在复杂和不断变化的卫生系统中评估社会处方的阶段敏感方法
Michelle Shu Jing Wong1, Lian Leng Low1,2, Wee Hoe Gan3,4,5,6
1Research and Translational Innovation Office, SingHealth Community Hospitals, Singapore.
The Lancet regional health. Western Pacific
|March 6, 2026
概括
这一观点引入了一个阶段敏感的评估框架,用于西太平洋地区的社会处方 (SP) 实施. 它为政策制定者和实践者提供了一个实际的路线图,特别是在低收入和中等收入国家.
科学领域:
- 公共卫生 公共卫生
- 实施科学 实施科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 社会处方 (SP) 在全球范围内越来越受欢迎,但需要有效的实施和扩展策略,特别是在不同的环境中.
- 低收入和中等收入国家 (LMICs) 在实施卫生干预方面面临着独特的挑战,原因是资源限制和系统碎片化.
研究的目的:
- 提出一个阶段敏感的评估框架,以指导西太平洋地区的社会处方 (SP) 的实施和扩展.
- 为决策者和实践者提供一个实际的路线图,为SP建立可信的,与上下文相关的证据.
主要方法:
- 该框架将Dean Fixsen的四个实施阶段与多种方法相结合:变化理论 (ToC),动态逻辑模型,实施科学,复杂性科学,现实评估和参与行动研究 (PAR).
- 它强调灵活,多元的方法,结合不同评估工具的优势,以更丰富地了解SP在各种环境中的有效性.
主要成果:
- 该框架支持参与式探索,上下文敏感的适应和针对LMICs量身定制的复杂性信息评估.
- 它促进了SP实施中的响应性,公平性和可扩展性.
结论:
- 拟议的框架为评估和扩大社会处方提供了一种实用和可适应的方法.
- 它与世界卫生组织的目标一致,即解决健康的社会决定因素,并实现以人为中心,公平的护理.
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