An Agenda for Research on the Sustainability of Public Health Programs

An Agenda for Research on the Sustainability of Public Health Programs
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DOI:
10.2105/ajph.2011.300193
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发表时间:
2011-11-01
影响因子:
12.7
通讯作者:
Dearing, James W.
Dearing, James W.
中科院分区:
医学2区
文献类型:
--
作者:
Scheirer, Mary Ann;Dearing, James W.

文献摘要

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公共卫生和社区卫生项目的资助者越来越关注他们发起的变革的可持续性。尽管最近在可持续性研究和评估方面有所增加,但这篇文献还没有开发出一个广泛使用的范式来进行研究,这些研究可以积累成可概括的结果。我们为健康计划可持续性的研究和评估提供指导,包括可持续性的定义和类型、因变量的规格和测量、影响可持续性的自变量或因素的定义,以及研究和数据收集的设计建议。我们建议将可持续性研究视为将以研究为基础的干预措施转化或传播到实践中的进一步阶段。这一观点强调与更广泛的传播框架的早期阶段的持续关系,包括采用和实施过程。(我是J公共卫生。2011年;101:2059-2067。DOI:10.2105/AJPH.2011.300193)
Funders of programs in public health and community health are increasingly concerned about the sustainability of changes they initiate. Despite a recent increase in :sustainability research and evaluation, this literature has not developed a widely used paradigm for conducting research that can accumulate into generalizable findings. We provide guidance for research and evaluation of health program sustainability, including definitions and types of sustainability, specifications and measurements of dependent variables, definitions of independent variables or factors that influence sustainability, and suggestions for designs for research and data collection. We suggest viewing sustainability research as a further stage in the translation or dissemination of research-based interventions into practice. This perspective emphasizes ongoing relationships with earlier stages of a broader diffusion framework, including adoption and implementation processes. (Am J Public Health. 2011;101:2059-2067. doi:10.2105/AJPH.2011.300193)