The open health services and policy journal最新文献

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Translating Research into Practice: The Participatory Expert Panel Approach 将研究转化为实践:参与式专家小组方法

The open health services and policy journal

Pub Date : 2008-08-28 DOI: 10.2174/1874924000801010019

Robert Estabrook, R. Schutt, M. Woodford

Effective translation of research results into programmatic change continues to be the exception to the norm, in spite of increasing recognition to the importance of translational efforts and innovative approaches to the translation proc- ess. We focus attention in this article on a participatory expert panel approach that can improve translation of research into practice by engaging a wide range of stakeholders in reviewing research results and program operations. We demonstrate how we used this process to improve the translation of research concerning the Massachusetts Women's Health Net- work—a state- and federally-funded program that offers screening services to low income women at risk of breast and cervical cancer who lack health insurance. Interviews with selected participants provide insight into the expert panel proc- ess and help to indicate its effectiveness. We conclude with suggestions for improving this approach to translation and of- fer some cautions based on the Massachusetts experience.

尽管人们越来越认识到翻译工作的重要性和翻译过程的创新方法，但将研究成果有效地转化为方案变革仍然是常态的例外。在本文中，我们将重点关注参与式专家小组方法，通过让广泛的利益相关者参与审查研究成果和项目运营，可以提高研究成果转化为实践。我们展示了我们是如何使用这个过程来改进关于马萨诸塞州妇女健康网络的研究的翻译的——一个由州和联邦政府资助的项目，为缺乏健康保险的有患乳腺癌和宫颈癌风险的低收入妇女提供筛查服务。与选定参与者的访谈提供了对专家小组过程的洞察，并有助于表明其有效性。最后，我们提出了改进这种翻译方法的建议，并根据马萨诸塞州的经验提出了一些注意事项。

引用次数: 4

Variation in Hispanic Self-Identification, Spanish Surname, and Geocoding: Implications for Ethnicity Data Collection 西班牙裔自我认同、西班牙姓氏和地理编码的差异:对种族数据收集的影响

The open health services and policy journal

Pub Date : 2008-08-22 DOI: 10.2174/1874924000801010012

D. Ritzwoller, Nikki M. Carroll, B. Gaglio, Anna Sukhanova, Fabio A. Almeida, Melanie A. Stopponi, Diego Osuna

This study examines the variation in surname analysis and geocoding, and their association with self-identified Hispanics in an HMO. We collected ethnicity data from three studies, and employed Spanish surname software and cen- sus tract level geocoding to create proxies for Hispanic ethnicity. We computed sensitivity, specificity, and estimated mul- tivariate logistic regression models to examine the variation in the likelihood of a match between self-identified Hispanics and surname. Sensitivity and specificity with respect to surname varied across the three studies, ranging from 57%-91% and 89%-96%, respectively. Relative to self-report, the sensitivity of the census tract measure of density of Hispanics, var- ied from 5%-15%. Multivariate models suggest that the likelihood of a match between self-identified Hispanics and sur- name was not associated with age or gender. Self-identified Hispanics living in neighborhoods with the highest density of Hispanics were less likely than those in more mixed neighborhoods to have a Spanish surname. Employing the Spanish surname software on only densely populated Hispanic census tracts may not always improve the likelihood of correctly identifying Hispanic subjects.

本研究考察了姓氏分析和地理编码的差异，以及它们与HMO中自我认定的西班牙裔人的关系。我们从三项研究中收集了种族数据，并使用西班牙姓氏软件和人口普查级别的地理编码来创建西班牙裔种族的代理。我们计算了敏感性、特异性，并估计了多变量逻辑回归模型，以检验自我认定的西班牙裔和姓氏之间匹配可能性的变化。在三个研究中，姓氏的敏感性和特异性各不相同，分别为57%-91%和89%-96%。相对于自我报告，人口普查区测量西班牙裔人口密度的敏感度在5%-15%之间变化。多变量模型表明，自我认同的西班牙裔和姓氏之间匹配的可能性与年龄或性别无关。居住在西班牙裔人口密度最高的社区的自认为是西班牙裔的人，比居住在混合社区的人拥有西班牙姓氏的可能性要小。仅在人口密集的西班牙裔人口普查区使用西班牙姓氏软件可能并不总能提高正确识别西班牙裔受试者的可能性。

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引用次数: 3

Private Pediatric Clinic Characteristics Associated with Influenza Immunization Efforts in the State of Georgia: A Pilot Evaluation. 佐治亚州与流感免疫工作相关的私立儿科诊所特征：试点评估。

The open health services and policy journal

Pub Date : 2008-01-01 DOI: 10.2174/1874924000801010038

Karen Pazol, Julie A Gazmararian, Mila M Prill, Emily M O'Malley, Deborah Jelks, Margaret S Coleman, Alan R Hinman, Walter A Orenstein

The Advisory Committee on Immunization Practices (ACIP) recently recommended that all children 6 months to 18 years be vaccinated annually against influenza. Because pediatricians will be critical for implementing this recommendation, we assessed the characteristics of immunization providers associated with the greatest efforts to vaccinate children against influenza. Using a cross-sectional survey of 35 private pediatric clinics in Georgia, we found that adding extra hours for immunization during the influenza vaccination season and having a policy of allowing six or more vaccines to be delivered at one appointment were characteristics associated with a greater intent to vaccinate children in the 2004-2005 influenza vaccination season. Most respondents indicated that for their clinic to implement a universal childhood vaccination policy it would be important to have a formal recommendation from the ACIP and American Academy of Pediatrics, and to be assured that they could receive credits or refunds for unused vaccine.

免疫实践咨询委员会 (ACIP) 最近建议所有 6 个月至 18 岁的儿童每年接种一次流感疫苗。由于儿科医生对落实这项建议至关重要，因此我们评估了为儿童接种流感疫苗力度最大的免疫接种提供者的特征。通过对佐治亚州 35 家私人儿科诊所进行横断面调查，我们发现，在流感疫苗接种季节增加额外的免疫接种时间以及制定允许在一次预约中接种六种或更多疫苗的政策是与在 2004-2005 年流感疫苗接种季节为儿童接种疫苗的意愿更强相关的特征。大多数受访者表示，他们的诊所要实施儿童疫苗普遍接种政策，就必须获得 ACIP 和美国儿科学会的正式建议，并确保他们可以获得未使用疫苗的积分或退款。

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引用次数: 0

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