Use of Evidence-Based Interventions in State Health Departments: A Qualitative Assessment of Barriers and Solutions
Use of Evidence-Based Interventions in State Health Departments: A Qualitative Assessment of Barriers and Solutions
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DOI：
10.1097/phh.0b013e3181d1f1e2
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发表时间：
2010-11-01
影响因子：
3.3
通讯作者：
Brownson, Ross C.
中科院分区：
文献类型：
--
作者：
Dodson, Elizabeth A.;Baker, Elizabeth A.;Brownson, Ross C.
目的：现有的慢性病预防知识没有得到系统的传播和应用。州级公共卫生从业人员负责实施与慢性病控制有关的项目和服务。为了推进传播科学，本研究试图评估循证决策（EBDM）是如何以及为什么发生的。具体地说，它确定了使用EBDM的障碍，这些障碍通常是由州级慢性病从业者面临的，以及增加EBDM使用的解决方案。设计：使用在线调查方法的描述性研究。单位：国家卫生部门。参与者：全国慢性疾病主任协会成员。主要结果测量：使用EBDM的障碍和增加EBDM使用的解决方案。结果：共469人完成调查，回复率64%。超过60%的受访者将自己的职位描述为项目经理或协调员。近80%的受访者是女性，39%的受访者表示，他们的最高学历至少是硕士学位。这项调查得到了美国每个州和哥伦比亚特区的回应。使用EBDM的常见障碍包括缺乏时间、资源、资金和数据。与会者指出，提高电子商务信息管理使用的有希望的解决方案包括改进领导、培训和协作。结论：这些结果确定了州一级公共卫生从业人员中EBDM的几个可改变的障碍。这些信息可以提高州卫生部门促进和鼓励EBDM的能力。反过来，这可能有助于慢性病从业者实施已被证明有效的慢性病干预措施。使用这种干预措施将通过预防慢性病改善公众健康。
Objective: Existing knowledge on chronic disease prevention is not systematically disseminated and applied. State-level public health practitioners are in positions to implement programs and services related to chronic disease control. To advance dissemination science, this study sought to evaluate how and why evidence-based decision making (EBDM) is occurring. Specifically, it identified barriers to using EBDM commonly faced by state-level chronic disease practitioners and solutions for increasing the use of EBDM. Design: Descriptive research using online survey methods. Setting: State health departments. Participants: Members of the National Association of Chronic Disease Directors. Main Outcome Measures: Barriers to using EBDM and solutions to increase the use of EBDM. Results: In total, 469 people completed the survey (64% response rate). More than 60% of respondents described their position as project managers or coordinators. Nearly 80% of respondents were women, and 39% reported at least a master's degree as their highest degree. The survey elicited responses from every US state and the District of Columbia. Commonly-cited barriers to using EBDM included lack of time, resources, funding, and data. Participants noted that promising solutions to increase the use of EBDM include improved leadership, training, and collaboration. Conclusions: These results identify several modifiable barriers to EBDM among state-level public health practitioners. This information may improve state health departments' abilities to facilitate and encourage EBDM. In turn, this may assist chronic disease practitioners in implementing chronic disease interventions that have been proven effective. The use of such interventions will improve public health through the prevention of chronic diseases.