Evaluating complex public health interventions: theory, methods and scope of realist enquiry
Evaluating complex public health interventions: theory, methods and scope of realist enquiry
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DOI：
10.1111/j.1365-2753.2006.00790.x
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发表时间：
2007-12-01
影响因子：
2.4
通讯作者：
Connelly, James B.
中科院分区：
文献类型：
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作者：
Connelly, James B.
用于研究复杂公共卫生干预措施的标准模型是不充分的。他们采用简单的经验主义理论基础，并试图在一个本质上开放的社会系统中嫁接一种人为的实验室实验，通常以随机对照试验的形式进行。通过理解批判实在论的本体论和认识论主张，有可能超越标准模型方法在方法论上的不足。批判现实主义假设了一种实质性的因果理论，终结了事实-价值二元论，以及一种连贯的、解放的社会行动模式；所有这些特征构成了对公共卫生实践的系统和令人信服的描述，以及对复杂的公共卫生干预措施进行评估的连贯方法。
The standard models used in the study of complex public health interventions are inadequate. They adopt a simple empiricist theoretical foundation and attempt to graft onto an essentially open social system a contrived laboratory experimentation typically in the form of a randomized, controlled trial. By understanding the ontological and epistemological claims of critical realism, it is possible to transcend the methodological inadequacy of the standard model approach. Critical realism posits a substantive causal theory, an end to fact-value dualism, and a coherent and emancipatory model of social action; all of these features amount to a systematic and compelling account of public health practice and a coherent approach to evaluation of complex public health interventions.