Sustainability science: an integrated approach for health-programme planning
Sustainability science: an integrated approach for health-programme planning
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DOI：
10.1016/s0140-6736(08)61659-1
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发表时间：
2008-11-01
期刊：
影响因子：
168.9
通讯作者：
Lavis, John N.
中科院分区：
文献类型：
--
作者：
Gruen, Russell L.;Elliott, Julian H.;Lavis, John N.
规划方案的可持续性是促进健康和发展的关键因素，特别是在低收入和中等收入国家。一个协商一致的循证业务框架将促进政策和研究在理解、衡量和改善方案可持续性方面取得进展。我们做了一个系统的审查概念框架和实证研究的健康计划的可持续性。在审查的基础上，我们建议将可持续保健方案视为一个复杂的系统，其中包括方案、方案所针对的保健问题以及方案的驱动因素或主要利益攸关方，所有这些因素都在任何特定背景下动态地相互作用。我们展示了这种方法的实用性，从作者的经验得出的案例研究。
Planning for programme sustainability is a key contributor to health and development, especially in low-income and middle-income countries. A consensus evidence-based operational framework would facilitate policy and research advances in understanding, measuring, and improving programme sustainability. We did a systematic review of both conceptual frameworks and empirical studies about health-programme sustainability. On the basis of the review, we propose that sustainable health programmes are regarded as complex systems that encompass programmes, health problems targeted by programmes, and programmes' drivers or key stakeholders, all of which interact dynamically within any given context. We show the usefulness of this approach with case studies drawn from the authors' experience.