Advancing Evidence-Based Public Health Policy: How Core Component Thinking Can Illuminate the Multilevel Nature of Public Health Policy.

IF 3 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Public Health Reports Pub Date : 2024-11-01 Epub Date: 2024-05-23 DOI:10.1177/00333549241247708
Richard W Puddy, Megan A Kelly, Christopher Nelson, Alexandra H Ntazinda, Sameer Siddiqi, Diane Hall, Christian T Murray, James E Kucik
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Abstract

A growing body of literature uses the concept of core components to better understand small-scale programmatic interventions. Instead of interventions being viewed as unitary "black boxes," interventions are viewed as configurations of core components, which are the parts of interventions that carry their causal potential and therefore need to be reproduced with fidelity to produce the intended effect. To date, the concept of core components has not been as widely applied to public health policy interventions as it has to programmatic interventions. The purpose of this topical review is to familiarize public health practitioners and policy makers with the concept of core components as applied to public health policy interventions. Raising the profile of core component thinking can foster mindful adaptation and implementation of public health policy interventions while encouraging further research to enhance the supporting evidence base. We present 3 types of multilevel interactions in which the core components of a public health policy intervention produce effects at the population level by (1) seeking to directly affect individual behavior, (2) facilitating adoption of programmatic interventions by intermediaries, and (3) encouraging intermediaries to take action that can shape changes in upstream drivers of population health. Changing the unit of analysis from whole policies to core components can provide a basis for understanding how policies work and for facilitating novel evidence-generating strategies and rapid evidence reviews that can inform future adaptation efforts.

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推进循证公共卫生政策:核心要素思维如何阐明公共卫生政策的多层次性。
越来越多的文献使用核心组成部分的概念来更好地理解小规模计划干预。人们不再将干预措施视为单一的 "黑盒子",而是将干预措施视为核心组成部分的配置,核心组成部分是干预措施中具有因果潜力的部分,因此需要忠实地复制才能产生预期效果。迄今为止,核心组成部分的概念还没有像计划干预那样广泛应用于公共卫生政策干预。本专题综述的目的是让公共卫生从业人员和政策制定者熟悉应用于公共卫生政策干预的核心要素概念。提高核心要素思想的知名度可以促进公共卫生政策干预措施的调整和实施,同时鼓励进一步研究,以加强支持性证据基础。我们介绍了 3 种多层次互动类型,其中公共卫生政策干预措施的核心组成部分通过以下方式在人口层面产生影响:(1)寻求直接影响个人行为;(2)促进中介机构采用计划干预措施;(3)鼓励中介机构采取行动,从而改变人口健康的上游驱动因素。将分析单位从整个政策改为核心组成部分,可为了解政策如何发挥作用以及促进新的证据生成策略和快速证据审查提供基础,从而为未来的适应工作提供依据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Public Health Reports
Public Health Reports 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.00
自引率
6.10%
发文量
164
审稿时长
6-12 weeks
期刊介绍: Public Health Reports is the official journal of the Office of the U.S. Surgeon General and the U.S. Public Health Service and has been published since 1878. It is published bimonthly, plus supplement issues, through an official agreement with the Association of Schools and Programs of Public Health. The journal is peer-reviewed and publishes original research and commentaries in the areas of public health practice and methodology, original research, public health law, and public health schools and teaching. Issues contain regular commentaries by the U.S. Surgeon General and executives of the U.S. Department of Health and Human Services and the Office of the Assistant Secretary of Health. The journal focuses upon such topics as tobacco control, teenage violence, occupational disease and injury, immunization, drug policy, lead screening, health disparities, and many other key and emerging public health issues. In addition to the six regular issues, PHR produces supplemental issues approximately 2-5 times per year which focus on specific topics that are of particular interest to our readership. The journal''s contributors are on the front line of public health and they present their work in a readable and accessible format.
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