Fostering more-effective public health by identifying administrative evidence-based practices: a review of the literature.

Fostering more-effective public health by identifying administrative evidence-based practices: a review of the literature.
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DOI:
10.1016/j.amepre.2012.06.006
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发表时间:
2012-09
影响因子:
5.5
通讯作者:
Erwin, Paul C.
Erwin, Paul C.
中科院分区:
医学2区
文献类型:
--
作者:
Brownson, Ross C.;Allen, Peg;Duggan, Kathleen;Stamatakis, Katherine A.;Erwin, Paul C.

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公共卫生循证决策的目的是将基于科学的干预措施与社区的偏好相结合,以改善人口健康。虽然有相当多的文献是关于制定和采用循证指南及其实施障碍的,但公共卫生管理部门的证据基础还不太发达。本文回顾了公共卫生和相关学科的文献,以确定行政循证实践(A-EBP;即,与业绩计量有积极联系的机构一级结构和活动)。进行了“审查中的审查”,以评估2000年1月至2012年3月期间A-EBP有效性的证据。使用以下步骤:(1)选择数据库;(2)确定检索参数并进行检索;(3)筛选标题和摘要;(4)获得选定的文件;(5)进行初步综合;(6)提取数据;(7)综合证据。在回顾和原始经验研究中,报告的最常见结果是当地卫生部门或当地公共卫生系统的表现。根据对20项审评的数据进行的综合,共确定了11项高度优先的A-EBP(即,地方公共卫生系统可能在几年内改变的做法)。A-EBP涵盖五个主要领域,即劳动力发展、领导力、组织氛围和文化、关系和伙伴关系以及财务流程。随着基于实践的研究不断增长以及衡量行政循证实践的能力的提高,这份初始列表可以进一步开发和改进。
The aim of evidence-based decision-making in public health involves the integration of science-based interventions with community preferences to improve population health. Although considerable literature is available on the development and adoption of evidence-based guidelines and barriers to their implementation, the evidence base specific to public health administration is less developed. This article reviews the literature from public health and related disciplines to identify administrative evidence-based practices (A-EBPs; i.e., agency-level structures and activities that are positively associated with performance measures). A “review of reviews” was carried out to assess the evidence for the effectiveness of A-EBPs covering the time frame January 2000 through March 2012. The following steps were used: (1) select databases; (2) determine search parameters and conduct the search; (3) screen titles and abstracts; (4) obtain selected documents; (5) perform initial synthesis; (6) abstract data; and (7) synthesize evidence. In both the reviews and original empiric studies, the most common outcome reported was performance of the local health department or local public health system. On the basis of a synthesis of data from 20 reviews, a total of 11 high-priority A-EBPs were identified (i.e., practices that local public health systems potentially can modify within a few years). The A-EBPs covered five major domains of workforce development, leadership, organizational climate and culture, relationships and partnerships, and financial processes. As the body of practice-based research continues to grow and the ability to measure administrative evidence-based practices improves, this initial list can be further developed and improved.
DOI: 10.1186/1748-5908-4-50
发表时间: 2009-08-07
期刊: Implementation science : IS
影响因子: --
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