Analysis of the UK recommendations on obesity based on a proposed implementation framework.
Analysis of the UK recommendations on obesity based on a proposed implementation framework.
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DOI：
10.1186/1471-2458-10-17
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发表时间：
2010-01-15
影响因子：
4.5
通讯作者：
Smith WC
中科院分区：
文献类型：
--
作者：
Poobalan AS;Aucott LS;Ahmed S;Smith WC
在肥胖领域，有相当多的专业知识来识别、评估和综合证据，以制定政策和实践的指导方针和建议。这些建议虽然以证据为基础，但其拟订方式并不容易导致执行。本文分析了最近英国的建议，肥胖使用建议的实施框架。系统地检索了两个书目数据库（Medline和Embase）和各种健康相关和政府网站，以获得1996年至2007年期间发表的肥胖建议。对英国所有关于预防或治疗肥胖的建议发表的文件进行了评估。为这次审查制定了一个拟议的执行框架。对联合王国的所有建议都进行了严格评估，并根据框架内使用的标准总结了结果。跨国适用性的拟议框架进行了评估，使用瑞典的肥胖政策建议。大多数关于肥胖的建议虽然有证据证明其依据，但未能达到执行标准。它们在确定谁负责执行和监测方面往往不具体，而且往往没有说明时间表。很少对执行费用作出估计，也没有具体说明由谁负责提供这种资金。在一般情况下，有一些明显的例外，来自业务性更强和以地方为基础的团体。瑞典的政策详细列出了79项建议，明确规定了责任，并提出了其中20项建议的费用。这项政策符合大多数框架标准，但没有详细说明评价、监测和执行时间表。公共卫生部门已经发展了评估证据和根据适当证据提出建议的技能，但这些技能往往没有得到执行。将这些建议转化为行动需要不同的技能。公共卫生显然需要发展执行技能，使其达到与综合证据能力相当的水平。
There is considerable expertise in the obesity field in identifying, appraising, and synthesising evidence to develop guidelines and recommendations for policy and practice. The recommendations, while based on evidence, are not formulated in a way that readily leads to implementation. This paper analyses the recent UK recommendations on obesity using a proposed implementation framework. Two bibliographic databases (Medline and Embase) and various health related and government websites were systematically searched for obesity recommendations published between 1996 and 2007. All the documents published on recommendations for either prevention or treatment of obesity in the UK were assessed. A proposed implementation framework was developed for the purpose of this review. All the UK recommendations were critically appraised and results summarised according to the criteria used within the framework. Cross-country applicability of the proposed framework was assessed using the Swedish policy recommendations on obesity. Most recommendations on obesity while demonstrating their basis in evidence, fail to meet the implementation standards. They tend to be non-specific in identifying who is responsible for implementation and monitoring, and often no timescale is indicated. The costs of implementation are rarely estimated and those responsible for such funding are not specified. There are some notable exemptions to the general pattern emanating from more operational and locally based groups. The Swedish policy details 79 proposals with responsibility clearly identified and costs are presented for 20 of them. This policy satisfied most of the framework criteria but failed to give details on evaluation, monitoring and the timeframe for implementation. Public health has developed skills in appraising evidence and formulating recommendations based on appropriate evidence but these are often not implemented. Different skills are required to translate these recommendations into actions. Public health clearly needs to develop the implementation skills to a level comparable to the ability to synthesise evidence.
影响因子：
8.9
作者：
Sacks, G.;Swinburn, B.;Lawrence, M.
通讯作者：
Lawrence, M.