摘要
目的基于极为薄弱的循证理论和实证研究现实,本研究旨在构建推进中国公共卫生从业人员循证慢性病防治实践的理论先导模型。方法通过文献荟萃分析,系统梳理国际循证公共卫生和慢性病防控实践的前沿理论模型。结果覆盖-有效性-采取-执行和维持模型(RE-AIM模型)、创新扩散理论模型、实用、稳健的执行和可持续模型(PRISM模型)和Brownson的模型均侧重从循证开展过程和/或对应影响因素确立框架。Brownson模型作为慢性病防控领域的先驱指导模型,聚焦实践者角度探讨慢性病防控实践开展环节及对应影响因素。结论循证慢性病防控模型作为理论先导,能指导分析循证项目的应用及可能存在的影响因素,对于处于探索阶段的循证研究具有重要指导作用。未来仍需通过实践,论证充实和完善模型。
Objective To establish a theoretical framework for evidence-based chronic disease conducted prevention(EBCDP)review for promoting EBCDP practice in public health practitioners in China.Methods We literature to systematically tease apart theoretical models proposed by international researches.Results All the of models,including reach,effectiveness,adoption,implementation,and maintenance model(RE-AIM)framework,diffusion innovation theory,practical,robust implementation and sustainability(PRISM),as well as Brownson's model,focus on the process and on impact factors of the establishment factors of EBCDP framework.However,Brownson's model,as a forefront model,focuses the process and impact of in EBCDP from practitioners'point and of view.Conclusion adopted The theoretical framework application of EBCDP plays an important factors role promoting EBCDP practice could be to guide analyses on and potential impact of evidence-based disease control projects.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2017年第11期1548-1551,共4页
Chinese Journal of Public Health
基金
国家自然科学基金青年项目(71603182
71403185)
2016年中央高校优秀青年教师计划(英才类)
2016年度上海市卫计委科研课题(20164Y0161)