见解,实践经验) 整合到交互式模拟模型中.
利益相关者共同创建PSD模型,揭示反循环,时间延迟,权衡和意外后果.
这种方法超越了线性规划和肤浅的利益相关者咨询.

主要成果:

PSD允许共同创建反映当地现实,动力动态和反循环的动态模型.
来自LMIC的例子说明了PSD如何通过调整干预措施与当地环境来加强实施.
该方法促进了系统性反思,导致更强大,更可持续的健康干预措施.

结论:

PSD为实现科学提供了强大的方法转变,增强了它解决上下文复杂性的能力.
将PSD嵌入到卫生系统中,加强了对环境响应和系统信息化的干预交付能力.
这种方法对于推进健康公平性和确保LMICs健康干预措施的持续影响至关重要.

关键词:

背景背景背景背景背景脱殖民化脱殖民化股权资本股权资本小微创新型国家和地区 (LMIC)政策建模政策建模模拟建模模的模拟模型.利益相关者参与利益相关者参与系统思维系统思维

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