Utilization of epidemiological research for the development of local public health policy in the Netherlands: A case study approach
Utilization of epidemiological research for the development of local public health policy in the Netherlands: A case study approach
复制标题
DOI：
10.1016/j.socscimed.2011.11.014
复制
发表时间：
2012-03-01
影响因子：
5.4
通讯作者：
van Oers, Hans
中科院分区：
文献类型：
--
作者：
de Goede, Joyce;Putters, Kim;van Oers, Hans
据称，在地方卫生政策制定中使用流行病学研究存在问题。在荷兰各城市的三个深入案例研究中，我们研究了当地流行病学研究和当地卫生政策制定之间的界面，以及流行病学报告的使用，以当地健康信息 (LHM) 的形式发布。定性研究设计基于早期开发的扩展交互理论框架。我们通过面对面的半结构化访谈、电话访谈、网络问卷、观察和组织文件收集了 129 名参与者的数据。地方卫生报告的制定特点是区域公共卫生服务流行病学家、政策顾问和地方卫生官员之间的多重互动。 LHM 以及政策备忘录可以被视为是社会构建的。初步互动有助于管理当地卫生官员的期望，并改进政策过程中 LHM 的特定类型的使用。然而，我们发现政策网络内的特定参与者群体缺乏对 LHM 的使用，这可以通过影响参与者的因素来解释，例如个人信仰体系和价值观、机构利益以及政策流程设计等背景因素。我们的结论是，互动的必要性取决于潜在用户的参考框架，因此很难给出单一的解决方案来改善流行病学研究对当地卫生政策的利用。研究人员和政策参与者之间的不同互动机制可以同时活跃，并且在不同城市之间可能有所不同。因此，深入了解政策过程并制定具有战略前景的互动方式变得非常重要。 (C) 2011 Elsevier Ltd. 保留所有权利。
The use of epidemiological research in local health policy development is claimed to be problematic. In three in-depth case studies in Dutch municipalities, we examined the interface between local epidemiological research and local health policy development, and the use of epidemiological reports, published as Local Health Messages (LHMs). The qualitative study design is based on an earlier developed theoretical framework of extended interaction. We collected data about 129 actors, via face-to-face semi-structured interviews, telephone interviews, internet questionnaires, observations, and organizational documents.Local health report development was characterized by multiple interactions between Regional Public Health Service epidemiologists, policy advisors, and local health officials. The LHMs as well as the policy memoranda can be considered as socially constructed. Preliminary interaction helped to manage the expectations of the local health officials and improved a specific type of use of LHMs in the policy process. However, we discovered a lack of use of the LHMs by specific groups of actors within the policy network, which could be explained by factors influencing the actors, such as personal belief systems and values, institutional interests, and contextual factors such as the design of the policy processes. We concluded that the necessity of interactions depends on the frames of references of the potential users and as a consequence it is difficult to give a single solution for improvement of epidemiological research utilization for local health policy. Different interaction mechanisms between researchers and policy actors can be active at the same time and may differ between municipalities. Therefore it becomes important to obtain insight in the policy process and tailor strategically promising ways of interaction. (C) 2011 Elsevier Ltd. All rights reserved.