当前人口健康干预研究面临的挑战

L. Cambon, F. Alla
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引用次数: 13

摘要

人口健康干预措施(PHIs)通常是复杂的;它们的结果取决于它们与实现环境的交互。此外,干预和环境之间的区别是武断的:我们更需要考虑一个“干预系统”,包括干预和环境两个组成部分。评估必须超越有效性,必须包括两个关键的研究问题:可行性分析,以验证干预措施可以在现实生活中常规化;以理论为基础的评估,分析机制,了解是什么在组成部分之间产生影响,以及它们彼此之间以及与环境的相互作用。PHI研究不仅是一个对象问题,而且是一个视角问题。这意味着以不同的方式进行研究,利用跨学科并让利益相关者参与进来。这种办法可能有助于创新干预措施的发展、转让、实施和扩大。
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Current challenges in population health intervention research
Population health interventions (PHIs) are generally complex; their results depend on their interaction with the context of their implementation. Moreover, the distinction between intervention and context is arbitrary: we need rather to consider an ‘interventional system’, including both interventional and contextual components. Evaluation must go beyond effectiveness and must include two key research questions: a viability analysis, to verify that the intervention can be routinised in a real-life context; and a theory-based evaluation, to analyse mechanisms and to understand what produces effects among components and their interactions with each other and with the context. PHI research is a question not only of the object but also of perspectives. This means doing research differently, making use of interdisciplinarity and involving stakeholders. Such an approach may contribute to the development, transfer, implementation and scaling-up of innovative interventions.
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